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

Example StructureDefinition/StructureDefinition (XML)

FHIR Infrastructure Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Not linked to any defined compartments

Raw XML (canonical form + also see XML Format Specification)

Jump past Narrative

StructureDefinition for structuredefinition

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

<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="StructureDefinition"/> 
  <meta> 
    <lastUpdated value="2022-09-10T04:52:37.223+10:00"/> 
  </meta> 
  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
      <table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align:
       top;">
        <tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align:
         top">
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="formats.html#table" title="The logical name of the element">Name</a> 
          </th> 
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="formats.html#table" title="Information about the use of the element">Flags</a> 
          </th> 
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="formats.html#table" title="Minimum and Maximum # of times the the element can appear in the instance">Card.</a> 
          </th> 
          <th class="hierarchy" style="width: 100px">
            <a href="formats.html#table" title="Reference to the type of the element">Type</a> 
          </th> 
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="formats.html#table" title="Additional information about the element">Description &amp; Constraints</a> 
            <span style="float: right">
              <a href="formats.html#table" title="Legend for this format">
                <img alt="doco" src="help16.png" style="background-color: inherit"/> 
              </a> 
            </span> 
          </th> 
        </tr> 
        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpw
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            <span title="StructureDefinition : A definition of a FHIR structure. This resource is used to
             describe the underlying resources, data types defined in FHIR, and also for describing
             extensions and constraints on resources and data types.">StructureDefinition</span> 
            <a name="StructureDefinition"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="versions.html#std-process" style="padding-left: 3px; padding-right: 3px; border: 1px grey solid; font-weight: bold;
             color: black; background-color: #e6ffe6" title="Standards Status = Normative">N</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="domainresource.html">DomainResource</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Structural Definition
            <br/>  
            <span style="font-style: italic" title="cnl-0">+ Warning: Name should be usable as an identifier for the module by machine processing
               applications such as code generation</span> 
            <br/>  
            <span style="font-style: italic" title="sdf-1">+ Rule: Element paths must be unique unless the structure is a constraint</span> 
            <br/>  
            <span style="font-style: italic" title="sdf-4">+ Rule: If the structure is not abstract, then there SHALL be a baseDefinition</span> 
            <br/>  
            <span style="font-style: italic" title="sdf-5">+ Rule: If the structure defines an extension then the structure must have context
               information</span> 
            <br/>  
            <span style="font-style: italic" title="sdf-6">+ Rule: A structure must have either a differential, or a snapshot (or both)</span> 
            <br/>  
            <span style="font-style: italic" title="sdf-11">+ Rule: If there's a type, its content must match the path name in the first element
               of a snapshot</span> 
            <br/>  
            <span style="font-style: italic" title="sdf-14">+ Rule: All element definitions must have an id</span> 
            <br/>  
            <span style="font-style: italic" title="sdf-15">+ Rule: The first element in a snapshot has no type unless model is a logical model.</span> 
            <br/>  
            <span style="font-style: italic" title="sdf-15a">+ Rule: If the first element in a differential has no &quot;.&quot; in the path
               and it's not a logical model, it has no type</span> 
            <br/>  
            <span style="font-style: italic" title="sdf-9">+ Rule: In any snapshot or differential, no label, code or requirements on an element
               without a &quot;.&quot; in the path (e.g. the first element)</span> 
            <br/>  
            <span style="font-style: italic" title="sdf-16">+ Rule: All element definitions must have unique ids (snapshot)</span> 
            <br/>  
            <span style="font-style: italic" title="sdf-17">+ Rule: All element definitions must have unique ids (diff)</span> 
            <br/>  
            <span style="font-style: italic" title="sdf-18">+ Rule: Context Invariants can only be used for extensions</span> 
            <br/>  
            <span style="font-style: italic" title="sdf-19">+ Rule: FHIR Specification models only use FHIR defined types</span> 
            <br/>  
            <span style="font-style: italic" title="sdf-21">+ Rule: Default values can only be specified on specializations</span> 
            <br/>  
            <span style="font-style: italic" title="sdf-22">+ Rule: FHIR Specification models never have default values</span> 
            <br/>  
            <span style="font-style: italic" title="sdf-23">+ Rule: No slice name on root</span> 
            <br/>  
            <span style="font-style: italic" title="sdf-27">+ Rule: If there's a base definition, there must be a derivation </span> 
            <br/>  
            <span style="font-style: italic" title="sdf-29">+ Warning: Elements in Resources must have a min cardinality or 0 or 1 and a max
               cardinality of 1 or *</span> 
            <br/>  
            <br/>  Elements defined in Ancestors: 
            <a href="resource.html#Resource" title="The logical id of the resource, as used in the URL for the resource. Once assigned,
             this value never changes.">id</a> , 
            <a href="resource.html#Resource" title="The metadata about the resource. This is content that is maintained by the infrastructure.
             Changes to the content might not always be associated with version changes to the
             resource.">meta</a> , 
            <a href="resource.html#Resource" title="A reference to a set of rules that were followed when the resource was constructed,
             and which must be understood when processing the content. Often, this is a reference
             to an implementation guide that defines the special rules along with other profiles
             etc.">implicitRules</a> , 
            <a href="resource.html#Resource" title="The base language in which the resource is written.">language</a> , 
            <a href="domainresource.html#DomainResource" title="A human-readable narrative that contains a summary of the resource and can be used
             to represent the content of the resource to a human. The narrative need not encode
             all the structured data, but is required to contain sufficient detail to make it
             &quot;clinically safe&quot; for a human to just read the narrative. Resource definitions
             may define what content should be represented in the narrative to ensure clinical
             safety.">text</a> , 
            <a href="domainresource.html#DomainResource" title="These resources do not have an independent existence apart from the resource that
             contains them - they cannot be identified independently, nor can they have their
             own independent transaction scope. This is allowed to be a Parameters resource
             if and only if it is referenced by a resource that provides context/meaning.">contained</a> , 
            <a href="domainresource.html#DomainResource" title="May be used to represent additional information that is not part of the basic definition
             of the resource. 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.">extension</a> , 
            <a href="domainresource.html#DomainResource" title="May be used to represent additional information that is not part of the basic definition
             of the resource and that modifies the understanding of the element that contains
             it 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 is allowed to 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).">modifierExtension</a> 
            <br/>  
            <span title="uml.html#interfaces">Interfaces Implemented: </span> 
            <a href="canonicalresource.html#CanonicalResource" title="Common Interface declaration for conformance and knowledge artifact resources.">CanonicalResource</a> 
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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            2P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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            +2RsQ0AIAzDav7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpw
            YAAAARklEQVQ4y2P8//8/AyWAhYFCMAgMuHjx4n+KXaCv+I0szW8WpCG8kFO1lGFKW/SIjAUYgxz/MzAwMDC+nqhDUTQyj
            uYFBgCNmhP4OvTRgwAAAABJRU5ErkJggg==" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>  
            <span title="StructureDefinition.url : An absolute URI that is used to identify this structure
             definition when it is referenced in a specification, model, design or an instance;
             also called its canonical identifier. This SHOULD be globally unique and SHOULD
             be a literal address at which an authoritative instance of this structure definition
             is (or will be) published. This URL can be the target of a canonical reference.
             It SHALL remain the same when the structure definition is stored on different servers.">url</span> 
            <a name="StructureDefinition.url"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#uri">uri</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">Canonical identifier for this structure definition, represented as a URI (globally
             unique)
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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            oTLZoAKFRIhqGwqJAULFx0GYpBQeChRIR4TJm6KJMhQRUSBAAA7" style="background-color: white; background-color: inherit" title="Data Type"/>  
            <span title="StructureDefinition.identifier : A formal identifier that is used to identify this
             structure definition when it is represented in other formats, or referenced in
             a specification, model, design or an instance.">identifier</span> 
            <a name="StructureDefinition.identifier"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Identifier">Identifier</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Additional identifier for the structure definition
            <br/>  
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpw
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            uYFBgCNmhP4OvTRgwAAAABJRU5ErkJggg==" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>  
            <span title="StructureDefinition.version : The identifier that is used to identify this version
             of the structure definition when it is referenced in a specification, model, design
             or instance. This is an arbitrary value managed by the structure definition author
             and is not expected to be globally unique. For example, it might be a timestamp
             (e.g. yyyymmdd) if a managed version is not available. There is also no expectation
             that versions can be placed in a lexicographical sequence.">version</span> 
            <a name="StructureDefinition.version"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#string">string</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">Business version of the structure definition
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
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            <span title="StructureDefinition.versionAlgorithm[x] : Indicates the mechanism used to compare
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            <a name="StructureDefinition.versionAlgorithm_x_"> </a> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">How to compare versions
            <br/>  
            <a href="valueset-version-algorithm.html">Version Algorithm</a>  (
            <a href="terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value
             set if any of the codes within the value set can apply to the concept being communicated.
              If the value set does not cover the concept (based on human review), alternate
             codings (or, data type allowing, text) may be included instead.">Extensible</a> )
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            <span title="A sequence of Unicode characters">versionAlgorithmString</span> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <a href="datatypes.html#string">string</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
        </tr> 

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            <span title="A reference to a code defined by a terminology system.">versionAlgorithmCoding</span> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <a href="datatypes.html#Coding">Coding</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px"/> 
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            <span title="StructureDefinition.name : A natural language name identifying the structure definition.
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            <a name="StructureDefinition.name"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;
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          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <a href="datatypes.html#string">string</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
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            <span title="StructureDefinition.title : A short, descriptive, user-friendly title for the structure
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <a href="datatypes.html#string">string</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Name for this structure definition (human friendly)
            <br/>  
          </td> 
        </tr> 

