R5 Final QA

This page is part of the FHIR Specification (v5.0.0-draft-final: Final QA Preview for R5 - 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

Example StructureDefinition/DeviceMetric (Turtle)

Health Care Devices Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Not linked to any defined compartments

Raw Turtle (+ also see Turtle/RDF Format Specification)

StructureDefinition for devicemetric

@prefix fhir: <http://hl7.org/fhir/> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .

# - resource -------------------------------------------------------------------

[] a fhir:StructureDefinition ;
  fhir:id [ fhir:v "DeviceMetric"] ;
  fhir:meta [
     fhir:lastUpdated [ fhir:v "2023-03-01T23:03:57.298+11:00" ]
  ] ;
  fhir:text [
     fhir:status [ fhir:v "generated" ]
  ] ;
  fhir:extension ( [
     fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-category" ] ;
     fhir:value [ fhir:v "Base.Entities" ]
  ] [
     fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status" ] ;
     fhir:value [ fhir:v "trial-use" ]
  ] [
     fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm" ] ;
     fhir:value [ fhir:v "1" ]
  ] [
     fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category" ] ;
     fhir:value [ fhir:v "anonymous" ]
  ] [
     fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg" ] ;
     fhir:value [ fhir:v "dev" ]
  ] ) ;
  fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/DeviceMetric"], [ fhir:v "http://hl7.org/fhir/StructureDefinition/DeviceMetric"] ;
  fhir:version [ fhir:v "5.0.0-draft-final"], [ fhir:v "5.0.0-draft-final"] ;
  fhir:name [ fhir:v "DeviceMetric"], [ fhir:v "DeviceMetric"] ;
  fhir:status [ fhir:v "draft"], [ fhir:v "draft"] ;
  fhir:experimental [ fhir:v "false"], [ fhir:v "false"] ;
  fhir:date [ fhir:v "2023-03-01T23:03:57+11:00"], [ fhir:v "2023-03-01T23:03:57+11:00"] ;
  fhir:publisher [ fhir:v "Health Level Seven International (Health Care Devices)"], [ fhir:v "Health Level Seven International (Health Care Devices)"] ;
  fhir:contact ( [
     fhir:telecom ( [
       fhir:system [ fhir:v "url" ] ;
       fhir:value [ fhir:v "http://hl7.org/fhir" ]
     ] )
  ] [
     fhir:telecom ( [
       fhir:system [ fhir:v "url" ] ;
       fhir:value [ fhir:v "http://www.hl7.org/Special/committees/healthcaredevices/index.cfm" ]
     ] )
  ] [
     fhir:telecom ( [
       fhir:system [ fhir:v "url" ] ;
       fhir:value [ fhir:v "http://hl7.org/fhir" ]
     ] )
  ] [
     fhir:telecom ( [
       fhir:system [ fhir:v "url" ] ;
       fhir:value [ fhir:v "http://www.hl7.org/Special/committees/healthcaredevices/index.cfm" ]
     ] )
  ] ) ;
  fhir:description [ fhir:v "Describes a measurement, calculation or setting capability of a device.  The DeviceMetric resource is derived from the ISO/IEEE 11073-10201 Domain Information Model standard, but is more widely applicable. "], [ fhir:v "Describes a measurement, calculation or setting capability of a device.  The DeviceMetric resource is derived from the ISO/IEEE 11073-10201 Domain Information Model standard, but is more widely applicable. "] ;
  fhir:jurisdiction ( [
     fhir:coding ( [
       fhir:system [ fhir:v "http://unstats.un.org/unsd/methods/m49/m49.htm" ] ;
       fhir:code [ fhir:v "001" ] ;
       fhir:display [ fhir:v "World" ]
     ] )
  ] [
     fhir:coding ( [
       fhir:system [ fhir:v "http://unstats.un.org/unsd/methods/m49/m49.htm" ] ;
       fhir:code [ fhir:v "001" ] ;
       fhir:display [ fhir:v "World" ]
     ] )
  ] ) ;
  fhir:fhirVersion [ fhir:v "5.0.0-draft-final"] ;
  fhir:mapping ( [
     fhir:identity [ fhir:v "w5" ] ;
     fhir:uri [ fhir:v "http://hl7.org/fhir/fivews" ] ;
     fhir:name [ fhir:v "FiveWs Pattern Mapping" ]
  ] [
     fhir:identity [ fhir:v "rim" ] ;
     fhir:uri [ fhir:v "http://hl7.org/v3" ] ;
     fhir:name [ fhir:v "RIM Mapping" ]
  ] ) ;
  fhir:kind [ fhir:v "resource"] ;
  fhir:abstract [ fhir:v "false"] ;
  fhir:type [ fhir:v "DeviceMetric"] ;
  fhir:baseDefinition [ fhir:v "http://hl7.org/fhir/StructureDefinition/DomainResource"] ;
  fhir:derivation [ fhir:v "specialization"] ;
  fhir:snapshot [
     fhir:element ( [
       fhir:id [ fhir:v "DeviceMetric" ] ;
       fhir:path [ fhir:v "DeviceMetric" ] ;
       fhir:short [ fhir:v "Measurement, calculation or setting capability of a medical device" ] ;
       fhir:definition [ fhir:v "Describes a measurement, calculation or setting capability of a device." ] ;
       fhir:comment [ fhir:v "The DeviceMetric resource is derived from the ISO/IEEE 11073-10201 Domain Information Model standard, but is more widely applicable." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:base [
         fhir:path [ fhir:v "DeviceMetric" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "*" ]
       ] ;
       fhir:constraint ( [
         fhir:key [ fhir:v "dom-2" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "If the resource is contained in another resource, it SHALL NOT contain nested Resources" ] ;
