Release 5 Ballot

This page is part of the FHIR Specification (v5.0.0-ballot: R5 Ballot - see ballot notes). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

StructureDefinition: elementdefinition-de - XML

FHIR Infrastructure Work Group Maturity Level: 1Trial UseUse Context: Any

elementdefinition-de

<?xml version="1.0" encoding="UTF-8"?>

<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="elementdefinition-de"/> 
  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">to do</div> 
  </text> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="fhir"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="trial-use"/> 
  </extension> 
  <url value="http://hl7.org/fhir/StructureDefinition/elementdefinition-de"/> 
  <version value="5.0.0-ballot"/> 
  <name value="DataElement constraint on ElementDefinition data type"/> 
  <status value="draft"/> 
  <experimental value="false"/> 
  <date value="2015-02-28"/> 
  <publisher value="Health Level Seven International (Orders and Observations)"/> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="http://hl7.org/special/committees/FHIR"/> 
    </telecom> 
  </contact> 
  <description value="Identifies how the ElementDefinition data type is used when it appears within a
   data element"/> 
  <fhirVersion value="5.0.0-ballot"/> 
  <mapping> 
    <identity value="v2"/> 
    <uri value="http://hl7.org/v2"/> 
    <name value="HL7 v2 Mapping"/> 
  </mapping> 
  <mapping> 
    <identity value="rim"/> 
    <uri value="http://hl7.org/v3"/> 
    <name value="RIM Mapping"/> 
  </mapping> 
  <mapping> 
    <identity value="iso11179"/> 
    <uri value="http://metadata-standards.org/11179/"/> 
    <name value="ISO 11179"/> 
  </mapping> 
  <mapping> 
    <identity value="dex"/> 
    <uri value="http://ihe.net/data-element-exchange"/> 
    <name value="IHE Data Element Exchange (DEX)"/> 
  </mapping> 
  <kind value="complex-type"/> 
  <abstract value="false"/> 
  <type value="ElementDefinition"/> 
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/ElementDefinition"/> 
  <derivation value="constraint"/> 
  <snapshot> 
    <element id="ElementDefinition">
      <path value="ElementDefinition"/> 
      <short value="Definition of an element in a resource or extension"/> 
      <definition value="Captures constraints on each element within the resource, profile, or extension."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ElementDefinition"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <constraint> 
        <key value="eld-2"/> 
        <severity value="error"/> 
        <human value="Min &lt;= Max"/> 
        <expression value="min.empty() or max.empty() or (max = '*') or iif(max != '*', min &lt;= max.toInteger())"/> 
        <xpath value="not(exists(f:min)) or not(exists(f:max)) or (not(f:max/@value) and not(f:min/@value))
         or (f:max/@value = '*') or (number(f:max/@value) &gt;= f:min/@value)"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ElementDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="eld-5"/> 
        <severity value="error"/> 
        <human value="if the element definition has a contentReference, it cannot have type, defaultValue,
         fixed, pattern, example, minValue, maxValue, maxLength, or binding"/> 
        <expression value="contentReference.empty() or (type.empty() and defaultValue.empty() and fixed.empty()
         and pattern.empty() and example.empty() and minValue.empty() and maxValue.empty()
         and maxLength.empty() and binding.empty())"/> 
        <xpath value="not(exists(f:contentReference) and (exists(f:type) or exists(f:*[starts-with(local-name(.),
         'value')]) or exists(f:*[starts-with(local-name(.), 'defaultValue')])  or exists(f:*[starts-w
        ith(local-name(.), 'fixed')]) or exists(f:*[starts-with(local-name(.), 'pattern')])
         or exists(f:*[starts-with(local-name(.), 'example')]) or exists(f:*[starts-with(local-name(.)
        , 'f:minValue')]) or exists(f:*[starts-with(local-name(.), 'f:maxValue')]) or exists(f:maxLeng
        th) or exists(f:binding)))"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ElementDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="eld-6"/> 
        <severity value="error"/> 
        <human value="Fixed value may only be specified if there is one type"/> 
        <expression value="fixed.empty() or (type.count()  &lt;= 1)"/> 
        <xpath value="not(exists(f:*[starts-with(local-name(.), 'fixed')])) or (count(f:type)&lt;=1)"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ElementDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="eld-7"/> 
        <severity value="error"/> 
        <human value="Pattern may only be specified if there is one type"/> 
        <expression value="pattern.empty() or (type.count() &lt;= 1)"/> 
        <xpath value="not(exists(f:*[starts-with(local-name(.), 'pattern')])) or (count(f:type)&lt;=1)"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ElementDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="eld-8"/> 
        <severity value="error"/> 
        <human value="Pattern and fixed are mutually exclusive"/> 
        <expression value="pattern.empty() or fixed.empty()"/> 
        <xpath value="not(exists(f:*[starts-with(local-name(.), 'pattern')])) or not(exists(f:*[starts-with(local-n
        ame(.), 'fixed')]))"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ElementDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="eld-11"/> 
        <severity value="error"/> 
        <human value="Binding can only be present for coded elements, string, and uri if using FHIR-defined
         types"/> 
        <expression value="binding.empty() or type.code.empty() or type.code.contains(&quot;:&quot;) or type.select((cod
        e = 'code') or (code = 'Coding') or (code='CodeableConcept') or (code = 'Quantity')
         or (code = 'string') or (code = 'uri') or (code = 'Duration')).exists()"/> 
        <xpath value="not(exists(f:binding)) or (count(f:type/f:code) = 0) or contains(f:type/f:code/@value,
         ':') or  f:type/f:code/@value=('code','Coding','CodeableConcept','Quantity','string',
         'uri', 'Duration')"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ElementDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="eld-13"/> 
        <severity value="error"/> 
        <human value="Types must be unique by code"/> 
        <expression value="type.select(code).isDistinct()"/> 
        <xpath value="not(exists(for $type in f:type return $type/preceding-sibling::f:type[f:code/@value=$type/f:c
        ode/@value]))"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ElementDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="eld-14"/> 
        <severity value="error"/> 
        <human value="Constraints must be unique by key"/> 
        <expression value="constraint.select(key).isDistinct()"/> 
        <xpath value="count(f:constraint) = count(distinct-values(f:constraint/f:key/@value))"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ElementDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="eld-15"/> 
        <severity value="error"/> 
        <human value="default value and meaningWhenMissing are mutually exclusive"/> 
        <expression value="defaultValue.empty() or meaningWhenMissing.empty()"/> 
        <xpath value="not(exists(f:*[starts-with(local-name(.), 'fixed')])) or not(exists(f:meaningWhenMissing))"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ElementDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="eld-16"/> 
        <severity value="error"/> 
        <human value="sliceName must be composed of proper tokens separated by &quot;/&quot;"/> 
        <expression value="sliceName.empty() or sliceName.matches('^[a-zA-Z0-9\\/\\-_\\[\\]\\@]+$')"/> 
        <xpath value="not(exists(f:sliceName/@value)) or matches(f:sliceName/@value, '^[a-zA-Z0-9\/\-_\[\]\@]+$')"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ElementDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="eld-18"/> 
        <severity value="error"/> 
        <human value="Must have a modifier reason if isModifier = true"/> 
        <expression value="(isModifier.exists() and isModifier) implies isModifierReason.exists()"/> 
        <xpath value="not(f:isModifier/@value = 'true') or exists(f:isModifierReason)"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ElementDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="eld-19"/> 
        <severity value="error"/> 
        <human value="Element names cannot include some special characters with a max of 64 characters,"/> 
        <expression value="path.matches('^[^\\s\\.,:;\\\'&quot;\\/|?!@#$%&amp;*()\\[\\]{}]{1,64}(\\.[^\\s\\.,:;\\\'&quot
        ;\\/|?!@#$%&amp;*()\\[\\]{}]{1,64}(\\[x\\])?(\\:[^\\s\\.]+)?)*$')"/> 
        <xpath value="matches(f:path/@value, '^[^\s\.,:;\'&amp;quot;\/|?!@#$%&amp;*()\[\]{}]{1,64}(\.[^\s\.,:;\'&am
        p;quot;\/|?!@#$%&amp;*()\[\]{}]{1,64}(\[x\])?(\:[^\s\.]+)?)*$')"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ElementDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="eld-20"/> 
        <severity value="warning"/> 
        <human value="Element names should be simple alphanumerics with a max of 64 characters or code
         generation tools may be broken"/> 
        <expression value="path.matches('^[A-Za-z][A-Za-z0-9]{0,63}(\\.[a-z][A-Za-z0-9]{0,63}(\\[x])?)*$')"/> 
        <xpath value="matches(f:path/@value, '^[A-Za-z][A-Za-z0-9]*(\.[a-z][A-Za-z0-9]*(\[x])?)*$')"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ElementDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="eld-22"/> 
        <severity value="error"/> 
        <human value="sliceIsConstraining can only appear if slicename is present"/> 
        <expression value="sliceIsConstraining.exists() implies sliceName.exists()"/> 
        <xpath value="exists(f:sliceName) or not(exists(f:sliceIsConstraining))"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ElementDefinition"/> 
      </constraint> 
      <constraint> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
          <valueBoolean value="true"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
          <valueMarkdown value="pattern[x] is generally preferred over fixed[x] because it doesn't preclude the
           use of id and additional extensions, though there are corner cases when it's appropriate
           to exclude those"/> 
        </extension> 
        <key value="eld-24"/> 
        <severity value="warning"/> 
        <human value="pattern[x] should be used rather than fixed[x]"/> 
        <expression value="fixed.exists().not()"/> 
        <xpath value="not(exists(f:*[starts-with(local-name(.), 'fixed')]))"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ElementDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="eld-25"/> 
        <severity value="warning"/> 
        <human value="Order has no meaning (and cannot be asserted to have meaning), so enforcing rules
         on order is improper"/> 
        <expression value="orderMeaning.empty() implies slicing.where(rules='openAtEnd' or ordered).exists().not()"/> 
        <xpath value="exists(f:orderMeaning) or not(exists(f:slicing[f:rules/@value='openAtEnd' or f:ordered/@value
        ='true']))"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ElementDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="eld-27"/> 
        <severity value="warning"/> 
        <human value="Mappings SHOULD be unique by key"/> 
        <expression value="mapping.select(identity).isDistinct()"/> 
        <xpath value="count(f:mapping) = count(distinct-values(f:mapping/f:identity/@value))"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ElementDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="OM1"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Observation[classCode=OBS, moodCode=DEFN]"/> 
      </mapping> 
      <mapping> 
        <identity value="iso11179"/> 
        <map value="Data_Element"/> 
      </mapping> 
      <mapping> 
        <identity value="dex"/> 
        <map value="RetrieveMetadata response"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.id">
      <path value="ElementDefinition.id"/> 
      <representation value="xmlAttr"/> 
      <short value="Unique id for inter-element referencing"/> 
      <definition value="Unique id for the element within a resource (for internal references). This may
       be any string value that does not contain spaces."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="id"/> 
        </extension> 
        <code value="http://hl7.org/fhirpath/System.String"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.extension">
      <path value="ElementDefinition.extension"/> 
      <slicing> 
        <discriminator> 
          <type value="value"/> 
          <path value="url"/> 
        </discriminator> 
        <description value="Extensions are always sliced by (at least) url"/> 
        <rules value="open"/> 
      </slicing> 
      <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. To make the use of extensions safe and manageable, there is a strict
       set of governance  applied to the definition and use of extensions. Though any
       implementer can define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.extension:Question">
      <path value="ElementDefinition.extension"/> 
      <sliceName value="Question"/> 
      <short value="Prompt for element phrased as question"/> 
      <definition value="The default/suggested phrasing to use when prompting a human to capture the data
       element in question form (e.g. In a survey)."/> 
      <comment value="Question and label serve similar purposes in they both can be used to prompt for
       capturing a data element.  Whether the question form or label form should be used
       will depend on the type of instrument being used to capture the information.  The
       ordering is in order of preference.  I.e. Most preferred question form is listed
       first.  Note that this is for alternate phrasings of the question.  Language translations
       are handled using the ISO 21090 string translation extensions."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
        <profile value="http://hl7.org/fhir/StructureDefinition/elementdefinition-question"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A (MIF-level)"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.extension:AllowedUnits">
      <path value="ElementDefinition.extension"/> 
      <sliceName value="AllowedUnits"/> 
      <short value="Units to use for measured value"/> 
      <definition value="Identifies the units of measure in which the element should be captured or expressed."/> 
      <comment value="Use a value set if more than one unit of measure is possible.  Value sets will
       typically be short enough to display in a drop-down selection list."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
        <profile value="http://hl7.org/fhir/StructureDefinition/elementdefinition-allowedUnits"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="v2"/> 
        <map value="OM2.2"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A (MIF territory)"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.modifierExtension">
      <path value="ElementDefinition.modifierExtension"/> 
      <short value="Extensions that cannot be ignored even if unrecognized"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element and that modifies the understanding of the element in which it is
       contained and/or the understanding of the containing element's descendants. Usually
       modifier elements provide negation or qualification. To make the use of extensions
       safe and manageable, there is a strict set of governance applied to the definition
       and use of extensions. Though any implementer can define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension.
       Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be
       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition
       of modifier extensions](http://hl7.org/fhir/2022Sep/extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <alias value="modifiers"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="BackboneType.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="true"/> 
      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the
       element that contains them"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.path">
      <path value="ElementDefinition.path"/> 
      <short value="Path of the element in the hierarchy of elements"/> 
      <definition value="The path identifies the element and is expressed as a &quot;.&quot;-separated list
       of ancestor elements, beginning with the name of the resource or extension."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="ElementDefinition.path"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="v2"/> 
        <map value="N/A"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
      <mapping> 
        <identity value="iso11179"/> 
        <map value="Name, Identifier &amp; Context"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.representation">
      <path value="ElementDefinition.representation"/> 
      <short value="xmlAttr | xmlText | typeAttr | cdaText | xhtml"/> 
      <definition value="Codes that define how this element is represented in instances, when the deviation
       varies from the normal case. No extensions are allowed on elements with a representation
       of 'xmlAttr', no matter what FHIR serialization format is used."/> 
      <comment value="In resources, this is rarely used except for special cases where the representation
       deviates from the normal, and can only be done in the base standard (and profiles
       must reproduce what the base standard does). This element is used quite commonly
       in Logical models when the logical models represent a specific serialization format
       (e.g. CDA, v2 etc.)."/> 
      <min value="0"/> 
      <max value="0"/> 
      <base> 
        <path value="ElementDefinition.representation"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/build/StructureDefinition/binding-definition">
          <valueString value="How a property is represented when serialized."/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="PropertyRepresentation"/> 
        </extension> 
        <strength value="required"/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/property-representation|5.0.0-ballot"/> 
      </binding> 
      <mapping> 
        <identity value="v2"/> 
        <map value="N/A"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
      <mapping> 
        <identity value="iso11179"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.sliceName">
      <path value="ElementDefinition.sliceName"/> 
      <short value="Name for this particular element (in a set of slices)"/> 
      <definition value="The name of this element definition slice, when slicing is working. The name must
       be a token with no dots or spaces. This is a unique name referring to a specific
       set of constraints applied to this element, used to provide a name to different
       slices of the same element."/> 
      <comment value="The name SHALL be unique within the structure within the context of the constrained
       resource element.  (Though to avoid confusion, uniqueness across all elements is
       recommended.)."/> 
      <requirements value="May also be used for code generation purposes."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ElementDefinition.sliceName"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="v2"/> 
        <map value="N/A"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
      <mapping> 
        <identity value="iso11179"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.sliceIsConstraining">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="trial-use"/> 
      </extension> 
      <path value="ElementDefinition.sliceIsConstraining"/> 
      <short value="If this slice definition constrains an inherited slice definition (or not)"/> 
      <definition value="If true, indicates that this slice definition is constraining a slice definition
       with the same name in an inherited profile. If false, the slice is not overriding
       any slice in an inherited profile. If missing, the slice might or might not be
       overriding a slice in an inherited profile, depending on the sliceName."/> 
      <comment value="If set to true, an ancestor profile SHALL have a slicing definition with this name.
        If set to false, no ancestor profile is permitted to have a slicing definition
       with this name."/> 
      <requirements value="Allows detection of a situation where an ancestor profile adds or removes slicing
       with the same name where that might impact the child profile."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ElementDefinition.sliceIsConstraining"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="boolean"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="v2"/> 
        <map value="N/A"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
      <mapping> 
        <identity value="iso11179"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.label">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true"/> 
      </extension> 
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true"/> 
      </extension> 
      <path value="ElementDefinition.label"/> 
      <short value="Name for element to display with or prompt for element"/> 
      <definition value="A single preferred label which is the text to display beside the element indicating
       its meaning or to use to prompt for the element in a user display or form."/> 
      <comment value="See also the extension (http://hl7.org/fhir/StructureDefinition/elementdefinition-question)[e
      xtension-elementdefinition-question.html]."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ElementDefinition.label"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="./code/display"/> 
      </mapping> 
      <mapping> 
        <identity value="iso11179"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.code">
      <path value="ElementDefinition.code"/> 
      <short value="Corresponding codes in terminologies"/> 
      <definition value="A code that has the same meaning as the element in a particular terminology."/> 
      <comment value="The concept SHALL be properly aligned with the data element definition and other
       constraints, as defined in the code system, including relationships, of any code
       listed here.  Where multiple codes exist in a terminology that could correspond
       to the data element, the most granular code(s) should be selected, so long as they
       are not more restrictive than the data element itself. The mappings may be used
       to provide more or less granular or structured equivalences in the code system."/> 
      <requirements value="Links the meaning of an element to an external terminology, and is very useful
       for searching and indexing."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ElementDefinition.code"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Coding"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/build/StructureDefinition/binding-definition">
          <valueString value="Codes that indicate the meaning of a data element."/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ElementDefinitionCode"/> 
        </extension> 
        <strength value="example"/> 
        <valueSet value="http://loinc.org/vs"/> 
      </binding> 
      <mapping> 
        <identity value="v2"/> 
        <map value="OM1.7"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="./code (root or translation)"/> 
      </mapping> 
      <mapping> 
        <identity value="iso11179"/> 
        <map value="(Data_Element).data_element_concept.identifier"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.slicing">
      <path value="ElementDefinition.slicing"/> 
      <short value="This element is sliced - slices follow"/> 
      <definition value="Indicates that the element is sliced into a set of alternative definitions (i.e.