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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpw
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            <span title="StructureDefinition.status : The status of this structure definition. Enables tracking
             the life-cycle of the content.">status</span> 
            <a name="StructureDefinition.status"> </a> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <a href="conformance-rules.html#isModifier" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is a modifier element">?!</a> 
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <a href="datatypes.html#code">code</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">draft | active | retired | unknown
            <br/>  
            <a href="valueset-publication-status.html">PublicationStatus</a>  (
            <a href="terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value
             set.">Required</a> )
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpw
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            uYFBgCNmhP4OvTRgwAAAABJRU5ErkJggg==" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>  
            <span title="StructureDefinition.experimental : A Boolean value to indicate that this structure
             definition is authored for testing purposes (or education/evaluation/marketing)
             and is not intended to be used for genuine usage.">experimental</span> 
            <a name="StructureDefinition.experimental"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <a href="datatypes.html#boolean">boolean</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">For testing purposes, not real usage
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpw
            YAAAARklEQVQ4y2P8//8/AyWAhYFCMAgMuHjx4n+KXaCv+I0szW8WpCG8kFO1lGFKW/SIjAUYgxz/MzAwMDC+nqhDUTQyj
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            <span title="StructureDefinition.date : The date  (and optionally time) when the structure definition
             was published. The date must change when the business version changes and it must
             change if the status code changes. In addition, it should change when the substantive
             content of the structure definition changes.">date</span> 
            <a name="StructureDefinition.date"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <a href="datatypes.html#dateTime">dateTime</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpw
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            <span title="StructureDefinition.publisher : The name of the organization or individual responsible
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            <a name="StructureDefinition.publisher"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <a href="datatypes.html#string">string</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Name of the publisher/steward (organization or individual)
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          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
            YAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y
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            <img alt="." class="hierarchy" src="data:image/png;base64,R0lGODlhEAAQAPZ/APrkusOiYvvfqbiXWaV2G+jGhdq1b8GgYf3v1frw3vTUlsWkZNewbcS
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            <span title="StructureDefinition.contact : Contact details to assist a user in finding and communicating
             with the publisher.">contact</span> 
            <a name="StructureDefinition.contact"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <a href="metadatatypes.html#ContactDetail">ContactDetail</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <br/>  
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpw
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            <span title="StructureDefinition.description : A free text natural language description of the
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            <a name="StructureDefinition.description"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <a href="datatypes.html#markdown">markdown</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Natural language description of the structure definition
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,R0lGODlhEAAQAPZ/APrkusOiYvvfqbiXWaV2G+jGhdq1b8GgYf3v1frw3vTUlsWkZNewbcS
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            <span title="StructureDefinition.useContext : The content was developed with a focus and intent
             of supporting the contexts that are listed. These contexts may be general categories
             (gender, age, ...) or may be references to specific programs (insurance plans,
             studies, ...) and may be used to assist with indexing and searching for appropriate
             structure definition instances.">useContext</span> 
            <a name="StructureDefinition.useContext"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
            <a href="versions.html#std-process" style="padding-left: 3px; padding-right: 3px; border: 1px grey solid; font-weight: bold;
             color: black; background-color: #fff5e6" title="Standards Status = Trial Use">TU</a> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="metadatatypes.html#UsageContext">UsageContext</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">The context that the content is intended to support
            <br/>  
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,R0lGODlhEAAQAPZ/APrkusOiYvvfqbiXWaV2G+jGhdq1b8GgYf3v1frw3vTUlsWkZNewbcS
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            <span title="StructureDefinition.jurisdiction : A legal or geographic region in which the structure
             definition is intended to be used.">jurisdiction</span> 
            <a name="StructureDefinition.jurisdiction"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Intended jurisdiction for structure definition (if applicable)
            <br/>  
            <a href="valueset-jurisdiction.html">Jurisdiction</a>  (
            <a href="terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value
             set if any of the codes within the value set can apply to the concept being communicated.
              If the value set does not cover the concept (based on human review), alternate
             codings (or, data type allowing, text) may be included instead.">Extensible</a> )
            <br/>  
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpw
            YAAAARklEQVQ4y2P8//8/AyWAhYFCMAgMuHjx4n+KXaCv+I0szW8WpCG8kFO1lGFKW/SIjAUYgxz/MzAwMDC+nqhDUTQyj
            uYFBgCNmhP4OvTRgwAAAABJRU5ErkJggg==" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>  
            <span title="StructureDefinition.purpose : Explanation of why this structure definition is needed
             and why it has been designed as it has.">purpose</span> 
            <a name="StructureDefinition.purpose"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#markdown">markdown</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">Why this structure definition is defined
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
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          La+OltBwAAYP6EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpw
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            <span title="StructureDefinition.copyright : A copyright statement relating to the structure
             definition and/or its contents. Copyright statements are generally legal restrictions
             on the use and publishing of the structure definition.  The short copyright declaration
             (e.g. (c) '2015+ xyz organization' should be sent in the copyrightLabel element.">copyright</span> 
            <a name="StructureDefinition.copyright"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <a href="datatypes.html#markdown">markdown</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpw
            YAAAARklEQVQ4y2P8//8/AyWAhYFCMAgMuHjx4n+KXaCv+I0szW8WpCG8kFO1lGFKW/SIjAUYgxz/MzAwMDC+nqhDUTQyj
            uYFBgCNmhP4OvTRgwAAAABJRU5ErkJggg==" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>  
            <span title="StructureDefinition.copyrightLabel : A short string (&lt;50 characters), suitable
             for inclusion in a page footer that identifies the copyright holder, effective
             period, and optionally whether rights are resctricted. (e.g. 'All rights reserved',
             'Some rights reserved').">copyrightLabel</span> 
            <a name="StructureDefinition.copyrightLabel"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#string">string</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">Copyright holder and year(s)
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJ
          La+OltBwAAYP6EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
            YAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI1
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,R0lGODlhEAAQAPZ/APrkusOiYvvfqbiXWaV2G+jGhdq1b8GgYf3v1frw3vTUlsWkZNewbcS
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            <span title="StructureDefinition.keyword : (DEPRECATED) A set of key words or terms from external
             terminologies that may be used to assist with indexing and searching of templates
             nby describing the use of this structure definition, or the content it describes.">keyword</span> 
            <a name="StructureDefinition.keyword"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
            <a href="versions.html#std-process" style="padding-left: 3px; padding-right: 3px; border: 1px grey solid; font-weight: bold;
             color: black; background-color: #ffcccc" title="Standards Status = Deprecated">XD</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Coding">Coding</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Assist with indexing and finding
            <br/>  
            <a href="valueset-definition-use.html">Structure Definition Use Codes / Keywords</a>  (
            <a href="terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value
             set if any of the codes within the value set can apply to the concept being communicated.
              If the value set does not cover the concept (based on human review), alternate
             codings (or, data type allowing, text) may be included instead.">Extensible</a> )
            <br/>  
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAg
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpw
            YAAAARklEQVQ4y2P8//8/AyWAhYFCMAgMuHjx4n+KXaCv+I0szW8WpCG8kFO1lGFKW/SIjAUYgxz/MzAwMDC+nqhDUTQyj
            uYFBgCNmhP4OvTRgwAAAABJRU5ErkJggg==" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>  
            <span title="StructureDefinition.fhirVersion : The version of the FHIR specification on which
             this StructureDefinition is based - this is the formal version of the specification,
             without the revision number, e.g. [publication].[major].[minor], which is 4.6.0.
             for this version.">fhirVersion</span> 
            <a name="StructureDefinition.fhirVersion"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#code">code</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">FHIR Version this StructureDefinition targets
            <br/>  
            <a href="valueset-FHIR-version.html">FHIRVersion</a>  (
            <a href="terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value
             set.">Required</a> )
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJ
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,R0lGODlhEAAQAPQfAOvGUf7ztuvPMf/78/fkl/Pbg+u8Rvjqteu2Pf3zxPz36Pz0z+vTmPz
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            <span title="StructureDefinition.mapping : An external specification that the content is mapped
             to.">mapping</span> 
            <a name="StructureDefinition.mapping"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;
             color: #301212; background-color: #fdf4f4;" title="This element has or is affected by some invariants">C</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="types.html#BackBoneElement">BackboneElement</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">External specification that the content is mapped to
            <br/>  
            <span style="font-style: italic" title="sdf-2">+ Rule: Must have at least a name or a uri (or both)</span> 
            <br/>  
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMElEQVR42u3QwQkAMAw
          Dsezq/WdoskKgFAoy6HkfV5LamJ1tc7MHAAD+5QQAAOCZBkurQFbnaRSlAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpw
            YAAAARklEQVQ4y2P8//8/AyWAhYFCMAgMuHjx4n+KXaCv+I0szW8WpCG8kFO1lGFKW/SIjAUYgxz/MzAwMDC+nqhDUTQyj
            uYFBgCNmhP4OvTRgwAAAABJRU5ErkJggg==" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>  
            <span title="StructureDefinition.mapping.identity : An Internal id that is used to identify
             this mapping set when specific mappings are made.">identity</span> 
            <a name="StructureDefinition.mapping.identity"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#id">id</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">Internal id when this mapping is used
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMElEQVR42u3QwQkAMAwDsezq/WdoskKgFAoy6HkfV5
          LamJ1tc7MHAAD+5QQAAOCZBkurQFbnaRSlAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpw
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            uYFBgCNmhP4OvTRgwAAAABJRU5ErkJggg==" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>  
            <span title="StructureDefinition.mapping.uri : An absolute URI that identifies the specification
             that this mapping is expressed to.">uri</span> 
            <a name="StructureDefinition.mapping.uri"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;
             color: #301212; background-color: #fdf4f4;" title="This element has or is affected by some invariants">C</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#uri">uri</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Identifies what this mapping refers to
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMElEQVR42u3QwQkAMAw
          Dsezq/WdoskKgFAoy6HkfV5LamJ1tc7MHAAD+5QQAAOCZBkurQFbnaRSlAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpw
            YAAAARklEQVQ4y2P8//8/AyWAhYFCMAgMuHjx4n+KXaCv+I0szW8WpCG8kFO1lGFKW/SIjAUYgxz/MzAwMDC+nqhDUTQyj
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            <span title="StructureDefinition.mapping.name : A name for the specification that is being mapped
             to.">name</span> 
            <a name="StructureDefinition.mapping.name"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;
             color: #301212; background-color: #fdf4f4;" title="This element has or is affected by some invariants">C</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#string">string</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">Names what this mapping refers to
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJ
          La+OltBwAAYP6EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
            YAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI1
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
            YAAAAB3RJTUUH3wYeFzMPbYccAgAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAMElEQVQ4y
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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            +3OsRUAIAjEUOL+O8cJABttJM11/x1qZAGqRBEVcNIqdWj1efDqQbb3HwwwwEfABmQUHSPM9dtDAAAAAElFTkSuQmCC" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpw
            YAAAARklEQVQ4y2P8//8/AyWAhYFCMAgMuHjx4n+KXaCv+I0szW8WpCG8kFO1lGFKW/SIjAUYgxz/MzAwMDC+nqhDUTQyj
            uYFBgCNmhP4OvTRgwAAAABJRU5ErkJggg==" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>  
            <span title="StructureDefinition.mapping.comment : Comments about this mapping, including version
             notes, issues, scope limitations, and other important notes for usage.">comment</span> 
            <a name="StructureDefinition.mapping.comment"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#string">string</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Versions, Issues, Scope limitations etc.
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
            YAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpw
            YAAAARklEQVQ4y2P8//8/AyWAhYFCMAgMuHjx4n+KXaCv+I0szW8WpCG8kFO1lGFKW/SIjAUYgxz/MzAwMDC+nqhDUTQyj
            uYFBgCNmhP4OvTRgwAAAABJRU5ErkJggg==" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>  
            <span title="StructureDefinition.kind : Defines the kind of structure that this definition is
             describing.">kind</span> 
            <a name="StructureDefinition.kind"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#code">code</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">primitive-type | complex-type | resource | logical
            <br/>  
            <a href="valueset-structure-definition-kind.html">StructureDefinitionKind</a>  (
            <a href="terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value
             set.">Required</a> )
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
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          La+OltBwAAYP6EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpw
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            uYFBgCNmhP4OvTRgwAAAABJRU5ErkJggg==" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>  
            <span title="StructureDefinition.abstract : Whether structure this definition describes is abstract
             or not  - that is, whether the structure is not intended to be instantiated. For
             Resources and Data types, abstract types will never be exchanged  between systems.">abstract</span> 
            <a name="StructureDefinition.abstract"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#boolean">boolean</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Whether the structure is abstract
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAg
          CQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,R0lGODlhEAAQAPQfAOvGUf7ztuvPMf/78/fkl/Pbg+u8Rvjqteu2Pf3zxPz36Pz0z+vTmPz
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            <span title="StructureDefinition.context : Identifies the types of resource or data type elements
             to which the extension can be applied.">context</span> 
            <a name="StructureDefinition.context"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;
             color: #301212; background-color: #fdf4f4;" title="This element has or is affected by some invariants">C</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="types.html#BackBoneElement">BackboneElement</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">If an extension, where it can be used in instances
            <br/>  
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMElEQVR42u3QwQkAMAwDsezq/WdoskKgFAoy6HkfV5
          LamJ1tc7MHAAD+5QQAAOCZBkurQFbnaRSlAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpw
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            <span title="StructureDefinition.context.type : Defines how to interpret the expression that
             defines what the context of the extension is.">type</span> 
            <a name="StructureDefinition.context.type"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#code">code</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">fhirpath | element | extension
            <br/>  
            <a href="valueset-extension-context-type.html">ExtensionContextType</a>  (
            <a href="terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value
             set.">Required</a> )
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAg
          CQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpw
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            <span title="StructureDefinition.context.expression : An expression that defines where an extension
             can be used in resources.">expression</span> 
            <a name="StructureDefinition.context.expression"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#string">string</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">Where the extension can be used in instances
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
            YAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpw
            YAAAARklEQVQ4y2P8//8/AyWAhYFCMAgMuHjx4n+KXaCv+I0szW8WpCG8kFO1lGFKW/SIjAUYgxz/MzAwMDC+nqhDUTQyj
            uYFBgCNmhP4OvTRgwAAAABJRU5ErkJggg==" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>  
            <span title="StructureDefinition.contextInvariant : A set of rules as FHIRPath Invariants about
             when the extension can be used (e.g. co-occurrence variants for the extension).
             All the rules must be true.">contextInvariant</span> 
            <a name="StructureDefinition.contextInvariant"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;
             color: #301212; background-color: #fdf4f4;" title="This element has or is affected by some invariants">C</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#string">string</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">FHIRPath invariants - when the extension can be used
            <br/>  
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAg
          CQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpw
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            uYFBgCNmhP4OvTRgwAAAABJRU5ErkJggg==" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>  
            <span title="StructureDefinition.type : The type this structure describes. If the derivation
             kind is 'specialization' then this is the master definition for a type, and there
             is always one of these (a data type, an extension, a resource, including abstract
             ones). Otherwise the structure definition is a constraint on the stated type (and
             in this case, the type cannot be an abstract type).  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.">type</span> 
            <a name="StructureDefinition.type"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;
             color: #301212; background-color: #fdf4f4;" title="This element has or is affected by some invariants">C</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#uri">uri</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">Type defined or constrained by this structure
            <br/>  
            <a href="valueset-fhir-types.html">All FHIR Types</a>  (
            <a href="terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value
             set if any of the codes within the value set can apply to the concept being communicated.
              If the value set does not cover the concept (based on human review), alternate
             codings (or, data type allowing, text) may be included instead.">Extensible</a> )
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJ
          La+OltBwAAYP6EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1
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            FxJREFUOE/NjEEOACEIA/0o/38GGw+agoXYeNnDJDCUDnd/gkoFKhWozJiZI3gLwY6rAgxhsPKTPUzycTl8lAryMyMsVQG
            6TFi6cHULyz8KOjC7OIQKlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>  
            <span title="StructureDefinition.baseDefinition : An absolute URI that is the base structure
             from which this type is derived, either by specialization or constraint.">baseDefinition</span> 
            <a name="StructureDefinition.baseDefinition"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;
             color: #301212; background-color: #fdf4f4;" title="This element has or is affected by some invariants">C</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#canonical">canonical</a> (
            <a href="structuredefinition.html">StructureDefinition</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Definition that this type is constrained/specialized from
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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            +2RsQ0AIAzDav7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpw
            YAAAARklEQVQ4y2P8//8/AyWAhYFCMAgMuHjx4n+KXaCv+I0szW8WpCG8kFO1lGFKW/SIjAUYgxz/MzAwMDC+nqhDUTQyj
            uYFBgCNmhP4OvTRgwAAAABJRU5ErkJggg==" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>  
            <span title="StructureDefinition.derivation : How the type relates to the baseDefinition.">derivation</span> 
            <a name="StructureDefinition.derivation"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#code">code</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">specialization | constraint - How relates to base definition
            <br/>  
            <a href="valueset-type-derivation-rule.html">TypeDerivationRule</a>  (
            <a href="terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value
             set.">Required</a> )
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJ
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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            slgxaLR4/3rMAWoBp32V5exg8Shl1ckRUQVaMVkQ2kCstKCEAOw==" style="background-color: white; background-color: inherit" title="Element"/>  
            <span title="StructureDefinition.snapshot : A snapshot view is expressed in a standalone form
             that can be used and interpreted without considering the base StructureDefinition.">snapshot</span> 
            <a name="StructureDefinition.snapshot"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;
             color: #301212; background-color: #fdf4f4;" title="This element has or is affected by some invariants">C</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="types.html#BackBoneElement">BackboneElement</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Snapshot view of the structure
            <br/>  
            <span style="font-style: italic" title="sdf-3">+ Rule: Each element definition in a snapshot must have a formal definition and
               cardinalities, unless model is a logical model</span> 
            <br/>  
            <span style="font-style: italic" title="sdf-8">+ Rule: All snapshot elements must start with the StructureDefinition's specified
               type for non-logical models, or with the same type name for logical models</span> 
            <br/>  
            <span style="font-style: italic" title="sdf-24">+ Rule: For CodeableReference elements, target profiles must be listed on the CodeableReferen
              ce, not the CodeableReference.reference</span> 
            <br/>  
            <span style="font-style: italic" title="sdf-25">+ Rule: For CodeableReference elements, bindings must be listed on the CodeableReference,
               not the CodeableReference.concept</span> 
            <br/>  
            <span style="font-style: italic" title="sdf-26">+ Guideline: The root element of a profile should not have mustSupport = true</span> 
            <br/>  
            <span style="font-style: italic" title="sdf-8b">+ Rule: All snapshot elements must have a base definition</span> 
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,R0lGODlhEAAQAPZ/APrkusOiYvvfqbiXWaV2G+jGhdq1b8GgYf3v1frw3vTUlsWkZNewbcS
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            Slfrkt+zVqe7Wqv3x1/bNffbOf59wFdS6if3u0vrqyP3owPvepfXQivDQkO/PkKh9K7STVf779P///wD/ACH5BAEKAH8AL
            AAAAAAQABAAAAemgH+CgxeFF4OIhBdKGwFChYl/hYwbdkoBPnaQkosbG3d3VEpSUlonUoY1Gzo6QkI8SrGxWBOFG4uySgY
            5ZWR3PFy2hnaWZXC/PHcPwkpJk1ShoHcxhQEXSUmtFy6+0iSFVResrjoTPDzdcoU+F65CduVU6KAhhQa3F8Tx8nchBoYuq
            oTLZoAKFRIhqGwqJAULFx0GYpBQeChRIR4TJm6KJMhQRUSBAAA7" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>  
            <span title="StructureDefinition.snapshot.element : Captures constraints on each element within
             the resource.">element</span> 
            <a name="StructureDefinition.snapshot.element"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;
             color: #301212; background-color: #fdf4f4;" title="This element has or is affected by some invariants">C</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">1..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition.html#ElementDefinition">ElementDefinition</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">Definition of elements in the resource (if no StructureDefinition)
            <br/>  
            <span style="font-style: italic" title="sdf-10">+ Rule: provide either a binding reference or a description (or both)</span> 
            <br/>  
            <span style="font-style: italic" title="sdf-28">+ Rule: If there are no discriminators, there must be a definition</span> 
            <br/>  
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAI0lEQVR42u3QIQEAAAACIL/6/4MvTAQOkLYBAAB4kA
          AAANwMad9AqkRjgNAAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,R0lGODlhEAAQAPQfAOvGUf7ztuvPMf/78/fkl/Pbg+u8Rvjqteu2Pf3zxPz36Pz0z+vTmPz
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            slgxaLR4/3rMAWoBp32V5exg8Shl1ckRUQVaMVkQ2kCstKCEAOw==" style="background-color: white; background-color: inherit" title="Element"/>  
            <span title="StructureDefinition.differential : A differential view is expressed relative to
             the base StructureDefinition - a statement of differences that it applies.">differential</span> 
            <a name="StructureDefinition.differential"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;
             color: #301212; background-color: #fdf4f4;" title="This element has or is affected by some invariants">C</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="types.html#BackBoneElement">BackboneElement</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Differential view of the structure
            <br/>  
            <span style="font-style: italic" title="sdf-20">+ Rule: No slicing on the root element</span> 
            <br/>  
            <span style="font-style: italic" title="sdf-8a">+ Rule: In any differential, all the elements must start with the StructureDefinition's
               specified type for non-logical models, or with the same type name for logical models</span> 
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAI0lEQVR42u3QIQEAAAA
          CIL/6/4MvTAQOkLYBAAB4kAAAANwMad9AqkRjgNAAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
            YAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI1
            2P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
            YAAAAB3RJTUUH3wYeFzIZgEiYEgAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAIElEQVQ4y
            2P8//8/AyWAiYFCMGrAqAGjBowaMGoAAgAALL0DKYQ0DPIAAAAASUVORK5CYII=" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
            YAAAAB3RJTUUH3wYeFzME+lXFigAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y
            +3OsRUAIAjEUOL+O8cJABttJM11/x1qZAGqRBEVcNIqdWj1efDqQbb3HwwwwEfABmQUHSPM9dtDAAAAAElFTkSuQmCC" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:image/png;base64,R0lGODlhEAAQAPZ/APrkusOiYvvfqbiXWaV2G+jGhdq1b8GgYf3v1frw3vTUlsWkZNewbcS
            jY/DQkad4Hb6dXv3u0f3v1ObEgfPTlerJiP3w1v79+e7OkPrfrfnjuNOtZPrpydaxa+/YrvvdpP779ZxvFPvnwKKBQaFyF
            /369M2vdaqHRPz58/HNh/vowufFhfroxO3OkPrluv779tK0e6JzGProwvrow9m4eOnIifPTlPDPkP78+Naxaf3v0/zowfX
            Ri+bFhLWUVv379/rnwPvszv3rye3LiPvnv+3MjPDasKiIS/789/3x2f747eXDg+7Mifvu0tu7f+/QkfDTnPXWmPrjsvrjt
            PbPgrqZW+/QlPz48K2EMv36866OUPvowat8Ivvgq/Pbrvzgq/PguvrgrqN0Gda2evfYm9+7d/rpw9q6e/LSku/Rl/XVl/L
            Slfrkt+zVqe7Wqv3x1/bNffbOf59wFdS6if3u0vrqyP3owPvepfXQivDQkO/PkKh9K7STVf779P///wD/ACH5BAEKAH8AL
            AAAAAAQABAAAAemgH+CgxeFF4OIhBdKGwFChYl/hYwbdkoBPnaQkosbG3d3VEpSUlonUoY1Gzo6QkI8SrGxWBOFG4uySgY
            5ZWR3PFy2hnaWZXC/PHcPwkpJk1ShoHcxhQEXSUmtFy6+0iSFVResrjoTPDzdcoU+F65CduVU6KAhhQa3F8Tx8nchBoYuq
            oTLZoAKFRIhqGwqJAULFx0GYpBQeChRIR4TJm6KJMhQRUSBAAA7" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>  
            <span title="StructureDefinition.differential.element : Captures constraints on each element
             within the resource.">element</span> 
            <a name="StructureDefinition.differential.element"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">1..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition.html#ElementDefinition">ElementDefinition</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">Definition of elements in the resource (if no StructureDefinition)
            <br/>  
            <br/>  
          </td> 
        </tr> 