         fhir:expression [ fhir:v "contained.contained.empty()" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/DomainResource" ]
       ] [
         fhir:key [ fhir:v "dom-3" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource" ] ;
         fhir:expression [ fhir:v "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/DomainResource" ]
       ] [
         fhir:key [ fhir:v "dom-4" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" ] ;
         fhir:expression [ fhir:v "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/DomainResource" ]
       ] [
         fhir:key [ fhir:v "dom-5" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "If a resource is contained in another resource, it SHALL NOT have a security label" ] ;
         fhir:expression [ fhir:v "contained.meta.security.empty()" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/DomainResource" ]
       ] [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice" ] ;
           fhir:value [ fhir:v "true" ]
         ] [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation" ] ;
           fhir:value [ fhir:v "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." ]
         ] ) ;
         fhir:key [ fhir:v "dom-6" ] ;
         fhir:severity [ fhir:v "warning" ] ;
         fhir:human [ fhir:v "A resource should have narrative for robust management" ] ;
         fhir:expression [ fhir:v "text.`div`.exists()" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/DomainResource" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "Entity. Role, or Act" ]
       ] [
         fhir:identity [ fhir:v "w5" ] ;
         fhir:map [ fhir:v "administrative.device" ]
       ] )
     ] [
       fhir:id [ fhir:v "DeviceMetric.id" ] ;
       fhir:path [ fhir:v "DeviceMetric.id" ] ;
       fhir:short [ fhir:v "Logical id of this artifact" ] ;
       fhir:definition [ fhir:v "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes." ] ;
       fhir:comment [ fhir:v "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." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "Resource.id" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
           fhir:value [ fhir:v "id" ]
         ] ) ;
         fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ]
     ] [
       fhir:id [ fhir:v "DeviceMetric.meta" ] ;
       fhir:path [ fhir:v "DeviceMetric.meta" ] ;
       fhir:short [ fhir:v "Metadata about the resource" ] ;
       fhir:definition [ fhir:v "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." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "Resource.meta" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Meta" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ]
     ] [
       fhir:id [ fhir:v "DeviceMetric.implicitRules" ] ;
       fhir:path [ fhir:v "DeviceMetric.implicitRules" ] ;
       fhir:short [ fhir:v "A set of rules under which this content was created" ] ;
       fhir:definition [ fhir:v "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." ] ;
       fhir:comment [ fhir:v "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 its narrative along with other profiles, value sets, etc." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "Resource.implicitRules" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "uri" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "true" ] ;
       fhir:isModifierReason [ fhir:v "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation" ] ;
       fhir:isSummary [ fhir:v "true" ]
     ] [
       fhir:id [ fhir:v "DeviceMetric.language" ] ;
       fhir:path [ fhir:v "DeviceMetric.language" ] ;
       fhir:short [ fhir:v "Language of the resource content" ] ;
       fhir:definition [ fhir:v "The base language in which the resource is written." ] ;
       fhir:comment [ fhir:v "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)." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "Resource.language" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "code" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:binding [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:value [ fhir:v "Language" ]
         ] [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding" ] ;
           fhir:value [ fhir:v "true" ]
         ] ) ;
         fhir:strength [ fhir:v "required" ] ;
         fhir:description [ fhir:v "IETF language tag for a human language" ] ;
         fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/all-languages|5.0.0-draft-final" ] ;
         fhir:additional ( [
           fhir:purpose [ fhir:v "starter" ] ;
           fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/languages" ]
         ] )
       ]
     ] [
       fhir:id [ fhir:v "DeviceMetric.text" ] ;
       fhir:path [ fhir:v "DeviceMetric.text" ] ;
       fhir:short [ fhir:v "Text summary of the resource, for human interpretation" ] ;
       fhir:definition [ fhir:v "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 \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety." ] ;