       in a structure definition, there are multiple different constraints on a single
       element in the base resource). Slicing can be used in any resource that has cardinality
       ..* on the base resource, or any resource with a choice of types. The set of slices
       is any elements that come after this in the element sequence that have the same
       path, until a shorter path occurs (the shorter path terminates the set)."/> 
      <comment value="The first element in the sequence, the one that carries the slicing, is the definition
       that applies to all the slices. This is based on the unconstrained element, but
       can apply any constraints as appropriate. This may include the common constraints
       on the children of the element."/> 
      <min value="0"/> 
      <max value="0"/> 
      <base> 
        <path value="ElementDefinition.slicing"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Element"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
      <mapping> 
        <identity value="iso11179"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.slicing.id">
      <path value="ElementDefinition.slicing.id"/> 
      <representation value="xmlAttr"/> 
      <short value="Unique id for inter-element referencing"/> 
      <definition value="Unique id for the element within a resource (for internal references). This may
       be any string value that does not contain spaces."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/> 
        </extension> 
        <code value="http://hl7.org/fhirpath/System.String"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.slicing.extension">
      <path value="ElementDefinition.slicing.extension"/> 
      <slicing> 
        <discriminator> 
          <type value="value"/> 
          <path value="url"/> 
        </discriminator> 
        <description value="Extensions are always sliced by (at least) url"/> 
        <rules value="open"/> 
      </slicing> 
      <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. To make the use of extensions safe and manageable, there is a strict
       set of governance  applied to the definition and use of extensions. Though any
       implementer can define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.slicing.discriminator">
      <path value="ElementDefinition.slicing.discriminator"/> 
      <short value="Element values that are used to distinguish the slices"/> 
      <definition value="Designates which child elements are used to discriminate between the slices when
       processing an instance. If one or more discriminators are provided, the value of
       the child elements in the instance data SHALL completely distinguish which slice
       the element in the resource matches based on the allowed values for those elements
       in each of the slices."/> 
      <comment value="If there is no discriminator, the content is hard to process, so this should be
       avoided."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ElementDefinition.slicing.discriminator"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Element"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
      <mapping> 
        <identity value="iso11179"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.slicing.discriminator.id">
      <path value="ElementDefinition.slicing.discriminator.id"/> 
      <representation value="xmlAttr"/> 
      <short value="Unique id for inter-element referencing"/> 
      <definition value="Unique id for the element within a resource (for internal references). This may
       be any string value that does not contain spaces."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/> 
        </extension> 
        <code value="http://hl7.org/fhirpath/System.String"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.slicing.discriminator.extension">
      <path value="ElementDefinition.slicing.discriminator.extension"/> 
      <slicing> 
        <discriminator> 
          <type value="value"/> 
          <path value="url"/> 
        </discriminator> 
        <description value="Extensions are always sliced by (at least) url"/> 
        <rules value="open"/> 
      </slicing> 
      <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. To make the use of extensions safe and manageable, there is a strict
       set of governance  applied to the definition and use of extensions. Though any
       implementer can define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.slicing.discriminator.type">
      <path value="ElementDefinition.slicing.discriminator.type"/> 
      <short value="value | exists | pattern | type | profile | position"/> 
      <definition value="How the element value is interpreted when discrimination is evaluated."/> 
      <comment value="pattern' is deprecated - it works exactly the same as 'value'."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="ElementDefinition.slicing.discriminator.type"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/build/StructureDefinition/binding-definition">
          <valueString value="How an element value is interpreted when discrimination is evaluated."/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="DiscriminatorType"/> 
        </extension> 
        <strength value="required"/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/discriminator-type|5.0.0-ballot"/> 
      </binding> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.slicing.discriminator.path">
      <path value="ElementDefinition.slicing.discriminator.path"/> 
      <short value="Path to element value"/> 
      <definition value="A FHIRPath expression, using [the simple subset of FHIRPath](http://hl7.org/fhir/2022Sep/fhirpath.h
      tml#simple), that is used to identify the element on which discrimination is based."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="ElementDefinition.slicing.discriminator.path"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
      <mapping> 
        <identity value="iso11179"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.slicing.description">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true"/> 
      </extension> 
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true"/> 
      </extension> 
      <path value="ElementDefinition.slicing.description"/> 
      <short value="Text description of how slicing works (or not)"/> 
      <definition value="A human-readable text description of how the slicing works. If there is no discriminator,
       this is required to be present to provide whatever information is possible about
       how the slices can be differentiated."/> 
      <comment value="If it's really not possible to differentiate them, the design should be re-evaluated
       to make the content usable."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ElementDefinition.slicing.description"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.slicing.ordered">
      <path value="ElementDefinition.slicing.ordered"/> 
      <short value="If elements must be in same order as slices"/> 
      <definition value="If the matching elements have to occur in the same order as defined in the profile."/> 
      <comment value="Order should only be required when it is a pressing concern for presentation. Profile
       authors should consider making the order a feature of the rules about the narrative,
       not the rules about the data - requiring ordered data makes the profile much less
       re-usable."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ElementDefinition.slicing.ordered"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="boolean"/> 
      </type> 
      <meaningWhenMissing value="Order is not required unless specified"/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
      <mapping> 
        <identity value="iso11179"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.slicing.rules">
      <path value="ElementDefinition.slicing.rules"/> 
      <short value="closed | open | openAtEnd"/> 
      <definition value="Whether additional slices are allowed or not. When the slices are ordered, profile
       authors can also say that additional slices are only allowed at the end."/> 
      <comment value="Allowing additional elements makes for a much for flexible template - it's open
       for use in wider contexts, but also means that the content of the resource is not
       closed, and applications have to decide how to handle content not described by
       the profile."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="ElementDefinition.slicing.rules"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/build/StructureDefinition/binding-definition">
          <valueString value="How slices are interpreted when evaluating an instance."/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="SlicingRules"/> 
        </extension> 
        <strength value="required"/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/resource-slicing-rules|5.0.0-ballot"/> 
      </binding> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
      <mapping> 
        <identity value="iso11179"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.short">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true"/> 
      </extension> 
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true"/> 
      </extension> 
      <path value="ElementDefinition.short"/> 
      <short value="Concise definition for space-constrained presentation"/> 
      <definition value="A concise description of what this element means (e.g. for use in autogenerated
       summaries)."/> 
      <comment value="It is easy for a different short definition to change the meaning of an element
       and this can have nasty downstream consequences. Please be careful when providing
       short definitions in a profile."/> 
      <min value="0"/> 
      <max value="0"/> 
      <base> 
        <path value="ElementDefinition.short"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
      <mapping> 
        <identity value="iso11179"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.definition">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true"/> 
      </extension> 
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true"/> 
      </extension> 
      <path value="ElementDefinition.definition"/> 
      <short value="Full formal definition as narrative text"/> 
      <definition value="Provides a complete explanation of the meaning of the data element for human readability.
        For the case of elements derived from existing elements (e.g. constraints), the
       definition SHALL be consistent with the base definition, but convey the meaning
       of the element in the particular context of use of the resource. (Note: The text
       you are reading is specified in ElementDefinition.definition)."/> 
      <comment value="It is easy for a different definition to change the meaning of an element and this
       can have nasty downstream consequences. Please be careful when providing definitions
       in a profile."/> 
      <requirements value="To allow a user to state the usage of an element in a particular context."/> 
      <alias value="Description"/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ElementDefinition.definition"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="markdown"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="v2"/> 
        <map value="OM1.6, OM1.41"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="./text"/> 
      </mapping> 
      <mapping> 
        <identity value="iso11179"/> 
        <map value="(Designatable_Item).definition.text  acceptability=preferred in default context"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.comment">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true"/> 
      </extension> 
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true"/> 
      </extension> 
      <path value="ElementDefinition.comment"/> 
      <short value="Comments about the use of this element"/> 
      <definition value="Explanatory notes and implementation guidance about the data element, including
       notes about how to use the data properly, exceptions to proper use, etc. (Note:
       The text you are reading is specified in ElementDefinition.comment)."/> 
      <comment value="If it is possible to capture usage rules using constraints, that mechanism should
       be used in preference to this element."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ElementDefinition.comment"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="markdown"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="v2"/> 
        <map value="NTE, OM1.32, OM1.33, OM1.39"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="./inboundRelationship[typeCode=SUBJ]/source[classCode=LIST, moodCode=EVN]/code"/> 
      </mapping> 
      <mapping> 
        <identity value="iso11179"/> 
        <map value="(Administered_Item).explanatory_comment"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.requirements">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true"/> 
      </extension> 
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true"/> 
      </extension> 
      <path value="ElementDefinition.requirements"/> 
      <short value="Why this resource has been created"/> 
      <definition value="This element is for traceability of why the element was created and why the constraints
       exist as they do. This may be used to point to source materials or specifications
       that drove the structure of this element."/> 
      <comment value="This element does not describe the usage of the element (that's done in comments),
       rather it's for traceability of *why* the element is either needed or why the constraints
       exist as they do.  This may be used to point to source materials or specifications
       that drove the structure of this data element."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ElementDefinition.requirements"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="markdown"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="./inboundRelationship[typeCode=META]/source[classCode=ACT, moodCode=EVN, isCriterionInd=true]
        /reasonCode/originalText"/> 
      </mapping> 
      <mapping> 
        <identity value="iso11179"/> 
        <map value="(Registered_item).document_reference[document_type=requirements].notation"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.alias">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true"/> 
      </extension> 
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true"/> 
      </extension> 
      <path value="ElementDefinition.alias"/> 
      <short value="Other names"/> 
      <definition value="Identifies additional names by which this element might also be known."/> 
      <requirements value="Allows for better easier recognition of the element by multiple communities, including
       international communities."/> 
      <alias value="synonym"/> 
      <alias value="other name"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ElementDefinition.alias"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="v2"/> 
        <map value="OM1.8, OM1.52"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Not currently expressible"/> 
      </mapping> 
      <mapping> 
        <identity value="iso11179"/> 
        <map value="(Designatable_Item).designation.sign  acceptability!=preferred or context is other
         than default"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.min">
      <path value="ElementDefinition.min"/> 
      <short value="Minimum Cardinality"/> 
      <definition value="The minimum number of times this element SHALL appear in the instance."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ElementDefinition.min"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="unsignedInt"/> 
      </type> 
      <condition value="eld-2"/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A (MIF territory)"/> 
      </mapping> 
      <mapping> 
        <identity value="iso11179"/> 
        <map value="Minimum  size of  data element  values?"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.max">
      <path value="ElementDefinition.max"/> 
      <short value="Maximum Cardinality (a number or *)"/> 
      <definition value="The maximum number of times this element is permitted to appear in the instance."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ElementDefinition.max"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <condition value="eld-3"/> 
      <condition value="eld-2"/> 
      <constraint> 
        <key value="eld-3"/> 
        <severity value="error"/> 
        <human value="Max SHALL be a number or &quot;*&quot;"/> 
        <expression value="empty() or ($this = '*') or (toInteger() &gt;= 0)"/> 
        <xpath value="@value='*' or (normalize-space(@value)!='' and normalize-space(translate(@value,
         '0123456789',''))='')"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ElementDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="v2"/> 
        <map value="OMC.10"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A (MIF territory)"/> 
      </mapping> 
      <mapping> 
        <identity value="iso11179"/> 
        <map value="Maximum  size of  data element  values?"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.base">