        <tr> 
          <td class="hierarchy" colspan="5">
            <br/>  
            <a href="formats.html#table" title="Legend for this format">
              <img alt="doco" src="help16.png" style="background-color: inherit"/>  Documentation for this format
            </a> 
          </td> 
        </tr> 
      </table> 
    </div> 
  </text> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-category">
    <valueString value="Foundation.Conformance"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-implements">
    <valueUri value="http://hl7.org/fhir/StructureDefinition/CanonicalResource"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="normative"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
    <valueCode value="4.0.0"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="5"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category">
    <valueCode value="anonymous"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="fhir"/> 
  </extension> 
  <url value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
  <version value="5.0.0-ballot"/> 
  <name value="StructureDefinition"/> 
  <status value="active"/> 
  <experimental value="false"/> 
  <date value="2022-09-10T04:52:37+10:00"/> 
  <publisher value="Health Level Seven International (FHIR Infrastructure)"/> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="http://hl7.org/fhir"/> 
    </telecom> 
  </contact> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="http://www.hl7.org/Special/committees/fiwg/index.cfm"/> 
    </telecom> 
  </contact> 
  <description value="A definition of a FHIR structure. This resource is used to describe the underlying
   resources, data types defined in FHIR, and also for describing extensions and constraints
   on resources and data types."/> 
  <fhirVersion value="5.0.0-ballot"/> 
  <mapping> 
    <identity value="rim"/> 
    <uri value="http://hl7.org/v3"/> 
    <name value="RIM Mapping"/> 
  </mapping> 
  <mapping> 
    <identity value="w5"/> 
    <uri value="http://hl7.org/fhir/fivews"/> 
    <name value="FiveWs Pattern Mapping"/> 
  </mapping> 
  <mapping> 
    <identity value="iso11179"/> 
    <uri value="http://metadata-standards.org/11179/"/> 
    <name value="ISO 11179"/> 
  </mapping> 
  <mapping> 
    <identity value="objimpl"/> 
    <uri value="http://hl7.org/fhir/object-implementation"/> 
    <name value="Object Implementation Information"/> 
  </mapping> 
  <kind value="resource"/> 
  <abstract value="false"/> 
  <type value="StructureDefinition"/> 
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> 
  <derivation value="specialization"/> 
  <snapshot> 
    <element id="StructureDefinition">
      <path value="StructureDefinition"/> 
      <short value="Structural Definition"/> 
      <definition value="A definition of a FHIR structure. This resource is used to describe the underlying
       resources, data types defined in FHIR, and also for describing extensions and constraints
       on resources and data types."/> 
      <alias value="Template"/> 
      <alias value="Profile"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="StructureDefinition"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <constraint> 
        <key value="cnl-0"/> 
        <severity value="warning"/> 
        <human value="Name should be usable as an identifier for the module by machine processing applications
         such as code generation"/> 
        <expression value="name.exists() implies name.matches('[A-Z]([A-Za-z0-9_]){1,254}')"/> 
        <xpath value="not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){1,254}')"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="sdf-1"/> 
        <severity value="error"/> 
        <human value="Element paths must be unique unless the structure is a constraint"/> 
        <expression value="derivation = 'constraint' or snapshot.element.select(path).isDistinct()"/> 
        <xpath value="(f:derivation/@value = 'constraint') or (count(f:snapshot/f:element) = count(distinct-values(
        f:snapshot/f:element/f:path/@value)))"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="sdf-4"/> 
        <requirements value="Ensure that the base types are abstract"/> 
        <severity value="error"/> 
        <human value="If the structure is not abstract, then there SHALL be a baseDefinition"/> 
        <expression value="abstract = true or baseDefinition.exists()"/> 
        <xpath value="(f:abstract/@value=true()) or exists(f:baseDefinition)"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="sdf-5"/> 
        <severity value="error"/> 
        <human value="If the structure defines an extension then the structure must have context information"/> 
        <expression value="type != 'Extension' or derivation = 'specialization' or (context.exists())"/> 
        <xpath value="not(f:type/@value = 'extension') or (f:derivation/@value = 'specialization') or
         (exists(f:context))"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="sdf-6"/> 
        <severity value="error"/> 
        <human value="A structure must have either a differential, or a snapshot (or both)"/> 
        <expression value="snapshot.exists() or differential.exists()"/> 
        <xpath value="exists(f:snapshot) or exists(f:differential)"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="sdf-11"/> 
        <requirements value="Ensure that the type is not inconsistent with the other information in the structure"/> 
        <severity value="error"/> 
        <human value="If there's a type, its content must match the path name in the first element of
         a snapshot"/> 
        <expression value="kind != 'logical' implies snapshot.empty() or snapshot.element.first().path = type"/> 
        <xpath value="(f:kind/@value = 'logical') or not(exists(f:snapshot)) or (f:type/@value = f:snapshot/f:eleme
        nt[1]/f:path/@value)"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="sdf-14"/> 
        <requirements value="elements have id"/> 
        <severity value="error"/> 
        <human value="All element definitions must have an id"/> 
        <expression value="snapshot.element.all(id.exists()) and differential.element.all(id.exists())"/> 
        <xpath value="count(*/f:element)=count(*/f:element/@id)"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="sdf-15"/> 
        <requirements value="No Type on the root element (snapshot)"/> 
        <severity value="error"/> 
        <human value="The first element in a snapshot has no type unless model is a logical model."/> 
        <expression value="kind!='logical'  implies snapshot.element.first().type.empty()"/> 
        <xpath value="f:kind/@value='logical' or not(f:snapshot/f:element[1]/f:type)"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="sdf-15a"/> 
        <requirements value="No Type on the root element (differential)"/> 
        <severity value="error"/> 
        <human value="If the first element in a differential has no &quot;.&quot; in the path and it's
         not a logical model, it has no type"/> 
        <expression value="(kind!='logical'  and differential.element.first().path.contains('.').not()) implies
         differential.element.first().type.empty()"/> 
        <xpath value="f:kind/@value='logical' or not(f:differential/f:element[1][not(contains(f:path/@value,
         '.'))]/f:type)"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="sdf-9"/> 
        <requirements value="Because these 3 fields seem to be have overlapping meaning with the ones in the
         root of StructureDefinition"/> 
        <severity value="error"/> 
        <human value="In any snapshot or differential, no label, code or requirements on an element without
         a &quot;.&quot; in the path (e.g. the first element)"/> 
        <expression value="children().element.where(path.contains('.').not()).label.empty() and children().element.where
        (path.contains('.').not()).code.empty() and children().element.where(path.contains('.').not())
        .requirements.empty()"/> 
        <xpath value="not(exists(f:snapshot/f:element[not(contains(f:path/@value, '.')) and (f:label
         or f:code or f:requirements)])) and not(exists(f:differential/f:element[not(contains(f:path/@
        value, '.')) and (f:label or f:code or f:requirements)]))"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="sdf-16"/> 
        <requirements value="element ids need to be unique"/> 
        <severity value="error"/> 
        <human value="All element definitions must have unique ids (snapshot)"/> 
        <expression value="snapshot.element.all(id.exists()) and snapshot.element.id.trace('ids').isDistinct()"/> 
        <xpath value="count(f:snapshot/f:element)=count(f:snapshot/f:element/@id) and (count(f:snapshot/f:element)=
        count(distinct-values(f:snapshot/f:element/@id)))"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="sdf-17"/> 
        <requirements value="element ids need to be unique"/> 
        <severity value="error"/> 
        <human value="All element definitions must have unique ids (diff)"/> 
        <expression value="differential.element.all(id.exists()) and differential.element.id.trace('ids').isDistinct()"/> 
        <xpath value="count(f:differential/f:element)=count(f:differential/f:element/@id) and (count(f:differential
        /f:element)=count(distinct-values(f:differential/f:element/@id)))"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="sdf-18"/> 
        <requirements value="contextInvariant"/> 
        <severity value="error"/> 
        <human value="Context Invariants can only be used for extensions"/> 
        <expression value="contextInvariant.exists() implies type = 'Extension'"/> 
        <xpath value="not(exists(f:contextInvariant)) or (f:type/@value = 'Extension')"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="sdf-19"/> 
        <requirements value="custom types only in logical models"/> 
        <severity value="error"/> 
        <human value="FHIR Specification models only use FHIR defined types"/> 
        <expression value="url.startsWith('http://hl7.org/fhir/StructureDefinition') implies (differential
         | snapshot).element.type.code.all(matches('^[a-zA-Z0-9]+$') or matches('^http:\\/\\/hl7\\.org
        \\/fhirpath\\/System\\.[A-Z][A-Za-z]+$'))"/> 
        <xpath value="not(starts-with(f:url/@value, 'http://hl7.org/fhir/StructureDefinition')) or count(f:differen
        tial/f:element/f:type/f:code[@value and not(matches(string(@value), '^[a-zA-Z0-9]+$'))]|f:snap
        shot/f:element/f:type/f:code[@value and not(matches(string(@value), '^[a-zA-Z0-9]+$'))])
         =0"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="sdf-21"/> 
        <requirements value="no default values on data types or resources"/> 
        <severity value="error"/> 
        <human value="Default values can only be specified on specializations"/> 
        <expression value="differential.element.defaultValue.exists() implies (derivation = 'specialization')"/> 
        <xpath value="not(exists(f:differential/f:element/*[starts-with(local-name(), 'defaultValue')]))
         or (f:derivation/@value = 'specialization')"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="sdf-22"/> 
        <requirements value="no default values on data types or resources"/> 
        <severity value="error"/> 
        <human value="FHIR Specification models never have default values"/> 
        <expression value="url.startsWith('http://hl7.org/fhir/StructureDefinition') implies (snapshot.element.defaultVa
        lue.empty() and differential.element.defaultValue.empty())"/> 
        <xpath value="not(starts-with(f:url/@value, 'http://hl7.org/fhir/StructureDefinition')) or (not(exists(f:sn
        apshot/f:element/*[starts-with(local-name(), 'defaultValue')])) and not(exists(f:differential/
        f:element/*[starts-with(local-name(), 'defaultValue')])))"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="sdf-23"/> 
        <requirements value="no sliceName on root"/> 
        <severity value="error"/> 
        <human value="No slice name on root"/> 
        <expression value="(snapshot | differential).element.all(path.contains('.').not() implies sliceName.empty())"/> 
        <xpath value="count(*[self::snapshot or self::differential]/f:element[not(contains(f:path/@value,
         '.')) and f:sliceName])=0"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="sdf-27"/> 
        <severity value="error"/> 
        <human value="If there's a base definition, there must be a derivation "/> 
        <expression value="baseDefinition.exists() implies derivation.exists()"/> 
        <xpath value="not(exists(f:baseDefinition)) or exists(f:derivation)"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="sdf-29"/> 
        <severity value="warning"/> 
        <human value="Elements in Resources must have a min cardinality or 0 or 1 and a max cardinality
         of 1 or *"/> 
        <expression value="((kind in 'resource' | 'complex-type') and (specialization = 'derivation')) implies
         differential.element.where((min != 0 and min != 1) or (max != '1' and max != '*')).empty()"/> 
        <xpath value="not(exists(f:baseDefinition)) or exists(f:derivation)"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="conformance.content"/> 
      </mapping> 
    </element> 
    <element id="StructureDefinition.id">
      <path value="StructureDefinition.id"/> 
      <short value="Logical id of this artifact"/> 
      <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned,
       this value never changes."/> 
      <comment value="Within the context of the FHIR RESTful interactions, the resource has an id except
       for cases like the create and conditional update. Otherwise, the use of the resouce
       id depends on the given use case."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
    <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler
       magic (j)  -->
      <type> 
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="id"/> 
        </extension> 
        <code value="http://hl7.org/fhirpath/System.String"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="StructureDefinition.meta">
      <path value="StructureDefinition.meta"/> 
      <short value="Metadata about the resource"/> 
      <definition value="The metadata about the resource. This is content that is maintained by the infrastructure.
       Changes to the content might not always be associated with version changes to the
       resource."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.meta"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <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> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="StructureDefinition.implicitRules">
      <path value="StructureDefinition.implicitRules"/> 
      <short value="A set of rules under which this content was created"/> 
      <definition value="A reference to a set of rules that were followed when the resource was constructed,
       and which must be understood when processing the content. Often, this is a reference
       to an implementation guide that defines the special rules along with other profiles
       etc."/> 
      <comment value="Asserting this rule set restricts the content to be only understood by a limited
       set of trading partners. This inherently limits the usefulness of the data in the
       long term. However, the existing health eco-system is highly fractured, and not
       yet ready to define, collect, and exchange data in a generally computable sense.
       Wherever possible, implementers and/or specification writers should avoid using
       this element. Often, when used, the URL is a reference to an implementation guide
       that defines these special rules as part of it's narrative along with other profiles,
       value sets, etc."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.implicitRules"/> 
        <min value="0"/> 
        <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> 
      <mustSupport value="false"/> 
      <isModifier value="true"/> 
      <isModifierReason value="This element is labeled as a modifier because the implicit rules may provide additional
       knowledge about the resource that modifies it's meaning or interpretation"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="StructureDefinition.language">
      <path value="StructureDefinition.language"/> 
      <short value="Language of the resource content"/> 
      <definition value="The base language in which the resource is written."/> 
      <comment value="Language is provided to support indexing and accessibility (typically, services
       such as text to speech use the language tag). The html language tag in the narrative
       applies  to the narrative. The language tag on the resource may be used to specify
       the language of other presentations generated from the data in the resource. Not
       all the content has to be in the base language. The Resource.language should not
       be assumed to apply to the narrative automatically. If a language is specified,
       it should it also be specified on the div element in the html (see rules in HTML5
       for information about the relationship between xml:lang and the html lang attribute)."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.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> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
          <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="Language"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/> 
        </extension> 
        <strength value="preferred"/> 
        <description value="IETF language tag"/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/languages"/> 
      </binding> 
    </element> 
    <element id="StructureDefinition.text">
      <path value="StructureDefinition.text"/> 
      <short value="Text summary of the resource, for human interpretation"/> 
      <definition value="A human-readable narrative that contains a summary of the resource and can be used
       to represent the content of the resource to a human. The narrative need not encode
       all the structured data, but is required to contain sufficient detail to make it
       &quot;clinically safe&quot; for a human to just read the narrative. Resource definitions
       may define what content should be represented in the narrative to ensure clinical
       safety."/> 
      <comment value="Contained resources do not have a narrative. Resources that are not contained SHOULD
       have a narrative. In some cases, a resource may only have text with little or no
       additional discrete data (as long as all minOccurs=1 elements are satisfied). 
       This may be necessary for data from legacy systems where information is captured
       as a &quot;text blob&quot; or where text is additionally entered raw or narrated
       and encoded information is added later."/> 
      <alias value="narrative"/> 
      <alias value="html"/> 
      <alias value="xhtml"/> 
      <alias value="display"/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="DomainResource.text"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Narrative"/> 
      </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> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Act.text?"/> 
      </mapping> 
    </element> 
    <element id="StructureDefinition.contained">
      <path value="StructureDefinition.contained"/> 
      <short value="Contained, inline Resources"/> 
      <definition value="These resources do not have an independent existence apart from the resource that
       contains them - they cannot be identified independently, nor can they have their
       own independent transaction scope. This is allowed to be a Parameters resource
       if and only if it is referenced by a resource that provides context/meaning."/> 
      <comment value="This should never be done when the content can be identified properly, as once
       identification is lost, it is extremely difficult (and context dependent) to restore
       it again. Contained resources may have profiles and tags in their meta elements,
       but SHALL NOT have security labels."/> 
      <alias value="inline resources"/> 
      <alias value="anonymous resources"/> 
      <alias value="contained resources"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DomainResource.contained"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Resource"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="StructureDefinition.extension">
      <path value="StructureDefinition.extension"/> 
      <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 resource. 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="DomainResource.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> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="StructureDefinition.modifierExtension">
      <path value="StructureDefinition.modifierExtension"/> 
      <short value="Extensions that cannot be ignored"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the resource and that modifies the understanding of the element that contains
       it 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 is allowed to 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](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DomainResource.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> 
      <mustSupport value="false"/> 
      <isModifier value="true"/> 
      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the
       resource that contains them"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="StructureDefinition.url">
      <path value="StructureDefinition.url"/> 
      <short value="Canonical identifier for this structure definition, represented as a URI (globally
       unique)"/> 
      <definition value="An absolute URI that is used to identify this structure definition when it is referenced
       in a specification, model, design or an instance; also called its canonical identifier.
       This SHOULD be globally unique and SHOULD be a literal address at which an authoritative
       instance of this structure definition is (or will be) published. This URL can be
       the target of a canonical reference. It SHALL remain the same when the structure
       definition is stored on different servers."/> 
      <comment value="Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple
       instances may share the same URL if they have a distinct version.