       fhir:comment [ fhir:v "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 \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later." ] ;
       fhir:alias ( [ fhir:v "narrative" ] [ fhir:v "html" ] [ fhir:v "xhtml" ] [ fhir:v "display" ] ) ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "DomainResource.text" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Narrative" ]
       ] ) ;
       fhir:condition ( [ fhir:v "dom-6" ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "Act.text?" ]
       ] )
     ] [
       fhir:id [ fhir:v "DeviceMetric.contained" ] ;
       fhir:path [ fhir:v "DeviceMetric.contained" ] ;
       fhir:short [ fhir:v "Contained, inline Resources" ] ;
       fhir:definition [ fhir:v "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." ] ;
       fhir:comment [ fhir:v "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." ] ;
       fhir:alias ( [ fhir:v "inline resources" ] [ fhir:v "anonymous resources" ] [ fhir:v "contained resources" ] ) ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:base [
         fhir:path [ fhir:v "DomainResource.contained" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "*" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Resource" ]
       ] ) ;
       fhir:condition ( [ fhir:v "dom-2" ] [ fhir:v "dom-4" ] [ fhir:v "dom-3" ] [ fhir:v "dom-5" ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "N/A" ]
       ] )
     ] [
       fhir:id [ fhir:v "DeviceMetric.extension" ] ;
       fhir:path [ fhir:v "DeviceMetric.extension" ] ;
       fhir:short [ fhir:v "Additional content defined by implementations" ] ;
       fhir:definition [ fhir:v "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 managable, 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." ] ;
       fhir:comment [ fhir:v "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." ] ;
       fhir:alias ( [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:base [
         fhir:path [ fhir:v "DomainResource.extension" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "*" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Extension" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] [
         fhir:key [ fhir:v "ext-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
         fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "N/A" ]
       ] )
     ] [
       fhir:id [ fhir:v "DeviceMetric.modifierExtension" ] ;
       fhir:path [ fhir:v "DeviceMetric.modifierExtension" ] ;
       fhir:short [ fhir:v "Extensions that cannot be ignored" ] ;
       fhir:definition [ fhir:v "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 managable, 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ;
       fhir:comment [ fhir:v "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." ] ;
       fhir:requirements [ fhir:v "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)." ] ;
       fhir:alias ( [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:base [
         fhir:path [ fhir:v "DomainResource.modifierExtension" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "*" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Extension" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] [
         fhir:key [ fhir:v "ext-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
         fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "true" ] ;
       fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "N/A" ]
       ] )
     ] [
       fhir:id [ fhir:v "DeviceMetric.identifier" ] ;
       fhir:path [ fhir:v "DeviceMetric.identifier" ] ;
       fhir:short [ fhir:v "Instance identifier" ] ;
       fhir:definition [ fhir:v "Unique instance identifiers assigned to a device by the device or gateway software, manufacturers, other organizations or owners. For example: handle ID." ] ;
       fhir:comment [ fhir:v "For identifiers assigned to a device by the device or gateway software, the `system` element of the identifier should be set to the unique identifier of the device." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:base [
         fhir:path [ fhir:v "DeviceMetric.identifier" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "*" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Identifier" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "w5" ] ;
         fhir:map [ fhir:v "FiveWs.identifier" ]
       ] )
     ] [
       fhir:id [ fhir:v "DeviceMetric.type" ] ;
       fhir:path [ fhir:v "DeviceMetric.type" ] ;
       fhir:short [ fhir:v "Identity of metric, for example Heart Rate or PEEP Setting" ] ;
       fhir:definition [ fhir:v "Describes the type of the metric. For example: Heart Rate, PEEP Setting, etc." ] ;
       fhir:comment [ fhir:v "DeviceMetric.type can be referred to either IEEE 11073-10101 or LOINC." ] ;
       fhir:min [ fhir:v "1" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "DeviceMetric.type" ] ;