      <path value="ElementDefinition.base"/> 
      <short value="Base definition information for tools"/> 
      <definition value="Information about the base definition of the element, provided to make it unnecessary
       for tools to trace the deviation of the element through the derived and related
       profiles. When the element definition is not the original definition of an element
       - i.g. either in a constraint on another type, or for elements from a super type
       in a snap shot - then the information in provided in the element definition may
       be different to the base definition. On the original definition of the element,
       it will be same."/> 
      <comment value="The base information does not carry any information that could not be determined
       from the path and related profiles, but making this determination requires both
       that the related profiles are available, and that the algorithm to determine them
       be available. For tooling simplicity, the base information must always be populated
       in element definitions in snap shots, even if it is the same."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ElementDefinition.base"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Element"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A (MIF territory)"/> 
      </mapping> 
      <mapping> 
        <identity value="iso11179"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.base.id">
      <path value="ElementDefinition.base.id"/> 
      <representation value="xmlAttr"/> 
      <short value="Unique id for inter-element referencing"/> 
      <definition value="Unique id for the element within a resource (for internal references). This may
       be any string value that does not contain spaces."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/> 
        </extension> 
        <code value="http://hl7.org/fhirpath/System.String"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.base.extension">
      <path value="ElementDefinition.base.extension"/> 
      <slicing> 
        <discriminator> 
          <type value="value"/> 
          <path value="url"/> 
        </discriminator> 
        <description value="Extensions are always sliced by (at least) url"/> 
        <rules value="open"/> 
      </slicing> 
      <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. To make the use of extensions safe and manageable, there is a strict
       set of governance  applied to the definition and use of extensions. Though any
       implementer can define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.base.path">
      <path value="ElementDefinition.base.path"/> 
      <short value="Path that identifies the base element"/> 
      <definition value="The Path that identifies the base element - this matches the ElementDefinition.path
       for that element. Across FHIR, there is only one base definition of any element
       - that is, an element definition on a [StructureDefinition](http://hl7.org/fhir/2022Sep/structurede
      finition.html#) without a StructureDefinition.base."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="ElementDefinition.base.path"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A (MIF territory)"/> 
      </mapping> 
      <mapping> 
        <identity value="iso11179"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.base.min">
      <path value="ElementDefinition.base.min"/> 
      <short value="Min cardinality of the base element"/> 
      <definition value="Minimum cardinality of the base element identified by the path."/> 
      <comment value="This is provided for consistency with max, and may affect code generation of mandatory
       elements of the base resource are generated differently (some reference implementations
       have done this)."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="ElementDefinition.base.min"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="unsignedInt"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A (MIF territory)"/> 
      </mapping> 
      <mapping> 
        <identity value="iso11179"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.base.max">
      <path value="ElementDefinition.base.max"/> 
      <short value="Max cardinality of the base element"/> 
      <definition value="Maximum cardinality of the base element identified by the path."/> 
      <comment value="This is provided to code generation, since the serialization representation in
       JSON differs depending on whether the base element has max &gt; 1. Also, some forms
       of code generation may differ."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="ElementDefinition.base.max"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A (MIF territory)"/> 
      </mapping> 
      <mapping> 
        <identity value="iso11179"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.contentReference">
      <path value="ElementDefinition.contentReference"/> 
      <short value="Reference to definition of content for the element"/> 
      <definition value="Identifies an element defined elsewhere in the definition whose content rules should
       be applied to the current element. ContentReferences bring across all the rules
       that are in the ElementDefinition for the element, including definitions, cardinality
       constraints, bindings, invariants etc."/> 
      <comment value="ContentReferences can only be defined in specializations, not constrained types,
       and they cannot be changed and always reference the non-constrained definition."/> 
      <min value="0"/> 
      <max value="0"/> 
      <base> 
        <path value="ElementDefinition.contentReference"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="uri"/> 
      </type> 
      <condition value="eld-5"/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.type">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="TypeRef"/> 
      </extension> 
      <path value="ElementDefinition.type"/> 
      <short value="Data type and Profile for this element"/> 
      <definition value="The data type or resource that the value of this element is permitted to be."/> 
      <comment value="The Type of the element can be left blank in a differential constraint, in which
       case the type is inherited from the resource. Abstract types are not permitted
       to appear as a type when multiple types are listed.  (I.e. Abstract types cannot
       be part of a choice)."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ElementDefinition.type"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Element"/> 
      </type> 
      <condition value="eld-13"/> 
      <constraint> 
        <key value="eld-4"/> 
        <severity value="error"/> 
        <human value="Aggregation may only be specified if one of the allowed types for the element is
         a reference"/> 
        <expression value="aggregation.empty() or (code = 'Reference') or (code = 'canonical') or (code =
         'CodeableReference')"/> 
        <xpath value="not(exists(f:aggregation)) or exists(f:code[@value = 'Reference']) or exists(f:code[@value
         = 'canonical']) or exists(f:code[@value = 'CodeableReference'])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ElementDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="eld-17"/> 
        <severity value="error"/> 
        <human value="targetProfile is only allowed if the type is Reference or canonical"/> 
        <expression value="(code='Reference' or code = 'canonical' or code = 'CodeableReference') or targetProfile.empty
        ()"/> 
        <xpath value="not(exists(f:targetProfile)) or (f:code/@value = ('Reference', 'canonical', 'CodeableReferenc
        e'))"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ElementDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="v2"/> 
        <map value="OM1.3, OMC.9"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A (MIF territory)"/> 
      </mapping> 
      <mapping> 
        <identity value="iso11179"/> 
        <map value=".domain.data+Q14type"/> 
      </mapping> 
      <mapping> 
        <identity value="dex"/> 
        <map value="valueDomain.dataType"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.type.id">
      <path value="ElementDefinition.type.id"/> 
      <representation value="xmlAttr"/> 
      <short value="Unique id for inter-element referencing"/> 
      <definition value="Unique id for the element within a resource (for internal references). This may
       be any string value that does not contain spaces."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/> 
        </extension> 
        <code value="http://hl7.org/fhirpath/System.String"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.type.extension">
      <path value="ElementDefinition.type.extension"/> 
      <slicing> 
        <discriminator> 
          <type value="value"/> 
          <path value="url"/> 
        </discriminator> 
        <description value="Extensions are always sliced by (at least) url"/> 
        <rules value="open"/> 
      </slicing> 
      <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. To make the use of extensions safe and manageable, there is a strict
       set of governance  applied to the definition and use of extensions. Though any
       implementer can define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.type.code">
      <path value="ElementDefinition.type.code"/> 
      <short value="Data type or Resource (reference to definition)"/> 
      <definition value="URL of Data type or Resource that is a(or the) type used for this element. References
       are URLs that are relative to http://hl7.org/fhir/StructureDefinition e.g. &quot;string&quot;
       is a reference to http://hl7.org/fhir/StructureDefinition/string. Absolute URLs
       are only allowed in logical models."/> 
      <comment value="If the element is a reference to another resource, this element contains &quot;Reference&quot
      ;, and the targetProfile element defines what resources can be referenced. The targetProfile
       may be a reference to the general definition of a resource (e.g. http://hl7.org/fhir/Structur
      eDefinition/Patient)."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="ElementDefinition.type.code"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="uri"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/build/StructureDefinition/binding-definition">
          <valueString value="List of all Types for ElementDefinition.type.code."/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ElementDefinitionTypes"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/> 
        </extension> 
        <strength value="required"/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/elementdefinition-types|5.0.0-ballot"/> 
      </binding> 
      <mapping> 
        <identity value="v2"/> 
        <map value="OM1.3"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A (MIF territory)"/> 
      </mapping> 
      <mapping> 
        <identity value="iso11179"/> 
        <map value=".domain.data+Q14type"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.type.profile">
      <path value="ElementDefinition.type.profile"/> 
      <short value="Profiles (StructureDefinition or IG) - one must apply"/> 
      <definition value="Identifies a profile structure or implementation Guide that applies to the datatype
       this element refers to. If any profiles are specified, then the content must conform
       to at least one of them. The URL can be a local reference - to a contained StructureDefinitio
      n, or a reference to another StructureDefinition or Implementation Guide by a canonical
       URL. When an implementation guide is specified, the type SHALL conform to at least
       one profile defined in the implementation guide."/> 
      <comment value="It is possible to profile  backbone element (e.g. part of a resource), using the
       [profile-element](http://hl7.org/fhir/2022Sep/extension-elementdefinition-profile-element.html)
       extension."/> 
      <min value="0"/> 
      <max value="0"/> 
      <base> 
        <path value="ElementDefinition.type.profile"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="canonical"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ImplementationGuide"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A (MIF territory)"/> 
      </mapping> 
      <mapping> 
        <identity value="iso11179"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.type.targetProfile">
      <path value="ElementDefinition.type.targetProfile"/> 
      <short value="Profile (StructureDefinition or IG) on the Reference/canonical target - one must
       apply"/> 
      <definition value="Used when the type is &quot;Reference&quot; or &quot;canonical&quot;, and identifies
       a profile structure or implementation Guide that applies to the target of the reference
       this element refers to. If any profiles are specified, then the content must conform
       to at least one of them. The URL can be a local reference - to a contained StructureDefinitio
      n, or a reference to another StructureDefinition or Implementation Guide by a canonical
       URL. When an implementation guide is specified, the target resource SHALL conform
       to at least one profile defined in the implementation guide."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ElementDefinition.type.targetProfile"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="canonical"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ImplementationGuide"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A (MIF territory)"/> 
      </mapping> 
      <mapping> 
        <identity value="iso11179"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.type.aggregation">
      <path value="ElementDefinition.type.aggregation"/> 
      <short value="contained | referenced | bundled - how aggregated"/> 
      <definition value="If the type is a reference to another resource, how the resource is or can be aggregated
       - is it a contained resource, or a reference, and if the context is a bundle, is
       it included in the bundle."/> 
      <comment value="See [Aggregation Rules](http://hl7.org/fhir/2022Sep/elementdefinition.html#aggregation)
       for further clarification."/> 
      <min value="0"/> 
      <max value="0"/> 
      <base> 
        <path value="ElementDefinition.type.aggregation"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <condition value="eld-4"/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/build/StructureDefinition/binding-definition">
          <valueString value="How resource references can be aggregated."/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="AggregationMode"/> 
        </extension> 
        <strength value="required"/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/resource-aggregation-mode|5.0.0-ballot"/> 
      </binding> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A (MIF territory)"/> 
      </mapping> 
      <mapping> 
        <identity value="iso11179"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.type.versioning">
      <path value="ElementDefinition.type.versioning"/> 
      <short value="either | independent | specific"/> 
      <definition value="Whether this reference needs to be version specific or version independent, or
       whether either can be used."/> 
      <comment value="The base specification never makes a rule as to which form is allowed, but implementation
       guides may do this. See [Aggregation Rules](http://hl7.org/fhir/2022Sep/elementdefinition.html#aggr
      egation) for further clarification."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ElementDefinition.type.versioning"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/build/StructureDefinition/binding-definition">
          <valueString value="Whether a reference needs to be version specific or version independent, or whether
           either can be used."/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ReferenceVersionRules"/> 
        </extension> 
        <strength value="required"/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/reference-version-rules|5.0.0-ballot"/> 
      </binding> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A (MIF territory)"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.defaultValue[x]">
      <path value="ElementDefinition.defaultValue[x]"/> 
      <short value="Specified value if missing from instance"/> 
      <definition value="The value that should be used if there is no value stated in the instance (e.g.
       'if not otherwise specified, the abstract is false')."/> 
      <comment value="Specifying a default value means that the property can never been unknown - it
       must always have a value. Further, the default value can never be changed, or changed
       in constraints on content models. Defining default values creates many difficulties
       in implementation (e.g. when is a value missing?). For these reasons, default values
       are (and should be) used extremely sparingly. 

No default values are ever defined in the FHIR specification, nor can they be defined
       in constraints (&quot;profiles&quot;) on data types or resources. This element
       only exists so that default values may be defined in logical models.