The determination of when to create a new version of a resource (same url, new
       version) vs. defining a new artifact is up to the author.  Considerations for making
       this decision are found in [Technical and Business Versions](resource.html#versions).
       

In some cases, the resource can no longer be found at the stated url, but the url
       itself cannot change. Implementations can use the [meta.source](resource.html#meta)
       element to indicate where the current master source of the resource can be found."/> 
      <requirements value="Allows the structure definition to be referenced by a single globally unique identifier."/> 
      <alias value="url"/> 
      <alias value="authoritative-url"/> 
      <alias value="destination"/> 
      <alias value="identity"/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="StructureDefinition.url"/> 
        <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> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.identifier"/> 
      </mapping> 
    </element> 
    <element id="StructureDefinition.identifier">
      <path value="StructureDefinition.identifier"/> 
      <short value="Additional identifier for the structure definition"/> 
      <definition value="A formal identifier that is used to identify this structure definition when it
       is represented in other formats, or referenced in a specification, model, design
       or an instance."/> 
      <comment value="Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier)
       data type, and can then identify this structure definition outside of FHIR, where
       it is not possible to use the logical URI."/> 
      <requirements value="Allows externally provided and/or usable business identifiers to be easily associated
       with the module."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="StructureDefinition.identifier"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Identifier"/> 
      </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> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.identifier"/> 
      </mapping> 
      <mapping> 
        <identity value="iso11179"/> 
        <map value="Identifier part"/> 
      </mapping> 
      <mapping> 
        <identity value="objimpl"/> 
        <map value="no-gen-base"/> 
      </mapping> 
    </element> 
    <element id="StructureDefinition.version">
      <path value="StructureDefinition.version"/> 
      <short value="Business version of the structure definition"/> 
      <definition value="The identifier that is used to identify this version of the structure definition
       when it is referenced in a specification, model, design or instance. This is an
       arbitrary value managed by the structure definition author and is not expected
       to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if
       a managed version is not available. There is also no expectation that versions
       can be placed in a lexicographical sequence."/> 
      <comment value="There may be different structure definition instances that have the same identifier
       but different versions.  The version can be appended to the url in a reference
       to allow a reference to a particular business version of the structure definition
       with the format [url]|[version]. The version SHOULD NOT contain a '#' - see [Business
       Version](resource.html#bv-format)."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="StructureDefinition.version"/> 
        <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> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.version"/> 
      </mapping> 
      <mapping> 
        <identity value="iso11179"/> 
        <map value="Version"/> 
      </mapping> 
    </element> 
    <element id="StructureDefinition.versionAlgorithm[x]">
      <path value="StructureDefinition.versionAlgorithm[x]"/> 
      <short value="How to compare versions"/> 
      <definition value="Indicates the mechanism used to compare versions to determine which is more current."/> 
      <comment value="If set as a string, this is a FHIRPath expression that has two additional context
       variables passed in - %version1 and %version2 and will return a negative number
       if version1 is newer, a positive number if version2 and a 0 if the version ordering
       can't be successfully be determined."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="StructureDefinition.versionAlgorithm[x]"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <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> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"/> 
        <strength value="extensible"/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/version-algorithm"/> 
      </binding> 
    </element> 
    <element id="StructureDefinition.name">
      <path value="StructureDefinition.name"/> 
      <short value="Name for this structure definition (computer friendly)"/> 
      <definition value="A natural language name identifying the structure definition. This name should
       be usable as an identifier for the module by machine processing applications such
       as code generation."/> 
      <comment value="The name is not expected to be globally unique. The name should be a simple alphanumeric
       type name to ensure that it is machine-processing friendly.Some Examples: 