         fhir:min [ fhir:v "1" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "CodeableConcept" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:binding [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:value [ fhir:v "MetricType" ]
         ] ) ;
         fhir:strength [ fhir:v "preferred" ] ;
         fhir:description [ fhir:v "IEEE 11073-10101" ] ;
         fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/devicemetric-type" ]
       ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "w5" ] ;
         fhir:map [ fhir:v "FiveWs.class" ]
       ] )
     ] [
       fhir:id [ fhir:v "DeviceMetric.unit" ] ;
       fhir:path [ fhir:v "DeviceMetric.unit" ] ;
       fhir:short [ fhir:v "Unit of Measure for the Metric" ] ;
       fhir:definition [ fhir:v "Describes the unit that an observed value determined for this metric will have. For example: Percent, Seconds, etc." ] ;
       fhir:comment [ fhir:v "DeviceMetric.unit can refer to either UCUM or preferable a RTMMS coding system." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "DeviceMetric.unit" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "CodeableConcept" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:binding [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:value [ fhir:v "MetricUnit" ]
         ] ) ;
         fhir:strength [ fhir:v "preferred" ] ;
         fhir:description [ fhir:v "IEEE 11073-10101" ] ;
         fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/devicemetric-type" ]
       ]
     ] [
       fhir:id [ fhir:v "DeviceMetric.device" ] ;
       fhir:path [ fhir:v "DeviceMetric.device" ] ;
       fhir:short [ fhir:v "Describes the link to the Device" ] ;
       fhir:definition [ fhir:v "Describes the link to the Device.  This is also known as a channel device." ] ;
       fhir:comment [ fhir:v "Note if this is not the top level device - also know as the source device, it may be referenced in the device.parent element." ] ;
       fhir:min [ fhir:v "1" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "DeviceMetric.device" ] ;
         fhir:min [ fhir:v "1" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Reference" ] ;
         fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Device" ] )
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ]
     ] [
       fhir:id [ fhir:v "DeviceMetric.operationalStatus" ] ;
       fhir:path [ fhir:v "DeviceMetric.operationalStatus" ] ;
       fhir:short [ fhir:v "on | off | standby | entered-in-error" ] ;
       fhir:definition [ fhir:v "Indicates current operational state of the device. For example: On, Off, Standby, etc." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "DeviceMetric.operationalStatus" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "code" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:binding [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:value [ fhir:v "DeviceMetricOperationalStatus" ]
         ] ) ;
         fhir:strength [ fhir:v "required" ] ;
         fhir:description [ fhir:v "Describes the operational status of the DeviceMetric." ] ;
         fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/metric-operational-status|5.0.0-draft-final" ]
       ]
     ] [
       fhir:id [ fhir:v "DeviceMetric.color" ] ;
       fhir:path [ fhir:v "DeviceMetric.color" ] ;
       fhir:short [ fhir:v "black | red | green | yellow | blue | magenta | cyan | white" ] ;
       fhir:definition [ fhir:v "Describes the color representation for the metric. This is often used to aid clinicians to track and identify parameter types by color. In practice, consider a Patient Monitor that has ECG/HR and Pleth for example; the parameters are displayed in different characteristic colors, such as HR-blue, BP-green, and PR and SpO2- magenta." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "DeviceMetric.color" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "code" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:binding [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:value [ fhir:v "DeviceMetricColor" ]
         ] ) ;
         fhir:strength [ fhir:v "required" ] ;
         fhir:description [ fhir:v "Describes the typical color of representation." ] ;
         fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/metric-color|5.0.0-draft-final" ]
       ]
     ] [
       fhir:id [ fhir:v "DeviceMetric.category" ] ;
       fhir:path [ fhir:v "DeviceMetric.category" ] ;
       fhir:short [ fhir:v "measurement | setting | calculation | unspecified" ] ;
       fhir:definition [ fhir:v "Indicates the category of the observation generation process. A DeviceMetric can be for example a setting, measurement, or calculation." ] ;
       fhir:min [ fhir:v "1" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "DeviceMetric.category" ] ;
         fhir:min [ fhir:v "1" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "code" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:binding [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:value [ fhir:v "DeviceMetricCategory" ]
         ] ) ;
         fhir:strength [ fhir:v "required" ] ;