  This element should only be used on child elements of complex data elements."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ElementDefinition.defaultValue[x]"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="base64Binary"/> 
      </type> 
      <type> 
        <code value="boolean"/> 
      </type> 
      <type> 
        <code value="canonical"/> 
      </type> 
      <type> 
        <code value="code"/> 
      </type> 
      <type> 
        <code value="date"/> 
      </type> 
      <type> 
        <code value="dateTime"/> 
      </type> 
      <type> 
        <code value="decimal"/> 
      </type> 
      <type> 
        <code value="id"/> 
      </type> 
      <type> 
        <code value="instant"/> 
      </type> 
      <type> 
        <code value="integer"/> 
      </type> 
      <type> 
        <code value="integer64"/> 
      </type> 
      <type> 
        <code value="markdown"/> 
      </type> 
      <type> 
        <code value="oid"/> 
      </type> 
      <type> 
        <code value="positiveInt"/> 
      </type> 
      <type> 
        <code value="string"/> 
      </type> 
      <type> 
        <code value="time"/> 
      </type> 
      <type> 
        <code value="unsignedInt"/> 
      </type> 
      <type> 
        <code value="uri"/> 
      </type> 
      <type> 
        <code value="url"/> 
      </type> 
      <type> 
        <code value="uuid"/> 
      </type> 
      <type> 
        <code value="Address"/> 
      </type> 
      <type> 
        <code value="Age"/> 
      </type> 
      <type> 
        <code value="Annotation"/> 
      </type> 
      <type> 
        <code value="Attachment"/> 
      </type> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <type> 
        <code value="CodeableReference"/> 
      </type> 
      <type> 
        <code value="Coding"/> 
      </type> 
      <type> 
        <code value="ContactPoint"/> 
      </type> 
      <type> 
        <code value="Count"/> 
      </type> 
      <type> 
        <code value="Distance"/> 
      </type> 
      <type> 
        <code value="Duration"/> 
      </type> 
      <type> 
        <code value="HumanName"/> 
      </type> 
      <type> 
        <code value="Identifier"/> 
      </type> 
      <type> 
        <code value="Money"/> 
      </type> 
      <type> 
        <code value="Period"/> 
      </type> 
      <type> 
        <code value="Quantity"/> 
      </type> 
      <type> 
        <code value="Range"/> 
      </type> 
      <type> 
        <code value="Ratio"/> 
      </type> 
      <type> 
        <code value="RatioRange"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
      </type> 
      <type> 
        <code value="SampledData"/> 
      </type> 
      <type> 
        <code value="Signature"/> 
      </type> 
      <type> 
        <code value="Timing"/> 
      </type> 
      <type> 
        <code value="ContactDetail"/> 
      </type> 
      <type> 
        <code value="DataRequirement"/> 
      </type> 
      <type> 
        <code value="Expression"/> 
      </type> 
      <type> 
        <code value="ParameterDefinition"/> 
      </type> 
      <type> 
        <code value="RelatedArtifact"/> 
      </type> 
      <type> 
        <code value="TriggerDefinition"/> 
      </type> 
      <type> 
        <code value="UsageContext"/> 
      </type> 
      <type> 
        <code value="Availability"/> 
      </type> 
      <type> 
        <code value="ExtendedContactDetail"/> 
      </type> 
      <type> 
        <code value="Dosage"/> 
      </type> 
      <type> 
        <code value="Meta"/> 
      </type> 
      <condition value="eld-15"/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A (MIF territory)"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.meaningWhenMissing">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true"/> 
      </extension> 
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true"/> 
      </extension> 
      <path value="ElementDefinition.meaningWhenMissing"/> 
      <short value="Implicit meaning when this element is missing"/> 
      <definition value="The Implicit meaning that is to be understood when this element is missing (e.g.
       'when this element is missing, the period is ongoing')."/> 
      <comment value="Implicit meanings for missing values can only be specified on a resource, data
       type, or extension definition, and never in a profile that applies to one of these.
       An implicit meaning for a missing value can never be changed, and specifying one
       has the consequence that constraining its use in profiles eliminates use cases
       as possibilities, not merely moving them out of scope.
  This element should only be used on child elements of complex data elements."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ElementDefinition.meaningWhenMissing"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="markdown"/> 
      </type> 
      <condition value="eld-15"/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A (MIF territory)"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.orderMeaning">
      <path value="ElementDefinition.orderMeaning"/> 
      <short value="What the order of the elements means"/> 
      <definition value="If present, indicates that the order of the repeating element has meaning and describes
       what that meaning is.  If absent, it means that the order of the element has no
       meaning."/> 
      <comment value="This element can only be asserted on repeating elements and can only be introduced
       when defining resources or data types.  It can be further refined profiled elements
       but if absent in the base type, a profile cannot assert meaning."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ElementDefinition.orderMeaning"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A (MIF territory)"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.fixed[x]">
      <path value="ElementDefinition.fixed[x]"/> 
      <short value="Value must be exactly this"/> 
      <definition value="Specifies a value that SHALL be exactly the value  for this element in the instance,
       if present. For purposes of comparison, non-significant whitespace is ignored,
       and all values must be an exact match (case and accent sensitive). Missing elements/attribute
      s must also be missing."/> 
      <comment value="This is not recommended for Coding and CodeableConcept since these often have highly
       contextual properties such as version or display."/> 
      <min value="0"/> 
      <max value="0"/> 
      <base> 
        <path value="ElementDefinition.fixed[x]"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="base64Binary"/> 
      </type> 
      <type> 
        <code value="boolean"/> 
      </type> 
      <type> 
        <code value="canonical"/> 
      </type> 
      <type> 
        <code value="code"/> 
      </type> 
      <type> 
        <code value="date"/> 
      </type> 
      <type> 
        <code value="dateTime"/> 
      </type> 
      <type> 
        <code value="decimal"/> 
      </type> 
      <type> 
        <code value="id"/> 
      </type> 
      <type> 
        <code value="instant"/> 
      </type> 
      <type> 
        <code value="integer"/> 
      </type> 
      <type> 
        <code value="integer64"/> 
      </type> 
      <type> 
        <code value="markdown"/> 
      </type> 
      <type> 
        <code value="oid"/> 
      </type> 
      <type> 
        <code value="positiveInt"/> 
      </type> 
      <type> 
        <code value="string"/> 
      </type> 
      <type> 
        <code value="time"/> 
      </type> 
      <type> 
        <code value="unsignedInt"/> 
      </type> 
      <type> 
        <code value="uri"/> 
      </type> 
      <type> 
        <code value="url"/> 
      </type> 
      <type> 
        <code value="uuid"/> 
      </type> 
      <type> 
        <code value="Address"/> 
      </type> 
      <type> 
        <code value="Age"/> 
      </type> 
      <type> 
        <code value="Annotation"/> 
      </type> 
      <type> 
        <code value="Attachment"/> 
      </type> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <type> 
        <code value="CodeableReference"/> 
      </type> 
      <type> 
        <code value="Coding"/> 
      </type> 
      <type> 
        <code value="ContactPoint"/> 
      </type> 
      <type> 
        <code value="Count"/> 
      </type> 
      <type> 
        <code value="Distance"/> 
      </type> 
      <type> 
        <code value="Duration"/> 
      </type> 
      <type> 
        <code value="HumanName"/> 
      </type> 
      <type> 
        <code value="Identifier"/> 
      </type> 
      <type> 
        <code value="Money"/> 
      </type> 
      <type> 
        <code value="Period"/> 
      </type> 
      <type> 
        <code value="Quantity"/> 
      </type> 
      <type> 
        <code value="Range"/> 
      </type> 
      <type> 
        <code value="Ratio"/> 
      </type> 
      <type> 
        <code value="RatioRange"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
      </type> 
      <type> 
        <code value="SampledData"/> 
      </type> 
      <type> 
        <code value="Signature"/> 
      </type> 
      <type> 
        <code value="Timing"/> 
      </type> 
      <type> 
        <code value="ContactDetail"/> 
      </type> 
      <type> 
        <code value="DataRequirement"/> 
      </type> 
      <type> 
        <code value="Expression"/> 
      </type> 
      <type> 
        <code value="ParameterDefinition"/> 
      </type> 
      <type> 
        <code value="RelatedArtifact"/> 
      </type> 
      <type> 
        <code value="TriggerDefinition"/> 
      </type> 
      <type> 
        <code value="UsageContext"/> 
      </type> 
      <type> 
        <code value="Availability"/> 
      </type> 
      <type> 
        <code value="ExtendedContactDetail"/> 
      </type> 
      <type> 
        <code value="Dosage"/> 
      </type> 
      <type> 
        <code value="Meta"/> 
      </type> 
      <condition value="eld-5"/> 
      <condition value="eld-6"/> 
      <condition value="eld-8"/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A (MIF territory)"/> 
      </mapping> 
      <mapping> 
        <identity value="iso11179"/> 
        <map value="N/A (only relevant when constraining, which 11179 doesn't do)"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.pattern[x]">
      <path value="ElementDefinition.pattern[x]"/> 
      <short value="Value must have at least these property values"/> 
      <definition value="Specifies a value that each occurrence of the element in the instance SHALL follow
       - that is, any value in the pattern must be found in the instance, if the element
       has a value. Other additional values may be found too. This is effectively constraint
       by example.  

When pattern[x] is used to constrain a primitive, it means that the value provided
       in the pattern[x] must match the instance value exactly.

When an element within a pattern[x] is used to constrain an array, it means that
       each element provided in the pattern[x] must (recursively) match at least one element
       from the instance array.