* O2SatObservation
* PresentationReport
* Immunization2
* AcmeAdmissionRecordOld."/> 
      <requirements value="Support human navigation and code generation."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="StructureDefinition.name"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <condition value="cnl-0"/> 
      <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> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="StructureDefinition.title">
      <path value="StructureDefinition.title"/> 
      <short value="Name for this structure definition (human friendly)"/> 
      <definition value="A short, descriptive, user-friendly title for the structure definition."/> 
      <comment value="This name does not need to be machine-processing friendly and may contain punctuation,
       white-space, etc.Applications don't have to use this name but can always fall back
       to it. The title also corresponds to the label for the root element."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="StructureDefinition.title"/> 
        <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> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="StructureDefinition.status">
      <path value="StructureDefinition.status"/> 
      <short value="draft | active | retired | unknown"/> 
      <definition value="The status of this structure definition. Enables tracking the life-cycle of the
       content."/> 
      <comment value="Allows filtering of structure definitions that are appropriate for use versus not."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="StructureDefinition.status"/> 
        <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> 
      <mustSupport value="false"/> 
      <isModifier value="true"/> 
      <isModifierReason value="This is labeled as &quot;Is Modifier&quot; because applications should not use
       a retired {{title}} without due consideration"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="PublicationStatus"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/> 
        </extension> 
        <strength value="required"/> 
        <description value="The lifecycle status of an artifact."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|5.0.0-ballot"/> 
      </binding> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.status"/> 
      </mapping> 
      <mapping> 
        <identity value="iso11179"/> 
        <map value="Registration status"/> 
      </mapping> 
    </element> 
    <element id="StructureDefinition.experimental">
      <path value="StructureDefinition.experimental"/> 
      <short value="For testing purposes, not real usage"/> 
      <definition value="A Boolean value to indicate that this structure definition is authored for testing
       purposes (or education/evaluation/marketing) and is not intended to be used for
       genuine usage."/> 
      <comment value="Allows filtering of structure definitions that are appropriate for use versus not."/> 
      <requirements value="Enables experimental content to be developed following the same lifecycle that
       would be used for a production-level structure definition."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="StructureDefinition.experimental"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="boolean"/> 
      </type> 
      <meaningWhenMissing value="If absent, this resource is treated as though it is not experimental."/> 
      <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> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.class"/> 
      </mapping> 
      <mapping> 
        <identity value="iso11179"/> 
        <map value="Registration status"/> 
      </mapping> 
    </element> 
    <element id="StructureDefinition.date">
      <path value="StructureDefinition.date"/> 
      <short value="Date last changed"/> 
      <definition value="The date  (and optionally time) when the structure definition was published. The
       date must change when the business version changes and it must change if the status
       code changes. In addition, it should change when the substantive content of the
       structure definition changes."/> 
      <comment value="Note that this is not the same as the resource last-modified-date, since the resource
       may be a secondary representation of the structure definition. Additional specific
       dates may be added as extensions or be found by consulting Provenances associated
       with past versions of the resource."/> 
      <alias value="Revision Date"/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="StructureDefinition.date"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="dateTime"/> 
      </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> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.recorded"/> 
      </mapping> 
    </element> 
    <element id="StructureDefinition.publisher">
      <path value="StructureDefinition.publisher"/> 
      <short value="Name of the publisher/steward (organization or individual)"/> 
      <definition value="The name of the organization or individual responsible for the release and ongoing
       maintenance of the structure definition."/> 
      <comment value="Usually an organization but may be an individual. The publisher (or steward) of
       the structure definition is the organization or individual primarily responsible
       for the maintenance and upkeep of the structure definition. This is not necessarily
       the same individual or organization that developed and initially authored the content.
       The publisher is the primary point of contact for questions or issues with the
       structure definition. This item SHOULD be populated unless the information is available
       from context."/> 
      <requirements value="Helps establish the &quot;authority/credibility&quot; of the structure definition.
        May also allow for contact."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="StructureDefinition.publisher"/> 
        <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> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.witness"/> 
      </mapping> 
      <mapping> 
        <identity value="iso11179"/> 
        <map value="Registration Authority"/> 
      </mapping> 
    </element> 
    <element id="StructureDefinition.contact">
      <path value="StructureDefinition.contact"/> 
      <short value="Contact details for the publisher"/> 
      <definition value="Contact details to assist a user in finding and communicating with the publisher."/> 
      <comment value="May be a web site, an email address, a telephone number, etc."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="StructureDefinition.contact"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="ContactDetail"/> 
      </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> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="StructureDefinition.description">
      <path value="StructureDefinition.description"/> 
      <short value="Natural language description of the structure definition"/> 
      <definition value="A free text natural language description of the structure definition from a consumer's
       perspective."/> 
      <comment value="This description can be used to capture details such as comments about misuse,
       instructions for clinical use and interpretation, literature references, examples
       from the paper world, etc. It is not a rendering of the structure definition as
       conveyed in the 'text' field of the resource itself. This item SHOULD be populated
       unless the information is available from context (e.g. the language of the structure
       definition is presumed to be the predominant language in the place the structure
       definition was created)."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="StructureDefinition.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> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="StructureDefinition.useContext">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="trial-use"/> 
      </extension> 
      <path value="StructureDefinition.useContext"/> 
      <short value="The context that the content is intended to support"/> 
      <definition value="The content was developed with a focus and intent of supporting the contexts that
       are listed. These contexts may be general categories (gender, age, ...) or may
       be references to specific programs (insurance plans, studies, ...) and may be used
       to assist with indexing and searching for appropriate structure definition instances."/> 
      <comment value="When multiple useContexts are specified, there is no expectation that all or any
       of the contexts apply."/> 
      <requirements value="Assist in searching for appropriate content."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="StructureDefinition.useContext"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="UsageContext"/> 
      </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> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="StructureDefinition.jurisdiction">
      <path value="StructureDefinition.jurisdiction"/> 
      <short value="Intended jurisdiction for structure definition (if applicable)"/> 
      <definition value="A legal or geographic region in which the structure definition is intended to be
       used."/> 
      <comment value="It may be possible for the structure definition to be used in jurisdictions other
       than those for which it was originally designed or intended."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="StructureDefinition.jurisdiction"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </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> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="Jurisdiction"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/> 
        </extension> 
        <strength value="extensible"/> 
        <description value="Countries and regions within which this artifact is targeted for use."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/jurisdiction"/> 
      </binding> 
    </element> 
    <element id="StructureDefinition.purpose">
      <path value="StructureDefinition.purpose"/> 
      <short value="Why this structure definition is defined"/> 
      <definition value="Explanation of why this structure definition is needed and why it has been designed
       as it has."/> 
      <comment value="This element does not describe the usage of the structure definition. Instead,
       it provides traceability of ''why'' the resource is either needed or ''why'' it
       is defined as it is.  This may be used to point to source materials or specifications
       that drove the structure of this structure definition."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="StructureDefinition.purpose"/> 
        <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> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.why[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="objimpl"/> 
        <map value="no-gen-base"/> 
      </mapping> 
    </element> 
    <element id="StructureDefinition.copyright">
      <path value="StructureDefinition.copyright"/> 
      <short value="Use and/or publishing restrictions"/> 
      <definition value="A copyright statement relating to the structure definition and/or its contents.
       Copyright statements are generally legal restrictions on the use and publishing
       of the structure definition.  The short copyright declaration (e.g. (c) '2015+
       xyz organization' should be sent in the copyrightLabel element."/> 
      <comment value="..."/> 
      <requirements value="Consumers must be able to determine any legal restrictions on the use of the structure
       definition and/or its content."/> 
      <alias value="License"/> 
      <alias value="Restrictions"/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="StructureDefinition.copyright"/> 
        <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> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="objimpl"/> 
        <map value="no-gen-base"/> 
      </mapping> 
    </element> 
    <element id="StructureDefinition.copyrightLabel">
      <path value="StructureDefinition.copyrightLabel"/> 
      <short value="Copyright holder and year(s)"/> 
      <definition value="A short string (&lt;50 characters), suitable for inclusion in a page footer that
       identifies the copyright holder, effective period, and optionally whether rights
       are resctricted. (e.g. 'All rights reserved', 'Some rights reserved')."/> 
      <comment value="The (c) symbol should NOT be included in this string. It will be added by software
       when rendering the notation. Full details about licensing, restrictions, warrantees,
       etc. goes in the more general 'copyright' element."/> 
      <requirements value="Defines the content expected to be rendered in all representations of the artifact."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="StructureDefinition.copyrightLabel"/> 
        <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> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="StructureDefinition.keyword">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="deprecated"/> 
      </extension> 
      <path value="StructureDefinition.keyword"/> 
      <short value="Assist with indexing and finding"/> 
      <definition value="(DEPRECATED) A set of key words or terms from external terminologies that may be
       used to assist with indexing and searching of templates nby describing the use
       of this structure definition, or the content it describes."/> 
      <comment value="Note that this element is deprecated. Use the artifact-keyword extension instead."/> 
      <requirements value="Assist in searching for appropriate StructureDefinitions."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="StructureDefinition.keyword"/> 
        <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> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="StructureDefinitionKeyword"/> 
        </extension> 
        <strength value="extensible"/> 
        <description value="Codes for the meaning of the defined structure (SNOMED CT and LOINC codes, as an
         example)."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/definition-use"/> 
      </binding> 
      <mapping> 
        <identity value="iso11179"/> 
        <map value="keywords"/> 
      </mapping> 
    </element> 
    <element id="StructureDefinition.fhirVersion">
      <path value="StructureDefinition.fhirVersion"/> 
      <short value="FHIR Version this StructureDefinition targets"/> 
      <definition value="The version of the FHIR specification on which this StructureDefinition is based
       - this is the formal version of the specification, without the revision number,
       e.g. [publication].[major].[minor], which is 4.6.0. for this version."/> 
      <comment value="A StructureDefinition does not need to specify the target it applies to as StructureDefinitio
      ns will often be valid across multiple versions of FHIR. FHIR tooling can determine
       whether a StructureDefinition is consistent with a particular StructureDefinition
       if desired."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="StructureDefinition.fhirVersion"/> 
        <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> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="FHIRVersion"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/> 
        </extension> 
        <strength value="required"/> 
        <description value="All published FHIR Versions."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/FHIR-version|5.0.0-ballot"/> 
      </binding> 
    </element> 
    <element id="StructureDefinition.mapping">
      <path value="StructureDefinition.mapping"/> 
      <short value="External specification that the content is mapped to"/> 
      <definition value="An external specification that the content is mapped to."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="StructureDefinition.mapping"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="BackboneElement"/> 
      </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="sdf-2"/> 
        <severity value="error"/> 
        <human value="Must have at least a name or a uri (or both)"/> 
        <expression value="name.exists() or uri.exists()"/> 
        <xpath value="exists(f:uri) or exists(f:name)"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="StructureDefinition.mapping.id">
      <path value="StructureDefinition.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> 
    <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler
       magic (j)  -->
      <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="StructureDefinition.mapping.extension">
      <path value="StructureDefinition.mapping.extension"/> 
      <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="StructureDefinition.mapping.modifierExtension">
      <path value="StructureDefinition.mapping.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](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <alias value="modifiers"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="BackboneElement.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="StructureDefinition.mapping.identity">
      <path value="StructureDefinition.mapping.identity"/> 
      <short value="Internal id when this mapping is used"/> 
      <definition value="An Internal id that is used to identify this mapping set when specific mappings
       are made."/> 
      <comment value="The specification is described once, with general comments, and then specific mappings
       are made that reference this declaration."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="StructureDefinition.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> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="StructureDefinition.mapping.uri">
      <path value="StructureDefinition.mapping.uri"/> 
      <short value="Identifies what this mapping refers to"/> 
      <definition value="An absolute URI that identifies the specification that this mapping is expressed
       to."/> 
      <comment value="A formal identity for the specification being mapped to helps with identifying
       maps consistently."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="StructureDefinition.mapping.uri"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="uri"/> 
      </type> 
      <condition value="sdf-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> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="StructureDefinition.mapping.name">
      <path value="StructureDefinition.mapping.name"/> 
      <short value="Names what this mapping refers to"/> 
      <definition value="A name for the specification that is being mapped to."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="StructureDefinition.mapping.name"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <condition value="sdf-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> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="StructureDefinition.mapping.comment">
      <path value="StructureDefinition.mapping.comment"/> 
      <short value="Versions, Issues, Scope limitations etc."/> 
      <definition value="Comments about this mapping, including version notes, issues, scope limitations,
       and other important notes for usage."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="StructureDefinition.mapping.comment"/> 
        <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> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="StructureDefinition.kind">
      <path value="StructureDefinition.kind"/> 
      <short value="primitive-type | complex-type | resource | logical"/> 
      <definition value="Defines the kind of structure that this definition is describing."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="StructureDefinition.kind"/> 
        <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> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="StructureDefinitionKind"/> 
        </extension> 
        <strength value="required"/> 
        <description value="Defines the type of structure that a definition is describing."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/structure-definition-kind|5.0.0-ballot"/> 
      </binding> 
    </element> 
    <element id="StructureDefinition.abstract">
      <path value="StructureDefinition.abstract"/> 
      <short value="Whether the structure is abstract"/> 
      <definition value="Whether structure this definition describes is abstract or not  - that is, whether
       the structure is not intended to be instantiated. For Resources and Data types,
       abstract types will never be exchanged  between systems."/> 
      <comment value="Abstract Resources cannot be instantiated - a concrete sub-type must be used. Abstract
       datatypes and extensions cannot be used in an instance. For logical models, the
       exact implication of &quot;abstract&quot; will rest with the author, depending
       how the logical model is used. Flagging a constraint structure as abstract conveys
       design intent but makes no difference to how the structure definition is handled.
       Note that inline declared elements that are given the type &quot;Element&quot;
       in the StructureDefinition, but have children described, are anonymous concrete
       types that specialize Element."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="StructureDefinition.abstract"/> 
        <min value="1"/> 
        <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> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="StructureDefinition.context">
      <path value="StructureDefinition.context"/> 
      <short value="If an extension, where it can be used in instances"/> 
      <definition value="Identifies the types of resource or data type elements to which the extension can
       be applied."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="StructureDefinition.context"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <condition value="sdf-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> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="StructureDefinition.context.id">
      <path value="StructureDefinition.context.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> 
    <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler
       magic (j)  -->
      <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="StructureDefinition.context.extension">
      <path value="StructureDefinition.context.extension"/> 
      <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="StructureDefinition.context.modifierExtension">
      <path value="StructureDefinition.context.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](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <alias value="modifiers"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="BackboneElement.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="StructureDefinition.context.type">
      <path value="StructureDefinition.context.type"/> 
      <short value="fhirpath | element | extension"/> 
      <definition value="Defines how to interpret the expression that defines what the context of the extension
       is."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="StructureDefinition.context.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> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ExtensionContextType"/> 
        </extension> 
        <strength value="required"/> 
        <description value="How an extension context is interpreted."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/extension-context-type|5.0.0-ballot"/> 
      </binding> 
    </element> 
    <element id="StructureDefinition.context.expression">
      <path value="StructureDefinition.context.expression"/> 
      <short value="Where the extension can be used in instances"/> 
      <definition value="An expression that defines where an extension can be used in resources."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="StructureDefinition.context.expression"/> 
        <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> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="StructureDefinition.contextInvariant">
      <path value="StructureDefinition.contextInvariant"/> 
      <short value="FHIRPath invariants - when the extension can be used"/> 
      <definition value="A set of rules as FHIRPath Invariants about when the extension can be used (e.g.
       co-occurrence variants for the extension). All the rules must be true."/> 
      <comment value="The rules are only evaluated when the extension is present. When evaluating the
       invariant, the FHIRPath focus is the element that holds the extension, and %extension
       refers to the extension itself."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="StructureDefinition.contextInvariant"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <condition value="sdf-18"/> 
      <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> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="StructureDefinition.type">
      <path value="StructureDefinition.type"/> 
      <short value="Type defined or constrained by this structure"/> 
      <definition value="The type this structure describes. If the derivation kind is 'specialization' then
       this is the master definition for a type, and there is always one of these (a data
       type, an extension, a resource, including abstract ones). Otherwise the structure
       definition is a constraint on the stated type (and in this case, the type cannot
       be an abstract type).  References are URLs that are relative to http://hl7.org/fhir/Structure
      Definition e.g. &quot;string&quot; is a reference to http://hl7.org/fhir/StructureDefinition/s
      tring. Absolute URLs are only allowed in logical models."/> 
      <comment value="Note that in the case of constraints, the type could be determined by chasing through
       the baseDefinition references until a concrete structure (derivation = specialization)
       is reached, or by looking at the path of the first element in the snapshot - if
       present - but providing the type directly makes for simpler tooling and indexing.
       

The type must match the elements defined in the differential and the snapshot.
       For all FHIR defined types, the path name of the element will start with the type
       name. For logical models, where the type SHALL be a fully specified URL, the type
       name SHOULD start with the final path segment of the type URL where required. E.g.
       If the type was &quot;http://example.org/fhir/MyLogicalModelType&quot;, the type
       name should start with 'MyLogicalModelType'."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="StructureDefinition.type"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="uri"/> 
      </type> 
      <condition value="sdf-11"/> 
      <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> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="FHIRTypes"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/> 
        </extension> 
        <strength value="extensible"/> 
        <description value="Either a resource or a data type, including logical model types."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/fhir-types"/> 
      </binding> 
    </element> 
    <element id="StructureDefinition.baseDefinition">
      <path value="StructureDefinition.baseDefinition"/> 
      <short value="Definition that this type is constrained/specialized from"/> 
      <definition value="An absolute URI that is the base structure from which this type is derived, either
       by specialization or constraint."/> 
      <comment value="If differential constraints are specified in this structure, they are applied to
       the base in a &quot;differential&quot; fashion. If there is no base, then the differential
       constraints cannot be provided (snapshot only). Differential structures are useful
       for the editing perspective, and snapshot structures are suitable for operational
       use. The FHIR Project provides a number of tools/services to populate snapshots
       from differential constraints. Logical Models have a base of &quot;Element&quot;
       or another logical model."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="StructureDefinition.baseDefinition"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy">
          <valueBoolean value="true"/> 
        </extension> 
        <code value="canonical"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </type> 
      <condition value="sdf-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> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="StructureDefinition.derivation">
      <path value="StructureDefinition.derivation"/> 
      <short value="specialization | constraint - How relates to base definition"/> 
      <definition value="How the type relates to the baseDefinition."/> 
      <comment value="If the definition is a specialization, then it adds to the differential new elements
       and optionally additional rules to an existing concrete type, and the snapshot
       includes the inherited elements and rules.  If the definition is a constraint,
       then it cannot define new elements, it can only make new rules about existing content
       (see [Profiling Resources](profiling.html#resources))."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="StructureDefinition.derivation"/> 
        <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> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="TypeDerivationRule"/> 
        </extension> 
        <strength value="required"/> 
        <description value="How a type relates to its baseDefinition."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/type-derivation-rule|5.0.0-ballot"/> 
      </binding> 
    </element> 
    <element id="StructureDefinition.snapshot">
      <path value="StructureDefinition.snapshot"/> 
      <short value="Snapshot view of the structure"/> 
      <definition value="A snapshot view is expressed in a standalone form that can be used and interpreted
       without considering the base StructureDefinition."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="StructureDefinition.snapshot"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <condition value="sdf-6"/> 
      <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="sdf-3"/> 
        <severity value="error"/> 
        <human value="Each element definition in a snapshot must have a formal definition and cardinalities,
         unless model is a logical model"/> 
        <expression value="%resource.kind = 'logical' or element.all(definition.exists() and min.exists()
         and max.exists())"/> 
        <xpath value="count(f:element) = count(f:element[exists(f:definition) and exists(f:min) and exists(f:max)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="sdf-8"/> 
        <severity value="error"/> 
        <human value="All snapshot elements must start with the StructureDefinition's specified type
         for non-logical models, or with the same type name for logical models"/> 
        <expression value="(%resource.kind = 'logical' or element.first().path = %resource.type) and element.tail().all(
        path.startsWith(%resource.snapshot.element.first().path&amp;'.'))"/> 
        <xpath value="f:element[1]/f:path/@value=parent::f:StructureDefinition/f:type/@value and count(f:element[po
        sition()!=1])=count(f:element[position()!=1][starts-with(f:path/@value, concat(ancestor::f:Str
        uctureDefinition/f:type/@value, '.'))])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="sdf-24"/> 
        <severity value="error"/> 
        <human value="For CodeableReference elements, target profiles must be listed on the CodeableReference,
         not the CodeableReference.reference"/> 
        <expression value="element.where(type.where(code='Reference').exists() and path.endsWith('.reference')
         and type.targetProfile.exists() and (path.substring(0,$this.path.length()-10) in
         %context.element.where(type.where(code='CodeableReference').exists()).path)).exists().not()"/> 
        <xpath value="not(exists(for $cr in f:element[f:type/f:code/@value='CodeableReference'] return
         $cr/following-sibling::f:element[@id=concat($cr/@id, '.reference') and f:type/f:code/@value='
        Reference' and exists(f:type/f:targetProfile)]))"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="sdf-25"/> 
        <severity value="error"/> 
        <human value="For CodeableReference elements, bindings must be listed on the CodeableReference,
         not the CodeableReference.concept"/> 
        <expression value="element.where(type.where(code='CodeableConcept').exists() and path.endsWith('.concept')
         and binding.exists() and (path.substring(0,$this.path.length()-8) in %context.element.where(t
        ype.where(code='CodeableReference').exists()).path)).exists().not()"/> 
        <xpath value="not(exists(for $cr in f:element[f:type/f:code/@value='CodeableReference'] return
         $cr/following-sibling::f:element[@id=concat($cr/@id, '.concept') and f:type/f:code/@value='Co
        deableConcept' and exists(f:binding)]))"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </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="It is bad practice to set the root element of a profile to 'mustSupport' as mustSupport
           should always be determined by the element referencing a type.  The designer of
           a StructureDefinition cannot know all circumstances in which a type or profile
           might be used"/> 
        </extension> 
        <key value="sdf-26"/> 
        <severity value="warning"/> 
        <human value="The root element of a profile should not have mustSupport = true"/> 
        <expression value="snapshot.where(element[0].mustSupport='true').exists().not()"/> 
        <xpath value="not(exists(f:snapshot/f:element[1][f:mustSupport/@value='true']))"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="sdf-8b"/> 
        <severity value="error"/> 
        <human value="All snapshot elements must have a base definition"/> 
        <expression value="element.all(base.exists())"/> 
        <xpath value="count(f:element) = count(f:element/f:base)"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="StructureDefinition.snapshot.id">
      <path value="StructureDefinition.snapshot.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> 
    <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler
       magic (j)  -->
      <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="StructureDefinition.snapshot.extension">
      <path value="StructureDefinition.snapshot.extension"/> 
      <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="StructureDefinition.snapshot.modifierExtension">
      <path value="StructureDefinition.snapshot.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](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <alias value="modifiers"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="BackboneElement.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="StructureDefinition.snapshot.element">
      <path value="StructureDefinition.snapshot.element"/> 
      <short value="Definition of elements in the resource (if no StructureDefinition)"/> 
      <definition value="Captures constraints on each element within the resource."/> 
      <min value="1"/> 
      <max value="*"/> 
      <base> 
        <path value="StructureDefinition.snapshot.element"/> 
        <min value="1"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="ElementDefinition"/> 
      </type> 
      <condition value="sdf-3"/> 
      <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="sdf-10"/> 
        <requirements value="binding is required"/> 
        <severity value="error"/> 
        <human value="provide either a binding reference or a description (or both)"/> 
        <expression value="binding.empty() or binding.valueSet.exists() or binding.description.exists()"/> 
        <xpath value="not(exists(f:binding)) or exists(f:binding/f:valueSet) or exists(f:binding/f:description)"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="sdf-28"/> 
        <severity value="error"/> 
        <human value="If there are no discriminators, there must be a definition"/> 
        <expression value="slicing.exists().not() or (slicing.discriminator.exists() or slicing.description.exists())"/> 
        <xpath value="empty(f:slicing) or f:slicing[f:discriminator | f:description]"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="iso11179"/> 
        <map value="--"/> 
      </mapping> 
    </element> 
    <element id="StructureDefinition.differential">
      <path value="StructureDefinition.differential"/> 
      <short value="Differential view of the structure"/> 
      <definition value="A differential view is expressed relative to the base StructureDefinition - a statement
       of differences that it applies."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="StructureDefinition.differential"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <condition value="sdf-6"/> 
      <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="sdf-20"/> 
        <requirements value="no slicing on root"/> 
        <severity value="error"/> 
        <human value="No slicing on the root element"/> 
        <expression value="element.where(path.contains('.').not()).slicing.empty()"/> 
        <xpath value="not(f:element[1]/f:slicing)"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="sdf-8a"/> 
        <severity value="error"/> 
        <human value="In any differential, all the elements must start with the StructureDefinition's
         specified type for non-logical models, or with the same type name for logical models"/> 
        <expression value="(%resource.kind = 'logical' or element.first().path.startsWith(%resource.type))
         and (element.tail().empty() or  element.tail().all(path.startsWith(%resource.differential.ele
        ment.first().path.replaceMatches('\\..*','')&amp;'.')))"/> 
        <xpath value="count(f:element)=count(f:element[f:path/@value=ancestor::f:StructureDefinition/f:type/@value
         or starts-with(f:path/@value, concat(ancestor::f:StructureDefinition/f:type/@value,
         '.'))])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="StructureDefinition.differential.id">
      <path value="StructureDefinition.differential.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> 
    <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler
       magic (j)  -->
      <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="StructureDefinition.differential.extension">
      <path value="StructureDefinition.differential.extension"/> 
      <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="StructureDefinition.differential.modifierExtension">
      <path value="StructureDefinition.differential.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](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <alias value="modifiers"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="BackboneElement.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="StructureDefinition.differential.element">
      <path value="StructureDefinition.differential.element"/> 
      <short value="Definition of elements in the resource (if no StructureDefinition)"/> 
      <definition value="Captures constraints on each element within the resource."/> 
      <min value="1"/> 
      <max value="*"/> 
      <base> 
        <path value="StructureDefinition.differential.element"/> 
        <min value="1"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="ElementDefinition"/> 
      </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> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="iso11179"/> 
        <map value="--"/> 
      </mapping> 
    </element> 
  </snapshot> 
  <differential> 
    <element id="StructureDefinition">
      <path value="StructureDefinition"/> 
      <short value="Structural Definition"/> 
      <definition value="A definition of a FHIR structure. This resource is used to describe the underlying
       resources, data types defined in FHIR, and also for describing extensions and constraints
       on resources and data types."/> 
      <alias value="Template"/> 
      <alias value="Profile"/> 
      <min value="0"/> 
      <max value="*"/> 
      <constraint> 
        <key value="cnl-0"/> 
        <severity value="warning"/> 
        <human value="Name should be usable as an identifier for the module by machine processing applications
         such as code generation"/> 
        <expression value="name.exists() implies name.matches('[A-Z]([A-Za-z0-9_]){1,254}')"/> 
        <xpath value="not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){1,254}')"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="sdf-9"/> 
        <requirements value="Because these 3 fields seem to be have overlapping meaning with the ones in the
         root of StructureDefinition"/> 
        <severity value="error"/> 
        <human value="In any snapshot or differential, no label, code or requirements on an element without
         a &quot;.&quot; in the path (e.g. the first element)"/> 
        <expression value="children().element.where(path.contains('.').not()).label.empty() and children().element.where
        (path.contains('.').not()).code.empty() and children().element.where(path.contains('.').not())
        .requirements.empty()"/> 
        <xpath value="not(exists(f:snapshot/f:element[not(contains(f:path/@value, '.')) and (f:label
         or f:code or f:requirements)])) and not(exists(f:differential/f:element[not(contains(f:path/@
        value, '.')) and (f:label or f:code or f:requirements)]))"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="sdf-15a"/> 
        <requirements value="No Type on the root element (differential)"/> 
        <severity value="error"/> 
        <human value="If the first element in a differential has no &quot;.&quot; in the path and it's
         not a logical model, it has no type"/> 
        <expression value="(kind!='logical'  and differential.element.first().path.contains('.').not()) implies
         differential.element.first().type.empty()"/> 
        <xpath value="f:kind/@value='logical' or not(f:differential/f:element[1][not(contains(f:path/@value,
         '.'))]/f:type)"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="sdf-19"/> 
        <requirements value="custom types only in logical models"/> 
        <severity value="error"/> 
        <human value="FHIR Specification models only use FHIR defined types"/> 
        <expression value="url.startsWith('http://hl7.org/fhir/StructureDefinition') implies (differential
         | snapshot).element.type.code.all(matches('^[a-zA-Z0-9]+$') or matches('^http:\\/\\/hl7\\.org
        \\/fhirpath\\/System\\.[A-Z][A-Za-z]+$'))"/> 
        <xpath value="not(starts-with(f:url/@value, 'http://hl7.org/fhir/StructureDefinition')) or count(f:differen
        tial/f:element/f:type/f:code[@value and not(matches(string(@value), '^[a-zA-Z0-9]+$'))]|f:snap
        shot/f:element/f:type/f:code[@value and not(matches(string(@value), '^[a-zA-Z0-9]+$'))])
         =0"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="sdf-16"/> 
        <requirements value="element ids need to be unique"/> 
        <severity value="error"/> 
        <human value="All element definitions must have unique ids (snapshot)"/> 
        <expression value="snapshot.element.all(id.exists()) and snapshot.element.id.trace('ids').isDistinct()"/> 
        <xpath value="count(f:snapshot/f:element)=count(f:snapshot/f:element/@id) and (count(f:snapshot/f:element)=
        count(distinct-values(f:snapshot/f:element/@id)))"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="sdf-27"/> 
        <severity value="error"/> 
        <human value="If there's a base definition, there must be a derivation "/> 
        <expression value="baseDefinition.exists() implies derivation.exists()"/> 
        <xpath value="not(exists(f:baseDefinition)) or exists(f:derivation)"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="sdf-15"/> 
        <requirements value="No Type on the root element (snapshot)"/> 
        <severity value="error"/> 
        <human value="The first element in a snapshot has no type unless model is a logical model."/> 
        <expression value="kind!='logical'  implies snapshot.element.first().type.empty()"/> 
        <xpath value="f:kind/@value='logical' or not(f:snapshot/f:element[1]/f:type)"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="sdf-18"/> 
        <requirements value="contextInvariant"/> 
        <severity value="error"/> 
        <human value="Context Invariants can only be used for extensions"/> 
        <expression value="contextInvariant.exists() implies type = 'Extension'"/> 
        <xpath value="not(exists(f:contextInvariant)) or (f:type/@value = 'Extension')"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="sdf-29"/> 
        <severity value="warning"/> 
        <human value="Elements in Resources must have a min cardinality or 0 or 1 and a max cardinality
         of 1 or *"/> 
        <expression value="((kind in 'resource' | 'complex-type') and (specialization = 'derivation')) implies
         differential.element.where((min != 0 and min != 1) or (max != '1' and max != '*')).empty()"/> 
        <xpath value="not(exists(f:baseDefinition)) or exists(f:derivation)"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="sdf-17"/> 
        <requirements value="element ids need to be unique"/> 
        <severity value="error"/> 
        <human value="All element definitions must have unique ids (diff)"/> 
        <expression value="differential.element.all(id.exists()) and differential.element.id.trace('ids').isDistinct()"/> 
        <xpath value="count(f:differential/f:element)=count(f:differential/f:element/@id) and (count(f:differential
        /f:element)=count(distinct-values(f:differential/f:element/@id)))"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="sdf-23"/> 
        <requirements value="no sliceName on root"/> 
        <severity value="error"/> 
        <human value="No slice name on root"/> 
        <expression value="(snapshot | differential).element.all(path.contains('.').not() implies sliceName.empty())"/> 
        <xpath value="count(*[self::snapshot or self::differential]/f:element[not(contains(f:path/@value,
         '.')) and f:sliceName])=0"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="sdf-11"/> 
        <requirements value="Ensure that the type is not inconsistent with the other information in the structure"/> 
        <severity value="error"/> 
        <human value="If there's a type, its content must match the path name in the first element of
         a snapshot"/> 
        <expression value="kind != 'logical' implies snapshot.empty() or snapshot.element.first().path = type"/> 
        <xpath value="(f:kind/@value = 'logical') or not(exists(f:snapshot)) or (f:type/@value = f:snapshot/f:eleme
        nt[1]/f:path/@value)"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="sdf-22"/> 
        <requirements value="no default values on data types or resources"/> 
        <severity value="error"/> 
        <human value="FHIR Specification models never have default values"/> 
        <expression value="url.startsWith('http://hl7.org/fhir/StructureDefinition') implies (snapshot.element.defaultVa
        lue.empty() and differential.element.defaultValue.empty())"/> 
        <xpath value="not(starts-with(f:url/@value, 'http://hl7.org/fhir/StructureDefinition')) or (not(exists(f:sn
        apshot/f:element/*[starts-with(local-name(), 'defaultValue')])) and not(exists(f:differential/
        f:element/*[starts-with(local-name(), 'defaultValue')])))"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="sdf-14"/> 
        <requirements value="elements have id"/> 
        <severity value="error"/> 
        <human value="All element definitions must have an id"/> 
        <expression value="snapshot.element.all(id.exists()) and differential.element.all(id.exists())"/> 
        <xpath value="count(*/f:element)=count(*/f:element/@id)"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="sdf-1"/> 
        <severity value="error"/> 
        <human value="Element paths must be unique unless the structure is a constraint"/> 
        <expression value="derivation = 'constraint' or snapshot.element.select(path).isDistinct()"/> 
        <xpath value="(f:derivation/@value = 'constraint') or (count(f:snapshot/f:element) = count(distinct-values(
        f:snapshot/f:element/f:path/@value)))"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="sdf-21"/> 
        <requirements value="no default values on data types or resources"/> 
        <severity value="error"/> 
        <human value="Default values can only be specified on specializations"/> 
        <expression value="differential.element.defaultValue.exists() implies (derivation = 'specialization')"/> 
        <xpath value="not(exists(f:differential/f:element/*[starts-with(local-name(), 'defaultValue')]))
         or (f:derivation/@value = 'specialization')"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="sdf-6"/> 
        <severity value="error"/> 
        <human value="A structure must have either a differential, or a snapshot (or both)"/> 
        <expression value="snapshot.exists() or differential.exists()"/> 
        <xpath value="exists(f:snapshot) or exists(f:differential)"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="sdf-5"/> 
        <severity value="error"/> 
        <human value="If the structure defines an extension then the structure must have context information"/> 
        <expression value="type != 'Extension' or derivation = 'specialization' or (context.exists())"/> 
        <xpath value="not(f:type/@value = 'extension') or (f:derivation/@value = 'specialization') or
         (exists(f:context))"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="sdf-4"/> 
        <requirements value="Ensure that the base types are abstract"/> 
        <severity value="error"/> 
        <human value="If the structure is not abstract, then there SHALL be a baseDefinition"/> 
        <expression value="abstract = true or baseDefinition.exists()"/> 
        <xpath value="(f:abstract/@value=true()) or exists(f:baseDefinition)"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="conformance.content"/> 
      </mapping> 
    </element> 
    <element id="StructureDefinition.url">
      <path value="StructureDefinition.url"/> 
      <short value="Canonical identifier for this structure definition, represented as a URI (globally
       unique)"/> 
      <definition value="An absolute URI that is used to identify this structure definition when it is referenced
       in a specification, model, design or an instance; also called its canonical identifier.
       This SHOULD be globally unique and SHOULD be a literal address at which an authoritative
       instance of this structure definition is (or will be) published. This URL can be
       the target of a canonical reference. It SHALL remain the same when the structure
       definition is stored on different servers."/> 
      <comment value="Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple
       instances may share the same URL if they have a distinct version.