When pattern[x] is used to constrain a complex object, it means that each property
       in the pattern must be present in the complex object, and its value must recursively
       match -- i.e.,

1. If primitive: it must match exactly the pattern value
2. If a complex object: it must match (recursively) the pattern value
3. If an array: it must match (recursively) the pattern value

If a pattern[x] is declared on a repeating element, the pattern applies to all
       repetitions.  If the desire is for a pattern to apply to only one element or a
       subset of elements, slicing must be used. See [Examples of Patterns](elementdefinition-exampl
      es.html#pattern-examples) for examples of pattern usage and the effect it will have."/> 
      <comment value="Mostly used for fixing values of CodeableConcept. In general, pattern[x] is not
       intended for use with primitive types, where is has the same meaning as fixed[x]."/> 
      <min value="0"/> 
      <max value="0"/> 
      <base> 
        <path value="ElementDefinition.pattern[x]"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="base64Binary"/> 
      </type> 
      <type> 
        <code value="boolean"/> 
      </type> 
      <type> 
        <code value="canonical"/> 
      </type> 
      <type> 
        <code value="code"/> 
      </type> 
      <type> 
        <code value="date"/> 
      </type> 
      <type> 
        <code value="dateTime"/> 
      </type> 
      <type> 
        <code value="decimal"/> 
      </type> 
      <type> 
        <code value="id"/> 
      </type> 
      <type> 
        <code value="instant"/> 
      </type> 
      <type> 
        <code value="integer"/> 
      </type> 
      <type> 
        <code value="integer64"/> 
      </type> 
      <type> 
        <code value="markdown"/> 
      </type> 
      <type> 
        <code value="oid"/> 
      </type> 
      <type> 
        <code value="positiveInt"/> 
      </type> 
      <type> 
        <code value="string"/> 
      </type> 
      <type> 
        <code value="time"/> 
      </type> 
      <type> 
        <code value="unsignedInt"/> 
      </type> 
      <type> 
        <code value="uri"/> 
      </type> 
      <type> 
        <code value="url"/> 
      </type> 
      <type> 
        <code value="uuid"/> 
      </type> 
      <type> 
        <code value="Address"/> 
      </type> 
      <type> 
        <code value="Age"/> 
      </type> 
      <type> 
        <code value="Annotation"/> 
      </type> 
      <type> 
        <code value="Attachment"/> 
      </type> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <type> 
        <code value="CodeableReference"/> 
      </type> 
      <type> 
        <code value="Coding"/> 
      </type> 
      <type> 
        <code value="ContactPoint"/> 
      </type> 
      <type> 
        <code value="Count"/> 
      </type> 
      <type> 
        <code value="Distance"/> 
      </type> 
      <type> 
        <code value="Duration"/> 
      </type> 
      <type> 
        <code value="HumanName"/> 
      </type> 
      <type> 
        <code value="Identifier"/> 
      </type> 
      <type> 
        <code value="Money"/> 
      </type> 
      <type> 
        <code value="Period"/> 
      </type> 
      <type> 
        <code value="Quantity"/> 
      </type> 
      <type> 
        <code value="Range"/> 
      </type> 
      <type> 
        <code value="Ratio"/> 
      </type> 
      <type> 
        <code value="RatioRange"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
      </type> 
      <type> 
        <code value="SampledData"/> 
      </type> 
      <type> 
        <code value="Signature"/> 
      </type> 
      <type> 
        <code value="Timing"/> 
      </type> 
      <type> 
        <code value="ContactDetail"/> 
      </type> 
      <type> 
        <code value="DataRequirement"/> 
      </type> 
      <type> 
        <code value="Expression"/> 
      </type> 
      <type> 
        <code value="ParameterDefinition"/> 
      </type> 
      <type> 
        <code value="RelatedArtifact"/> 
      </type> 
      <type> 
        <code value="TriggerDefinition"/> 
      </type> 
      <type> 
        <code value="UsageContext"/> 
      </type> 
      <type> 
        <code value="Availability"/> 
      </type> 
      <type> 
        <code value="ExtendedContactDetail"/> 
      </type> 
      <type> 
        <code value="Dosage"/> 
      </type> 
      <type> 
        <code value="Meta"/> 
      </type> 
      <condition value="eld-5"/> 
      <condition value="eld-7"/> 
      <condition value="eld-8"/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A (MIF territory)"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.example">
      <path value="ElementDefinition.example"/> 
      <short value="Example value (as defined for type)"/> 
      <definition value="A sample value for this element demonstrating the type of information that would
       typically be found in the element."/> 
      <comment value="Examples will most commonly be present for data where it's not implicitly obvious
       from either the data type or value set what the values might be.  (I.e. Example
       values for dates or quantities would generally be unnecessary.)  If the example
       value is fully populated, the publication tool can generate an instance automatically."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ElementDefinition.example"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Element"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A (MIF territory)"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.example.id">
      <path value="ElementDefinition.example.id"/> 
      <representation value="xmlAttr"/> 
      <short value="Unique id for inter-element referencing"/> 
      <definition value="Unique id for the element within a resource (for internal references). This may
       be any string value that does not contain spaces."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/> 
        </extension> 
        <code value="http://hl7.org/fhirpath/System.String"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.example.extension">
      <path value="ElementDefinition.example.extension"/> 
      <slicing> 
        <discriminator> 
          <type value="value"/> 
          <path value="url"/> 
        </discriminator> 
        <description value="Extensions are always sliced by (at least) url"/> 
        <rules value="open"/> 
      </slicing> 
      <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. To make the use of extensions safe and manageable, there is a strict
       set of governance  applied to the definition and use of extensions. Though any
       implementer can define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.example.label">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true"/> 
      </extension> 
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true"/> 
      </extension> 
      <path value="ElementDefinition.example.label"/> 
      <short value="Describes the purpose of this example"/> 
      <definition value="Describes the purpose of this example amoung the set of examples."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="ElementDefinition.example.label"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A (MIF territory)"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.example.value[x]">
      <path value="ElementDefinition.example.value[x]"/> 
      <short value="Value of Example (one of allowed types)"/> 
      <definition value="The actual value for the element, which must be one of the types allowed for this
       element."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="ElementDefinition.example.value[x]"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="base64Binary"/> 
      </type> 
      <type> 
        <code value="boolean"/> 
      </type> 
      <type> 
        <code value="canonical"/> 
      </type> 
      <type> 
        <code value="code"/> 
      </type> 
      <type> 
        <code value="date"/> 
      </type> 
      <type> 
        <code value="dateTime"/> 
      </type> 
      <type> 
        <code value="decimal"/> 
      </type> 
      <type> 
        <code value="id"/> 
      </type> 
      <type> 
        <code value="instant"/> 
      </type> 
      <type> 
        <code value="integer"/> 
      </type> 
      <type> 
        <code value="integer64"/> 
      </type> 
      <type> 
        <code value="markdown"/> 
      </type> 
      <type> 
        <code value="oid"/> 
      </type> 
      <type> 
        <code value="positiveInt"/> 
      </type> 
      <type> 
        <code value="string"/> 
      </type> 
      <type> 
        <code value="time"/> 
      </type> 
      <type> 
        <code value="unsignedInt"/> 
      </type> 
      <type> 
        <code value="uri"/> 
      </type> 
      <type> 
        <code value="url"/> 
      </type> 
      <type> 
        <code value="uuid"/> 
      </type> 
      <type> 
        <code value="Address"/> 
      </type> 
      <type> 
        <code value="Age"/> 
      </type> 
      <type> 
        <code value="Annotation"/> 
      </type> 
      <type> 
        <code value="Attachment"/> 
      </type> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <type> 
        <code value="CodeableReference"/> 
      </type> 
      <type> 
        <code value="Coding"/> 
      </type> 
      <type> 
        <code value="ContactPoint"/> 
      </type> 
      <type> 
        <code value="Count"/> 
      </type> 
      <type> 
        <code value="Distance"/> 
      </type> 
      <type> 
        <code value="Duration"/> 
      </type> 
      <type> 
        <code value="HumanName"/> 
      </type> 
      <type> 
        <code value="Identifier"/> 
      </type> 
      <type> 
        <code value="Money"/> 
      </type> 
      <type> 
        <code value="Period"/> 
      </type> 
      <type> 
        <code value="Quantity"/> 
      </type> 
      <type> 
        <code value="Range"/> 
      </type> 
      <type> 
        <code value="Ratio"/> 
      </type> 
      <type> 
        <code value="RatioRange"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
      </type> 
      <type> 
        <code value="SampledData"/> 
      </type> 
      <type> 
        <code value="Signature"/> 
      </type> 
      <type> 
        <code value="Timing"/> 
      </type> 
      <type> 
        <code value="ContactDetail"/> 
      </type> 
      <type> 
        <code value="DataRequirement"/> 
      </type> 
      <type> 
        <code value="Expression"/> 
      </type> 
      <type> 
        <code value="ParameterDefinition"/> 
      </type> 
      <type> 
        <code value="RelatedArtifact"/> 
      </type> 
      <type> 
        <code value="TriggerDefinition"/> 
      </type> 
      <type> 
        <code value="UsageContext"/> 
      </type> 
      <type> 
        <code value="Availability"/> 
      </type> 
      <type> 
        <code value="ExtendedContactDetail"/> 
      </type> 
      <type> 
        <code value="Dosage"/> 
      </type> 
      <type> 
        <code value="Meta"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A (MIF territory)"/> 
      </mapping> 
      <mapping> 
        <identity value="iso11179"/> 
        <map value=".example"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.minValue[x]">
      <path value="ElementDefinition.minValue[x]"/> 
      <short value="Minimum Allowed Value (for some types)"/> 
      <definition value="The minimum allowed value for the element. The value is inclusive. This is allowed
       for the types date, dateTime, instant, time, decimal, integer, and Quantity."/> 
      <comment value="Except for date/date/instant, the type of the minValue[x] SHALL be the same as
       the specified type of the element. For the date/dateTime/instant values, the type
       of minValue[x] SHALL be either the same, or a [Duration](http://hl7.org/fhir/2022Sep/datatypes.html
      #Duration) which specifies a relative time limit to the current time. The duration
       value is positive, and is subtracted from the current clock to determine the minimum
       allowable value.   A minimum value for a Quantity is interpreted as an canonical
       minimum - e.g. you cannot provide 100mg if the minimum value is 10g."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ElementDefinition.minValue[x]"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="date"/> 
      </type> 
      <type> 
        <code value="dateTime"/> 
      </type> 
      <type> 
        <code value="instant"/> 
      </type> 
      <type> 
        <code value="time"/> 
      </type> 
      <type> 
        <code value="decimal"/> 
      </type> 
      <type> 
        <code value="integer"/> 
      </type> 
      <type> 
        <code value="integer64"/> 
      </type> 
      <type> 
        <code value="positiveInt"/> 
      </type> 
      <type> 
        <code value="unsignedInt"/> 
      </type> 
      <type> 
        <code value="Quantity"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A (MIF territory)"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.maxValue[x]">
      <path value="ElementDefinition.maxValue[x]"/> 
      <short value="Maximum Allowed Value (for some types)"/> 
      <definition value="The maximum allowed value for the element. The value is inclusive. This is allowed
       for the types date, dateTime, instant, time, decimal, integer, and Quantity."/> 
      <comment value="Except for date/date/instant, the type of the maxValue[x] SHALL be the same as
       the specified type of the element. For the date/dateTime/instant values, the type
       of maxValue[x] SHALL be either the same, or a [Duration](http://hl7.org/fhir/2022Sep/datatypes.html
      #Duration) which specifies a relative time limit to the current time. The duration
       value is positive, and is added to the current clock to determine the maximum allowable
       value.   A maximum value for a Quantity is interpreted as an canonical maximum
       - e.g. you cannot provide 10g if the maximum value is 50mg."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ElementDefinition.maxValue[x]"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="date"/> 
      </type> 
      <type> 
        <code value="dateTime"/> 
      </type> 
      <type> 
        <code value="instant"/> 
      </type> 
      <type> 
        <code value="time"/> 
      </type> 
      <type> 
        <code value="decimal"/> 
      </type> 
      <type> 
        <code value="integer"/> 
      </type> 
      <type> 
        <code value="integer64"/> 
      </type> 
      <type> 
        <code value="positiveInt"/> 
      </type> 
      <type> 
        <code value="unsignedInt"/> 
      </type> 
      <type> 
        <code value="Quantity"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A (MIF territory)"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.maxLength">
      <path value="ElementDefinition.maxLength"/> 
      <short value="Max length for string type data"/> 
      <definition value="Indicates the maximum length in characters that is permitted to be present in conformant
       instances and which is expected to be supported by conformant consumers that support
       the element. ```maxLength``` SHOULD only be used on primitive data types that have
       a string representation (see [Datatype characteristics](http://hl7.org/fhir/2022Sep/extension-struc
      turedefinition-type-characteristics.html))."/> 
      <comment value="Receivers are not required to reject instances that exceed the maximum length.