The determination of when to create a new version of a resource (same url, new
       version) vs. defining a new artifact is up to the author.  Considerations for making
       this decision are found in [Technical and Business Versions](resource.html#versions).
       

In some cases, the resource can no longer be found at the stated url, but the url
       itself cannot change. Implementations can use the [meta.source](resource.html#meta)
       element to indicate where the current master source of the resource can be found."/> 
      <requirements value="Allows the structure definition to be referenced by a single globally unique identifier."/> 
      <alias value="url"/> 
      <alias value="authoritative-url"/> 
      <alias value="destination"/> 
      <alias value="identity"/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="uri"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.identifier"/> 
      </mapping> 
    </element> 
    <element id="StructureDefinition.identifier">
      <path value="StructureDefinition.identifier"/> 
      <short value="Additional identifier for the structure definition"/> 
      <definition value="A formal identifier that is used to identify this structure definition when it
       is represented in other formats, or referenced in a specification, model, design
       or an instance."/> 
      <comment value="Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier)
       data type, and can then identify this structure definition outside of FHIR, where
       it is not possible to use the logical URI."/> 
      <requirements value="Allows externally provided and/or usable business identifiers to be easily associated
       with the module."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Identifier"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.identifier"/> 
      </mapping> 
      <mapping> 
        <identity value="iso11179"/> 
        <map value="Identifier part"/> 
      </mapping> 
      <mapping> 
        <identity value="objimpl"/> 
        <map value="no-gen-base"/> 
      </mapping> 
    </element> 
    <element id="StructureDefinition.version">
      <path value="StructureDefinition.version"/> 
      <short value="Business version of the structure definition"/> 
      <definition value="The identifier that is used to identify this version of the structure definition
       when it is referenced in a specification, model, design or instance. This is an
       arbitrary value managed by the structure definition author and is not expected
       to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if
       a managed version is not available. There is also no expectation that versions
       can be placed in a lexicographical sequence."/> 
      <comment value="There may be different structure definition instances that have the same identifier
       but different versions.  The version can be appended to the url in a reference
       to allow a reference to a particular business version of the structure definition
       with the format [url]|[version]. The version SHOULD NOT contain a '#' - see [Business
       Version](resource.html#bv-format)."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="string"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.version"/> 
      </mapping> 
      <mapping> 
        <identity value="iso11179"/> 
        <map value="Version"/> 
      </mapping> 
    </element> 
    <element id="StructureDefinition.versionAlgorithm[x]">
      <path value="StructureDefinition.versionAlgorithm[x]"/> 
      <short value="How to compare versions"/> 
      <definition value="Indicates the mechanism used to compare versions to determine which is more current."/> 
      <comment value="If set as a string, this is a FHIRPath expression that has two additional context
       variables passed in - %version1 and %version2 and will return a negative number
       if version1 is newer, a positive number if version2 and a 0 if the version ordering
       can't be successfully be determined."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="string"/> 
      </type> 
      <type> 
        <code value="Coding"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"/> 
        <strength value="extensible"/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/version-algorithm"/> 
      </binding> 
    </element> 
    <element id="StructureDefinition.name">
      <path value="StructureDefinition.name"/> 
      <short value="Name for this structure definition (computer friendly)"/> 
      <definition value="A natural language name identifying the structure definition. This name should
       be usable as an identifier for the module by machine processing applications such
       as code generation."/> 
      <comment value="The name is not expected to be globally unique. The name should be a simple alphanumeric
       type name to ensure that it is machine-processing friendly.Some Examples: 

* O2SatObservation
* PresentationReport
* Immunization2
* AcmeAdmissionRecordOld."/> 
      <requirements value="Support human navigation and code generation."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="string"/> 
      </type> 
      <condition value="cnl-0"/> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="StructureDefinition.title">
      <path value="StructureDefinition.title"/> 
      <short value="Name for this structure definition (human friendly)"/> 
      <definition value="A short, descriptive, user-friendly title for the structure definition."/> 
      <comment value="This name does not need to be machine-processing friendly and may contain punctuation,
       white-space, etc.Applications don't have to use this name but can always fall back
       to it. The title also corresponds to the label for the root element."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="string"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="StructureDefinition.status">
      <path value="StructureDefinition.status"/> 
      <short value="draft | active | retired | unknown"/> 
      <definition value="The status of this structure definition. Enables tracking the life-cycle of the
       content."/> 
      <comment value="Allows filtering of structure definitions that are appropriate for use versus not."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="code"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="true"/> 
      <isModifierReason value="This is labeled as &quot;Is Modifier&quot; because applications should not use
       a retired {{title}} without due consideration"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="PublicationStatus"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/> 
        </extension> 
        <strength value="required"/> 
        <description value="The lifecycle status of an artifact."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|5.0.0-ballot"/> 
      </binding> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.status"/> 
      </mapping> 
      <mapping> 
        <identity value="iso11179"/> 
        <map value="Registration status"/> 
      </mapping> 
    </element> 
    <element id="StructureDefinition.experimental">
      <path value="StructureDefinition.experimental"/> 
      <short value="For testing purposes, not real usage"/> 
      <definition value="A Boolean value to indicate that this structure definition is authored for testing
       purposes (or education/evaluation/marketing) and is not intended to be used for
       genuine usage."/> 
      <comment value="Allows filtering of structure definitions that are appropriate for use versus not."/> 
      <requirements value="Enables experimental content to be developed following the same lifecycle that
       would be used for a production-level structure definition."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="boolean"/> 
      </type> 
      <meaningWhenMissing value="If absent, this resource is treated as though it is not experimental."/> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.class"/> 
      </mapping> 
      <mapping> 
        <identity value="iso11179"/> 
        <map value="Registration status"/> 
      </mapping> 
    </element> 
    <element id="StructureDefinition.date">
      <path value="StructureDefinition.date"/> 
      <short value="Date last changed"/> 
      <definition value="The date  (and optionally time) when the structure definition was published. The
       date must change when the business version changes and it must change if the status
       code changes. In addition, it should change when the substantive content of the
       structure definition changes."/> 
      <comment value="Note that this is not the same as the resource last-modified-date, since the resource
       may be a secondary representation of the structure definition. Additional specific
       dates may be added as extensions or be found by consulting Provenances associated
       with past versions of the resource."/> 
      <alias value="Revision Date"/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="dateTime"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.recorded"/> 
      </mapping> 
    </element> 
    <element id="StructureDefinition.publisher">
      <path value="StructureDefinition.publisher"/> 
      <short value="Name of the publisher/steward (organization or individual)"/> 
      <definition value="The name of the organization or individual responsible for the release and ongoing
       maintenance of the structure definition."/> 
      <comment value="Usually an organization but may be an individual. The publisher (or steward) of
       the structure definition is the organization or individual primarily responsible
       for the maintenance and upkeep of the structure definition. This is not necessarily
       the same individual or organization that developed and initially authored the content.
       The publisher is the primary point of contact for questions or issues with the
       structure definition. This item SHOULD be populated unless the information is available
       from context."/> 
      <requirements value="Helps establish the &quot;authority/credibility&quot; of the structure definition.
        May also allow for contact."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="string"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.witness"/> 
      </mapping> 
      <mapping> 
        <identity value="iso11179"/> 
        <map value="Registration Authority"/> 
      </mapping> 
    </element> 
    <element id="StructureDefinition.contact">
      <path value="StructureDefinition.contact"/> 
      <short value="Contact details for the publisher"/> 
      <definition value="Contact details to assist a user in finding and communicating with the publisher."/> 
      <comment value="May be a web site, an email address, a telephone number, etc."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="ContactDetail"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="StructureDefinition.description">
      <path value="StructureDefinition.description"/> 
      <short value="Natural language description of the structure definition"/> 
      <definition value="A free text natural language description of the structure definition from a consumer's
       perspective."/> 
      <comment value="This description can be used to capture details such as comments about misuse,
       instructions for clinical use and interpretation, literature references, examples
       from the paper world, etc. It is not a rendering of the structure definition as
       conveyed in the 'text' field of the resource itself. This item SHOULD be populated
       unless the information is available from context (e.g. the language of the structure
       definition is presumed to be the predominant language in the place the structure
       definition was created)."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="markdown"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="StructureDefinition.useContext">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="trial-use"/> 
      </extension> 
      <path value="StructureDefinition.useContext"/> 
      <short value="The context that the content is intended to support"/> 
      <definition value="The content was developed with a focus and intent of supporting the contexts that
       are listed. These contexts may be general categories (gender, age, ...) or may
       be references to specific programs (insurance plans, studies, ...) and may be used
       to assist with indexing and searching for appropriate structure definition instances."/> 
      <comment value="When multiple useContexts are specified, there is no expectation that all or any
       of the contexts apply."/> 
      <requirements value="Assist in searching for appropriate content."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="UsageContext"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="StructureDefinition.jurisdiction">
      <path value="StructureDefinition.jurisdiction"/> 
      <short value="Intended jurisdiction for structure definition (if applicable)"/> 
      <definition value="A legal or geographic region in which the structure definition is intended to be
       used."/> 
      <comment value="It may be possible for the structure definition to be used in jurisdictions other
       than those for which it was originally designed or intended."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="Jurisdiction"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/> 
        </extension> 
        <strength value="extensible"/> 
        <description value="Countries and regions within which this artifact is targeted for use."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/jurisdiction"/> 
      </binding> 
    </element> 
    <element id="StructureDefinition.purpose">
      <path value="StructureDefinition.purpose"/> 
      <short value="Why this structure definition is defined"/> 
      <definition value="Explanation of why this structure definition is needed and why it has been designed
       as it has."/> 
      <comment value="This element does not describe the usage of the structure definition. Instead,
       it provides traceability of ''why'' the resource is either needed or ''why'' it
       is defined as it is.  This may be used to point to source materials or specifications
       that drove the structure of this structure definition."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="markdown"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.why[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="objimpl"/> 
        <map value="no-gen-base"/> 
      </mapping> 
    </element> 
    <element id="StructureDefinition.copyright">
      <path value="StructureDefinition.copyright"/> 
      <short value="Use and/or publishing restrictions"/> 
      <definition value="A copyright statement relating to the structure definition and/or its contents.
       Copyright statements are generally legal restrictions on the use and publishing
       of the structure definition.  The short copyright declaration (e.g. (c) '2015+
       xyz organization' should be sent in the copyrightLabel element."/> 
      <comment value="..."/> 
      <requirements value="Consumers must be able to determine any legal restrictions on the use of the structure
       definition and/or its content."/> 
      <alias value="License"/> 
      <alias value="Restrictions"/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="markdown"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="objimpl"/> 
        <map value="no-gen-base"/> 
      </mapping> 
    </element> 
    <element id="StructureDefinition.copyrightLabel">
      <path value="StructureDefinition.copyrightLabel"/> 
      <short value="Copyright holder and year(s)"/> 
      <definition value="A short string (&lt;50 characters), suitable for inclusion in a page footer that
       identifies the copyright holder, effective period, and optionally whether rights
       are resctricted. (e.g. 'All rights reserved', 'Some rights reserved')."/> 
      <comment value="The (c) symbol should NOT be included in this string. It will be added by software
       when rendering the notation. Full details about licensing, restrictions, warrantees,
       etc. goes in the more general 'copyright' element."/> 
      <requirements value="Defines the content expected to be rendered in all representations of the artifact."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="string"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="StructureDefinition.keyword">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="deprecated"/> 
      </extension> 
      <path value="StructureDefinition.keyword"/> 
      <short value="Assist with indexing and finding"/> 
      <definition value="(DEPRECATED) A set of key words or terms from external terminologies that may be
       used to assist with indexing and searching of templates nby describing the use
       of this structure definition, or the content it describes."/> 
      <comment value="Note that this element is deprecated. Use the artifact-keyword extension instead."/> 
      <requirements value="Assist in searching for appropriate StructureDefinitions."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Coding"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="StructureDefinitionKeyword"/> 
        </extension> 
        <strength value="extensible"/> 
        <description value="Codes for the meaning of the defined structure (SNOMED CT and LOINC codes, as an
         example)."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/definition-use"/> 
      </binding> 
      <mapping> 
        <identity value="iso11179"/> 
        <map value="keywords"/> 
      </mapping> 
    </element> 
    <element id="StructureDefinition.fhirVersion">
      <path value="StructureDefinition.fhirVersion"/> 
      <short value="FHIR Version this StructureDefinition targets"/> 
      <definition value="The version of the FHIR specification on which this StructureDefinition is based
       - this is the formal version of the specification, without the revision number,
       e.g. [publication].[major].[minor], which is 4.6.0. for this version."/> 
      <comment value="A StructureDefinition does not need to specify the target it applies to as StructureDefinitio
      ns will often be valid across multiple versions of FHIR. FHIR tooling can determine
       whether a StructureDefinition is consistent with a particular StructureDefinition
       if desired."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="code"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="FHIRVersion"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/> 
        </extension> 
        <strength value="required"/> 
        <description value="All published FHIR Versions."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/FHIR-version|5.0.0-ballot"/> 
      </binding> 
    </element> 
    <element id="StructureDefinition.mapping">
      <path value="StructureDefinition.mapping"/> 
      <short value="External specification that the content is mapped to"/> 
      <definition value="An external specification that the content is mapped to."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <constraint> 
        <key value="sdf-2"/> 
        <severity value="error"/> 
        <human value="Must have at least a name or a uri (or both)"/> 
        <expression value="name.exists() or uri.exists()"/> 
        <xpath value="exists(f:uri) or exists(f:name)"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="StructureDefinition.mapping.identity">
      <path value="StructureDefinition.mapping.identity"/> 
      <short value="Internal id when this mapping is used"/> 
      <definition value="An Internal id that is used to identify this mapping set when specific mappings
       are made."/> 
      <comment value="The specification is described once, with general comments, and then specific mappings
       are made that reference this declaration."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="id"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="StructureDefinition.mapping.uri">
      <path value="StructureDefinition.mapping.uri"/> 
      <short value="Identifies what this mapping refers to"/> 
      <definition value="An absolute URI that identifies the specification that this mapping is expressed
       to."/> 
      <comment value="A formal identity for the specification being mapped to helps with identifying
       maps consistently."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="uri"/> 
      </type> 
      <condition value="sdf-2"/> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="StructureDefinition.mapping.name">
      <path value="StructureDefinition.mapping.name"/> 
      <short value="Names what this mapping refers to"/> 
      <definition value="A name for the specification that is being mapped to."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="string"/> 
      </type> 
      <condition value="sdf-2"/> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="StructureDefinition.mapping.comment">
      <path value="StructureDefinition.mapping.comment"/> 
      <short value="Versions, Issues, Scope limitations etc."/> 
      <definition value="Comments about this mapping, including version notes, issues, scope limitations,
       and other important notes for usage."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="string"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="StructureDefinition.kind">
      <path value="StructureDefinition.kind"/> 
      <short value="primitive-type | complex-type | resource | logical"/> 
      <definition value="Defines the kind of structure that this definition is describing."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="code"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="StructureDefinitionKind"/> 
        </extension> 
        <strength value="required"/> 
        <description value="Defines the type of structure that a definition is describing."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/structure-definition-kind|5.0.0-ballot"/> 
      </binding> 
    </element> 
    <element id="StructureDefinition.abstract">
      <path value="StructureDefinition.abstract"/> 
      <short value="Whether the structure is abstract"/> 
      <definition value="Whether structure this definition describes is abstract or not  - that is, whether
       the structure is not intended to be instantiated. For Resources and Data types,
       abstract types will never be exchanged  between systems."/> 
      <comment value="Abstract Resources cannot be instantiated - a concrete sub-type must be used. Abstract
       datatypes and extensions cannot be used in an instance. For logical models, the
       exact implication of &quot;abstract&quot; will rest with the author, depending
       how the logical model is used. Flagging a constraint structure as abstract conveys
       design intent but makes no difference to how the structure definition is handled.
       Note that inline declared elements that are given the type &quot;Element&quot;
       in the StructureDefinition, but have children described, are anonymous concrete
       types that specialize Element."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="boolean"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="StructureDefinition.context">
      <path value="StructureDefinition.context"/> 
      <short value="If an extension, where it can be used in instances"/> 
      <definition value="Identifies the types of resource or data type elements to which the extension can
       be applied."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <condition value="sdf-5"/> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="StructureDefinition.context.type">
      <path value="StructureDefinition.context.type"/> 
      <short value="fhirpath | element | extension"/> 
      <definition value="Defines how to interpret the expression that defines what the context of the extension
       is."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="code"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ExtensionContextType"/> 
        </extension> 
        <strength value="required"/> 
        <description value="How an extension context is interpreted."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/extension-context-type|5.0.0-ballot"/> 
      </binding> 
    </element> 
    <element id="StructureDefinition.context.expression">
      <path value="StructureDefinition.context.expression"/> 
      <short value="Where the extension can be used in instances"/> 
      <definition value="An expression that defines where an extension can be used in resources."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="string"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="StructureDefinition.contextInvariant">
      <path value="StructureDefinition.contextInvariant"/> 
      <short value="FHIRPath invariants - when the extension can be used"/> 
      <definition value="A set of rules as FHIRPath Invariants about when the extension can be used (e.g.
       co-occurrence variants for the extension). All the rules must be true."/> 
      <comment value="The rules are only evaluated when the extension is present. When evaluating the
       invariant, the FHIRPath focus is the element that holds the extension, and %extension
       refers to the extension itself."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="string"/> 
      </type> 
      <condition value="sdf-18"/> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="StructureDefinition.type">
      <path value="StructureDefinition.type"/> 
      <short value="Type defined or constrained by this structure"/> 
      <definition value="The type this structure describes. If the derivation kind is 'specialization' then
       this is the master definition for a type, and there is always one of these (a data
       type, an extension, a resource, including abstract ones). Otherwise the structure
       definition is a constraint on the stated type (and in this case, the type cannot
       be an abstract type).  References are URLs that are relative to http://hl7.org/fhir/Structure
      Definition e.g. &quot;string&quot; is a reference to http://hl7.org/fhir/StructureDefinition/s
      tring. Absolute URLs are only allowed in logical models."/> 
      <comment value="Note that in the case of constraints, the type could be determined by chasing through
       the baseDefinition references until a concrete structure (derivation = specialization)
       is reached, or by looking at the path of the first element in the snapshot - if
       present - but providing the type directly makes for simpler tooling and indexing.
       