        The full length could be stored.  In some cases, data might be truncated, though
       truncation should be undertaken with care and an understanding of the consequences
       of doing so. If not specified, there is no conformance expectation for length support."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ElementDefinition.maxLength"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="integer"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="v2"/> 
        <map value="OMC.12"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A (MIF territory)"/> 
      </mapping> 
      <mapping> 
        <identity value="iso11179"/> 
        <map value=".domain.maximum_character_quantity"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.condition">
      <path value="ElementDefinition.condition"/> 
      <short value="Reference to invariant about presence"/> 
      <definition value="A reference to an invariant that may make additional statements about the cardinality
       or value in the instance."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ElementDefinition.condition"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="id"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A (MIF territory)"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.constraint">
      <path value="ElementDefinition.constraint"/> 
      <short value="Condition that must evaluate to true"/> 
      <definition value="Formal constraints such as co-occurrence and other constraints that can be computationally
       evaluated within the context of the instance."/> 
      <comment value="Constraints should be declared on the &quot;context&quot; element - the lowest
       element in the hierarchy that is common to all nodes referenced by the constraint."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ElementDefinition.constraint"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Element"/> 
      </type> 
      <constraint> 
        <key value="eld-21"/> 
        <severity value="warning"/> 
        <human value="Constraints should have an expression or else validators will not be able to enforce
         them"/> 
        <expression value="expression.exists()"/> 
        <xpath value="exists(f:expression/@value)"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ElementDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="eld-26"/> 
        <severity value="error"/> 
        <human value="Errors cannot be suppressed"/> 
        <expression value="(severity = 'error') implies suppress.empty()"/> 
        <xpath value="(f:/severity/@value != 'errror') or not(exists(f:suppress))"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ElementDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A (MIF territory)"/> 
      </mapping> 
      <mapping> 
        <identity value="iso11179"/> 
        <map value="??"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.constraint.id">
      <path value="ElementDefinition.constraint.id"/> 
      <representation value="xmlAttr"/> 
      <short value="Unique id for inter-element referencing"/> 
      <definition value="Unique id for the element within a resource (for internal references). This may
       be any string value that does not contain spaces."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/> 
        </extension> 
        <code value="http://hl7.org/fhirpath/System.String"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.constraint.extension">
      <path value="ElementDefinition.constraint.extension"/> 
      <slicing> 
        <discriminator> 
          <type value="value"/> 
          <path value="url"/> 
        </discriminator> 
        <description value="Extensions are always sliced by (at least) url"/> 
        <rules value="open"/> 
      </slicing> 
      <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. To make the use of extensions safe and manageable, there is a strict
       set of governance  applied to the definition and use of extensions. Though any
       implementer can define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.constraint.key">
      <path value="ElementDefinition.constraint.key"/> 
      <short value="Target of 'condition' reference above"/> 
      <definition value="Allows identification of which elements have their cardinalities impacted by the
       constraint.  Will not be referenced for constraints that do not affect cardinality."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="ElementDefinition.constraint.key"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="id"/> 
      </type> 
      <condition value="eld-14"/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A (MIF territory)"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.constraint.requirements">
      <path value="ElementDefinition.constraint.requirements"/> 
      <short value="Why this constraint is necessary or appropriate"/> 
      <definition value="Description of why this constraint is necessary or appropriate."/> 
      <comment value="To be used if the reason for the constraint might not be intuitive to all implementers."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ElementDefinition.constraint.requirements"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="markdown"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A (MIF territory)"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.constraint.severity">
      <path value="ElementDefinition.constraint.severity"/> 
      <short value="error | warning"/> 
      <definition value="Identifies the impact constraint violation has on the conformance of the instance."/> 
      <comment value="This allows constraints to be asserted as &quot;shall&quot; (error) and &quot;should&quot;
       (warning)."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="ElementDefinition.constraint.severity"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/build/StructureDefinition/binding-definition">
          <valueString value="SHALL applications comply with this constraint?"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ConstraintSeverity"/> 
        </extension> 
        <strength value="required"/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/constraint-severity|5.0.0-ballot"/> 
      </binding> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A (MIF territory)"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.constraint.suppress">
      <path value="ElementDefinition.constraint.suppress"/> 
      <short value="Suppress warning or hint in profile"/> 
      <definition value="If true, indicates that the warning or best practice guideline should be suppressed."/> 
      <comment value="This element should only be present in a derived profile where a warning or hint
       has been determined to be spurious/incorrect. E.g. a warning encouraging the inclusion
       of an element that the profile explicitly prohibits."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ElementDefinition.constraint.suppress"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="boolean"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A (MIF territory)"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.constraint.human">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true"/> 
      </extension> 
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true"/> 
      </extension> 
      <path value="ElementDefinition.constraint.human"/> 
      <short value="Human description of constraint"/> 
      <definition value="Text that can be used to describe the constraint in messages identifying that the
       constraint has been violated."/> 
      <comment value="Should be expressed in business terms as much as possible."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="ElementDefinition.constraint.human"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A (MIF territory)"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.constraint.expression">
      <path value="ElementDefinition.constraint.expression"/> 
      <short value="FHIRPath expression of constraint"/> 
      <definition value="A [FHIRPath](http://hl7.org/fhir/2022Sep/fhirpath.html) expression of constraint that
       can be executed to see if this constraint is met."/> 
      <comment value="In the absense of an expression, the expression is likely not enforceable by validators,
       and might be missed by many systems."/> 
      <requirements value="Used by validation tooling tests of the validity of the resource."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ElementDefinition.constraint.expression"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A (MIF territory)"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.constraint.xpath">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="trial-use"/> 
      </extension> 
      <path value="ElementDefinition.constraint.xpath"/> 
      <short value="XPath expression of constraint"/> 
      <definition value="An XPath expression of constraint that can be executed to see if this constraint
       is met."/> 
      <comment value="Elements SHALL use &quot;f&quot; as the namespace prefix for the FHIR namespace,
       and &quot;x&quot; for the xhtml namespace, and SHALL NOT use any other prefixes.
           Note: XPath is generally considered not useful because it does not apply to
       JSON and other formats and because of XSLT implementation issues, and may be removed
       in the future."/> 
      <requirements value="Used in Schematron tests of the validity of the resource."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ElementDefinition.constraint.xpath"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A (MIF territory)"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.constraint.source">
      <path value="ElementDefinition.constraint.source"/> 
      <short value="Reference to original source of constraint"/> 
      <definition value="A reference to the original source of the constraint, for traceability purposes."/> 
      <comment value="This is used when, e.g. rendering, where it is not useful to present inherited
       constraints when rendering the snapshot."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ElementDefinition.constraint.source"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="canonical"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A (MIF territory)"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.mustSupport">
      <path value="ElementDefinition.mustSupport"/> 
      <short value="If the element must be supported"/> 
      <definition value="If true, implementations that produce or consume resources SHALL provide &quot;support&quot;
       for the element in some meaningful way.  If false, the element may be ignored and
       not supported. If false, whether to populate or use the data element in any way
       is at the discretion of the implementation."/> 
      <comment value="&quot;Something meaningful&quot; is context dependent and impossible to describe
       in the base FHIR specification. For this reason, the mustSupport flag is never
       set to true by the FHIR specification itself - it is only set to true in profiles.
        A profile on a type can always make mustSupport = true if it is false in the base
       type but cannot make mustSupport = false if it is true in the base type.   This
       is done in [Resource Profiles](profiling.html#mustsupport), where the profile labels
       an element as mustSupport=true. When a profile does this, it SHALL also make clear
       exactly what kind of &quot;support&quot; is required, as this can mean many things.
          Note that an element that has the property IsModifier is not necessarily a &quot;key&quot;
       element (e.g. one of the important elements to make use of the resource), nor is
       it automatically mustSupport - however both of these things are more likely to
       be true for IsModifier elements than for other elements."/> 
      <requirements value="Allows a profile to set expectations for system capabilities beyond merely respecting
       cardinality constraints."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ElementDefinition.mustSupport"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="boolean"/> 
      </type> 
      <meaningWhenMissing value="In a base type, where the element is being defined for the first time, the element
       is assumed to be mustSupport = false. In a profile (a constraint on an existing
       type), if mustSupport is not specific in either the differential or the snapshot,
       the mustSupport value is not changed from the base definition. Note, though, that
       the snapshot SHOULD always populate the mustSupport value"/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A (MIF territory)"/> 
      </mapping> 
      <mapping> 
        <identity value="iso11179"/> 
        <map value="??"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.isModifier">
      <path value="ElementDefinition.isModifier"/> 
      <short value="If this modifies the meaning of other elements"/> 
      <definition value="If true, the value of this element affects the interpretation of the element or
       resource that contains it, and the value of the element cannot be ignored. Typically,
       this is used for status, negation and qualification codes. The effect of this is
       that the element cannot be ignored by systems: they SHALL either recognize the
       element and process it, and/or a pre-determination has been made that it is not
       relevant to their particular system."/> 
      <comment value="Only the definition of an element can set IsModifier true - either the specification
       itself or where an extension is originally defined. Once set, it cannot be changed
       in derived profiles. An element/extension that has isModifier=true SHOULD also
       have a minimum cardinality of 1, so that there is no lack of clarity about what
       to do if it is missing. If it can be missing, the definition SHALL make the meaning
       of a missing element clear."/> 
      <requirements value="Allows elements to be introduced into a specification that can't safely be ignored
       by applications that don't recognize them."/> 
      <min value="0"/> 
      <max value="0"/> 
      <base> 
        <path value="ElementDefinition.isModifier"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="boolean"/> 
      </type> 
      <meaningWhenMissing value="An element is not a modifier element unless it is explicitly specified to be one"/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A (MIF territory)"/> 
      </mapping> 
      <mapping> 
        <identity value="iso11179"/> 
        <map value="??"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.isModifierReason">
      <path value="ElementDefinition.isModifierReason"/> 
      <short value="Reason that this element is marked as a modifier"/> 
      <definition value="Explains how that element affects the interpretation of the resource or element
       that contains it."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ElementDefinition.isModifierReason"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A (MIF territory)"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.isSummary">
      <path value="ElementDefinition.isSummary"/> 
      <short value="Include when _summary = true?"/> 
      <definition value="Whether the element should be included if a client requests a search with the parameter
       _summary=true."/> 
      <comment value="Some resources include a set of simple metadata, and some very large data. This
       element is used to reduce the quantity of data returned in searches. Note that
       servers may pre-cache summarized resources for optimal performance. When a request
       is made with _summary=true, serializers only include elements marked as 'isSummary
       = true'. With a few exceptions (listed below), all datatype properties are included
       in the summary form. In resource and datatype definitions, if an element has a
       descendant marked as isSummary=true or if it satisfies both of the following conditions,