The type must match the elements defined in the differential and the snapshot.
       For all FHIR defined types, the path name of the element will start with the type
       name. For logical models, where the type SHALL be a fully specified URL, the type
       name SHOULD start with the final path segment of the type URL where required. E.g.
       If the type was &quot;http://example.org/fhir/MyLogicalModelType&quot;, the type
       name should start with 'MyLogicalModelType'."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="uri"/> 
      </type> 
      <condition value="sdf-11"/> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="FHIRTypes"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/> 
        </extension> 
        <strength value="extensible"/> 
        <description value="Either a resource or a data type, including logical model types."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/fhir-types"/> 
      </binding> 
    </element> 
    <element id="StructureDefinition.baseDefinition">
      <path value="StructureDefinition.baseDefinition"/> 
      <short value="Definition that this type is constrained/specialized from"/> 
      <definition value="An absolute URI that is the base structure from which this type is derived, either
       by specialization or constraint."/> 
      <comment value="If differential constraints are specified in this structure, they are applied to
       the base in a &quot;differential&quot; fashion. If there is no base, then the differential
       constraints cannot be provided (snapshot only). Differential structures are useful
       for the editing perspective, and snapshot structures are suitable for operational
       use. The FHIR Project provides a number of tools/services to populate snapshots
       from differential constraints. Logical Models have a base of &quot;Element&quot;
       or another logical model."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy">
          <valueBoolean value="true"/> 
        </extension> 
        <code value="canonical"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </type> 
      <condition value="sdf-4"/> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="StructureDefinition.derivation">
      <path value="StructureDefinition.derivation"/> 
      <short value="specialization | constraint - How relates to base definition"/> 
      <definition value="How the type relates to the baseDefinition."/> 
      <comment value="If the definition is a specialization, then it adds to the differential new elements
       and optionally additional rules to an existing concrete type, and the snapshot
       includes the inherited elements and rules.  If the definition is a constraint,
       then it cannot define new elements, it can only make new rules about existing content
       (see [Profiling Resources](profiling.html#resources))."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="code"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="TypeDerivationRule"/> 
        </extension> 
        <strength value="required"/> 
        <description value="How a type relates to its baseDefinition."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/type-derivation-rule|5.0.0-ballot"/> 
      </binding> 
    </element> 
    <element id="StructureDefinition.snapshot">
      <path value="StructureDefinition.snapshot"/> 
      <short value="Snapshot view of the structure"/> 
      <definition value="A snapshot view is expressed in a standalone form that can be used and interpreted
       without considering the base StructureDefinition."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <condition value="sdf-6"/> 
      <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="It is bad practice to set the root element of a profile to 'mustSupport' as mustSupport
           should always be determined by the element referencing a type.  The designer of
           a StructureDefinition cannot know all circumstances in which a type or profile
           might be used"/> 
        </extension> 
        <key value="sdf-26"/> 
        <severity value="warning"/> 
        <human value="The root element of a profile should not have mustSupport = true"/> 
        <expression value="snapshot.where(element[0].mustSupport='true').exists().not()"/> 
        <xpath value="not(exists(f:snapshot/f:element[1][f:mustSupport/@value='true']))"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="sdf-8"/> 
        <severity value="error"/> 
        <human value="All snapshot elements must start with the StructureDefinition's specified type
         for non-logical models, or with the same type name for logical models"/> 
        <expression value="(%resource.kind = 'logical' or element.first().path = %resource.type) and element.tail().all(
        path.startsWith(%resource.snapshot.element.first().path&amp;'.'))"/> 
        <xpath value="f:element[1]/f:path/@value=parent::f:StructureDefinition/f:type/@value and count(f:element[po
        sition()!=1])=count(f:element[position()!=1][starts-with(f:path/@value, concat(ancestor::f:Str
        uctureDefinition/f:type/@value, '.'))])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="sdf-25"/> 
        <severity value="error"/> 
        <human value="For CodeableReference elements, bindings must be listed on the CodeableReference,
         not the CodeableReference.concept"/> 
        <expression value="element.where(type.where(code='CodeableConcept').exists() and path.endsWith('.concept')
         and binding.exists() and (path.substring(0,$this.path.length()-8) in %context.element.where(t
        ype.where(code='CodeableReference').exists()).path)).exists().not()"/> 
        <xpath value="not(exists(for $cr in f:element[f:type/f:code/@value='CodeableReference'] return
         $cr/following-sibling::f:element[@id=concat($cr/@id, '.concept') and f:type/f:code/@value='Co
        deableConcept' and exists(f:binding)]))"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="sdf-24"/> 
        <severity value="error"/> 
        <human value="For CodeableReference elements, target profiles must be listed on the CodeableReference,
         not the CodeableReference.reference"/> 
        <expression value="element.where(type.where(code='Reference').exists() and path.endsWith('.reference')
         and type.targetProfile.exists() and (path.substring(0,$this.path.length()-10) in
         %context.element.where(type.where(code='CodeableReference').exists()).path)).exists().not()"/> 
        <xpath value="not(exists(for $cr in f:element[f:type/f:code/@value='CodeableReference'] return
         $cr/following-sibling::f:element[@id=concat($cr/@id, '.reference') and f:type/f:code/@value='
        Reference' and exists(f:type/f:targetProfile)]))"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="sdf-3"/> 
        <severity value="error"/> 
        <human value="Each element definition in a snapshot must have a formal definition and cardinalities,
         unless model is a logical model"/> 
        <expression value="%resource.kind = 'logical' or element.all(definition.exists() and min.exists()
         and max.exists())"/> 
        <xpath value="count(f:element) = count(f:element[exists(f:definition) and exists(f:min) and exists(f:max)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="sdf-8b"/> 
        <severity value="error"/> 
        <human value="All snapshot elements must have a base definition"/> 
        <expression value="element.all(base.exists())"/> 
        <xpath value="count(f:element) = count(f:element/f:base)"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="StructureDefinition.snapshot.element">
      <path value="StructureDefinition.snapshot.element"/> 
      <short value="Definition of elements in the resource (if no StructureDefinition)"/> 
      <definition value="Captures constraints on each element within the resource."/> 
      <min value="1"/> 
      <max value="*"/> 
      <type> 
        <code value="ElementDefinition"/> 
      </type> 
      <condition value="sdf-3"/> 
      <constraint> 
        <key value="sdf-28"/> 
        <severity value="error"/> 
        <human value="If there are no discriminators, there must be a definition"/> 
        <expression value="slicing.exists().not() or (slicing.discriminator.exists() or slicing.description.exists())"/> 
        <xpath value="empty(f:slicing) or f:slicing[f:discriminator | f:description]"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="sdf-10"/> 
        <requirements value="binding is required"/> 
        <severity value="error"/> 
        <human value="provide either a binding reference or a description (or both)"/> 
        <expression value="binding.empty() or binding.valueSet.exists() or binding.description.exists()"/> 
        <xpath value="not(exists(f:binding)) or exists(f:binding/f:valueSet) or exists(f:binding/f:description)"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="iso11179"/> 
        <map value="--"/> 
      </mapping> 
    </element> 
    <element id="StructureDefinition.differential">
      <path value="StructureDefinition.differential"/> 
      <short value="Differential view of the structure"/> 
      <definition value="A differential view is expressed relative to the base StructureDefinition - a statement
       of differences that it applies."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <condition value="sdf-6"/> 
      <constraint> 
        <key value="sdf-20"/> 
        <requirements value="no slicing on root"/> 
        <severity value="error"/> 
        <human value="No slicing on the root element"/> 
        <expression value="element.where(path.contains('.').not()).slicing.empty()"/> 
        <xpath value="not(f:element[1]/f:slicing)"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="sdf-8a"/> 
        <severity value="error"/> 
        <human value="In any differential, all the elements must start with the StructureDefinition's
         specified type for non-logical models, or with the same type name for logical models"/> 
        <expression value="(%resource.kind = 'logical' or element.first().path.startsWith(%resource.type))
         and (element.tail().empty() or  element.tail().all(path.startsWith(%resource.differential.ele
        ment.first().path.replaceMatches('\\..*','')&amp;'.')))"/> 
        <xpath value="count(f:element)=count(f:element[f:path/@value=ancestor::f:StructureDefinition/f:type/@value
         or starts-with(f:path/@value, concat(ancestor::f:StructureDefinition/f:type/@value,
         '.'))])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="StructureDefinition.differential.element">
      <path value="StructureDefinition.differential.element"/> 
      <short value="Definition of elements in the resource (if no StructureDefinition)"/> 
      <definition value="Captures constraints on each element within the resource."/> 
      <min value="1"/> 
      <max value="*"/> 
      <type> 
        <code value="ElementDefinition"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="iso11179"/> 
        <map value="--"/> 
      </mapping> 
    </element> 
  </differential> 
</StructureDefinition> 

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.