       it must be marked as isSummary=true:
* is at the root or has a parent that is 'mustSupport'
* has a minimum cardinality of 1 or is a modifier element

The following datatype properties are exceptions, and are not marked as isSummary:
* Attachment.data
* Signature.data, Signature.targetFormat, Signature.sigFormat
* Narrative.status, Narrative.div
* SampledData.data."/> 
      <requirements value="Allow clients to search through large resources quickly."/> 
      <min value="0"/> 
      <max value="0"/> 
      <base> 
        <path value="ElementDefinition.isSummary"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="boolean"/> 
      </type> 
      <meaningWhenMissing value="An element is not included in the summary unless it is explicitly specified to
       be so"/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A (MIF territory)"/> 
      </mapping> 
      <mapping> 
        <identity value="iso11179"/> 
        <map value="??"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.binding">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="ElementDefinitionBinding"/> 
      </extension> 
      <path value="ElementDefinition.binding"/> 
      <short value="ValueSet details if this is coded"/> 
      <definition value="Binds to a value set if this element is coded (code, Coding, CodeableConcept, Quantity),
       or the data types (string, uri)."/> 
      <comment value="For a CodeableConcept, when no codes are allowed - only text, use a binding of
       strength &quot;required&quot; with a description explaining that no coded values
       are allowed and what sort of information to put in the &quot;text&quot; element."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ElementDefinition.binding"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Element"/> 
      </type> 
      <condition value="eld-11"/> 
      <constraint> 
        <key value="eld-12"/> 
        <severity value="error"/> 
        <human value="ValueSet SHALL start with http:// or https:// or urn: or #"/> 
        <expression value="valueSet.exists() implies (valueSet.startsWith('http:') or valueSet.startsWith('https')
         or valueSet.startsWith('urn:') or valueSet.startsWith('#'))"/> 
        <xpath value="(starts-with(string(f:valueSet/@value), 'http:') or starts-with(string(f:valueSet/@value),
         'https:') or starts-with(string(f:valueSet/@value), 'urn:') or starts-with(string(f:valueSet/
        @value), 'x'))"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ElementDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="eld-23"/> 
        <severity value="error"/> 
        <human value="binding SHALL have either description or valueSet"/> 
        <expression value="description.exists() or valueSet.exists()"/> 
        <xpath value="exists(f:description) or exists(f:valueSet)"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ElementDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="v2"/> 
        <map value="OM3, OMC.11"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A (MIF territory)"/> 
      </mapping> 
      <mapping> 
        <identity value="iso11179"/> 
        <map value=".domain"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.binding.id">
      <path value="ElementDefinition.binding.id"/> 
      <representation value="xmlAttr"/> 
      <short value="Unique id for inter-element referencing"/> 
      <definition value="Unique id for the element within a resource (for internal references). This may
       be any string value that does not contain spaces."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/> 
        </extension> 
        <code value="http://hl7.org/fhirpath/System.String"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.binding.extension">
      <path value="ElementDefinition.binding.extension"/> 
      <slicing> 
        <discriminator> 
          <type value="value"/> 
          <path value="url"/> 
        </discriminator> 
        <description value="Extensions are always sliced by (at least) url"/> 
        <rules value="open"/> 
      </slicing> 
      <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. To make the use of extensions safe and manageable, there is a strict
       set of governance  applied to the definition and use of extensions. Though any
       implementer can define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.binding.strength">
      <path value="ElementDefinition.binding.strength"/> 
      <short value="required | extensible | preferred | example"/> 
      <definition value="Indicates the degree of conformance expectations associated with this binding -
       that is, the degree to which the provided value set must be adhered to in the instances."/> 
      <comment value="For further discussion, see [Using Terminologies](http://hl7.org/fhir/2022Sep/terminologies.html)."/> 
      <alias value="conformance"/> 
      <alias value="extensibility"/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="ElementDefinition.binding.strength"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/build/StructureDefinition/binding-definition">
          <valueString value="Indication of the degree of conformance expectations associated with a binding."/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="BindingStrength"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/> 
        </extension> 
        <strength value="required"/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/binding-strength|5.0.0-ballot"/> 
      </binding> 
      <mapping> 
        <identity value="v2"/> 
        <map value="N/A"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A (MIF territory)"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.binding.description">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true"/> 
      </extension> 
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true"/> 
      </extension> 
      <path value="ElementDefinition.binding.description"/> 
      <short value="Intended use of codes in the bound value set"/> 
      <definition value="Describes the intended use of this particular set of codes."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ElementDefinition.binding.description"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="markdown"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A (MIF territory)"/> 
      </mapping> 
      <mapping> 
        <identity value="iso11179"/> 
        <map value=".domain.description"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.binding.valueSet">
      <path value="ElementDefinition.binding.valueSet"/> 
      <short value="Source of value set"/> 
      <definition value="Refers to the value set that identifies the set of codes the binding refers to."/> 
      <comment value="The reference may be version-specific or not (e.g. have a |[version] at the end
       of the canonical URL)."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ElementDefinition.binding.valueSet"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="canonical"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ValueSet"/> 
      </type> 
      <condition value="eld-12"/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A (MIF territory)"/> 
      </mapping> 
      <mapping> 
        <identity value="iso11179"/> 
        <map value="points to explicit list or expression that evaluates to list of (Enumerated_Value_Domain).mem
        ber"/> 
      </mapping> 
      <mapping> 
        <identity value="dex"/> 
        <map value="valueDomain.valueSet"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.mapping">
      <path value="ElementDefinition.mapping"/> 
      <short value="Map element to another set of definitions"/> 
      <definition value="Identifies a concept from an external specification that roughly corresponds to
       this element."/> 
      <comment value="Mappings are not necessarily specific enough for safe translation."/> 
      <requirements value="Provides guidance to implementers familiar with or converting content from other
       specifications."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ElementDefinition.mapping"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Element"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A (MIF territory)"/> 
      </mapping> 
      <mapping> 
        <identity value="iso11179"/> 
        <map value="Registered_item).document_reference[document_type=mapping]  Also, .meaning linkage
         to Data_Element_Concept is done as a mapping to a reference model.  (Data_Element_Concepts
         are all defined in some sort of reference model, be that Object_Class and Property
         or some other mechanism)"/> 
      </mapping> 
      <mapping> 
        <identity value="dex"/> 
        <map value="mappingSpecification"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.mapping.id">
      <path value="ElementDefinition.mapping.id"/> 
      <representation value="xmlAttr"/> 
      <short value="Unique id for inter-element referencing"/> 
      <definition value="Unique id for the element within a resource (for internal references). This may
       be any string value that does not contain spaces."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/> 
        </extension> 
        <code value="http://hl7.org/fhirpath/System.String"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.mapping.extension">
      <path value="ElementDefinition.mapping.extension"/> 
      <slicing> 
        <discriminator> 
          <type value="value"/> 
          <path value="url"/> 
        </discriminator> 
        <description value="Extensions are always sliced by (at least) url"/> 
        <rules value="open"/> 
      </slicing> 
      <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. To make the use of extensions safe and manageable, there is a strict
       set of governance  applied to the definition and use of extensions. Though any
       implementer can define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.mapping.identity">
      <path value="ElementDefinition.mapping.identity"/> 
      <short value="Reference to mapping declaration"/> 
      <definition value="An internal reference to the definition of a mapping."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="ElementDefinition.mapping.identity"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="id"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A (MIF territory)"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.mapping.language">
      <path value="ElementDefinition.mapping.language"/> 
      <short value="Computable language of mapping"/> 
      <definition value="Identifies the computable language in which mapping.map is expressed."/> 
      <comment value="If omitted, then there can be no expectation of computational interpretation of
       the mapping."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ElementDefinition.mapping.language"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/build/StructureDefinition/binding-definition">
          <valueString value="The mime type of an attachment. Any valid mime type is allowed."/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="MimeType"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/> 
        </extension> 
        <strength value="required"/> 
        <description value="BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049)"/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|5.0.0-ballot"/> 
      </binding> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A (MIF territory)"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.mapping.map">
      <path value="ElementDefinition.mapping.map"/> 
      <short value="Details of the mapping"/> 
      <definition value="Expresses what part of the target specification corresponds to this element."/> 
      <comment value="For most mappings, the syntax is undefined.  Syntax will be provided for mappings
       to the RIM.  Multiple mappings may be possible and may include constraints on other
       resource elements that identify when a particular mapping applies."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="ElementDefinition.mapping.map"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A (MIF territory)"/> 
      </mapping> 
      <mapping> 
        <identity value="iso11179"/> 
        <map value="ObjectClass, Property (this is one possible data model that can be mapped to -
         the uri would identify the data model  mappingSpecification.mappingScript"/> 
      </mapping> 
    </element> 
    <element id="ElementDefinition.mapping.comment">
      <path value="ElementDefinition.mapping.comment"/> 
      <short value="Comments about the mapping or its use"/> 
      <definition value="Comments that provide information about the mapping or its use."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ElementDefinition.mapping.comment"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="markdown"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A (MIF territory)"/> 
      </mapping> 
    </element> 
  </snapshot> 
  <differential> 
    <element id="ElementDefinition">
      <path value="ElementDefinition"/> 
      <min value="0"/> 
      <max value="*"/> 
    </element> 
    <element id="ElementDefinition.extension:Question">
      <path value="ElementDefinition.extension"/> 
      <sliceName value="Question"/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Extension"/> 
        <profile value="http://hl7.org/fhir/StructureDefinition/elementdefinition-question"/> 
      </type> 
    </element> 
    <element id="ElementDefinition.extension:AllowedUnits">
      <path value="ElementDefinition.extension"/> 
      <sliceName value="AllowedUnits"/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Extension"/> 
        <profile value="http://hl7.org/fhir/StructureDefinition/elementdefinition-allowedUnits"/> 
      </type> 
    </element> 
    <element id="ElementDefinition.representation">
      <path value="ElementDefinition.representation"/> 
      <min value="0"/> 
      <max value="0"/> 
    </element> 
    <element id="ElementDefinition.slicing">
      <path value="ElementDefinition.slicing"/> 
      <min value="0"/> 
      <max value="0"/> 
    </element> 
    <element id="ElementDefinition.short">
      <path value="ElementDefinition.short"/> 
      <min value="0"/> 
      <max value="0"/> 
    </element> 
    <element id="ElementDefinition.contentReference">
      <path value="ElementDefinition.contentReference"/> 
      <min value="0"/> 
      <max value="0"/> 
    </element> 
    <element id="ElementDefinition.type">
      <path value="ElementDefinition.type"/> 
    </element> 
    <element id="ElementDefinition.type.profile">
      <path value="ElementDefinition.type.profile"/> 
      <min value="0"/> 
      <max value="0"/> 
    </element> 
    <element id="ElementDefinition.type.aggregation">
      <path value="ElementDefinition.type.aggregation"/> 
      <min value="0"/> 
      <max value="0"/> 
    </element> 
    <element id="ElementDefinition.defaultValue[x]">
      <path value="ElementDefinition.defaultValue[x]"/> 
      <comment value="...  This element should only be used on child elements of complex data elements."/> 
    </element> 
    <element id="ElementDefinition.meaningWhenMissing">
      <path value="ElementDefinition.meaningWhenMissing"/> 
      <comment value="...  This element should only be used on child elements of complex data elements."/> 
    </element> 
    <element id="ElementDefinition.fixed[x]">
      <path value="ElementDefinition.fixed[x]"/> 
      <min value="0"/> 
      <max value="0"/> 
    </element> 
    <element id="ElementDefinition.pattern[x]">
      <path value="ElementDefinition.pattern[x]"/> 
      <min value="0"/> 
      <max value="0"/> 
    </element> 
    <element id="ElementDefinition.isModifier">
      <path value="ElementDefinition.isModifier"/> 
      <min value="0"/> 
      <max value="0"/> 
    </element> 
    <element id="ElementDefinition.isSummary">
      <path value="ElementDefinition.isSummary"/> 
      <min value="0"/> 
      <max value="0"/> 
    </element> 
  </differential> 
</StructureDefinition>