         fhir:description [ fhir:v "Describes the category of the metric." ] ;
         fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/metric-category|5.0.0-draft-final" ]
       ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "w5" ] ;
         fhir:map [ fhir:v "FiveWs.class" ]
       ] )
     ] [
       fhir:id [ fhir:v "DeviceMetric.measurementFrequency" ] ;
       fhir:path [ fhir:v "DeviceMetric.measurementFrequency" ] ;
       fhir:short [ fhir:v "Indicates how often the metric is taken or recorded" ] ;
       fhir:definition [ fhir:v "The frequency at which the metric is taken or recorded. Devices measure metrics at a wide range of frequencies; for example, an ECG might sample measurements in the millisecond range, while an NIBP might trigger only once an hour. Less often, the measurementFrequency may be based on a unit other than time, such as distance (e.g. for a measuring wheel). The update period may be different than the measurement frequency, if the device does not update the published observed value with the same frequency as it was measured." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "DeviceMetric.measurementFrequency" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Quantity" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ]
     ] [
       fhir:id [ fhir:v "DeviceMetric.calibration" ] ;
       fhir:path [ fhir:v "DeviceMetric.calibration" ] ;
       fhir:short [ fhir:v "Describes the calibrations that have been performed or that are required to be performed" ] ;
       fhir:definition [ fhir:v "Describes the calibrations that have been performed or that are required to be performed." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:base [
         fhir:path [ fhir:v "DeviceMetric.calibration" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "*" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "BackboneElement" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ]
     ] [
       fhir:id [ fhir:v "DeviceMetric.calibration.id" ] ;
       fhir:path [ fhir:v "DeviceMetric.calibration.id" ] ;
       fhir:representation ( [ fhir:v "xmlAttr" ] ) ;
       fhir:short [ fhir:v "Unique id for inter-element referencing" ] ;
       fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "Element.id" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
           fhir:value [ fhir:v "string" ]
         ] ) ;
         fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String" ]
       ] ) ;
       fhir:condition ( [ fhir:v "ele-1" ] ) ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "n/a" ]
       ] )
     ] [
       fhir:id [ fhir:v "DeviceMetric.calibration.extension" ] ;
       fhir:path [ fhir:v "DeviceMetric.calibration.extension" ] ;
       fhir:short [ fhir:v "Additional content defined by implementations" ] ;
       fhir:definition [ fhir:v "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 managable, 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." ] ;
       fhir:comment [ fhir:v "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." ] ;
       fhir:alias ( [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:base [
         fhir:path [ fhir:v "Element.extension" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "*" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Extension" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] [
         fhir:key [ fhir:v "ext-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
         fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension" ]
       ] ) ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "n/a" ]
       ] )
     ] [
       fhir:id [ fhir:v "DeviceMetric.calibration.modifierExtension" ] ;
       fhir:path [ fhir:v "DeviceMetric.calibration.modifierExtension" ] ;
       fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ;
       fhir:definition [ fhir:v "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 managable, 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ;
       fhir:comment [ fhir:v "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." ] ;
       fhir:requirements [ fhir:v "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)." ] ;
       fhir:alias ( [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:base [
         fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "*" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Extension" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] [
         fhir:key [ fhir:v "ext-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
         fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension" ]
       ] ) ;
       fhir:isModifier [ fhir:v "true" ] ;
       fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "N/A" ]
       ] )
     ] [
       fhir:id [ fhir:v "DeviceMetric.calibration.type" ] ;
       fhir:path [ fhir:v "DeviceMetric.calibration.type" ] ;
       fhir:short [ fhir:v "unspecified | offset | gain | two-point" ] ;
       fhir:definition [ fhir:v "Describes the type of the calibration method." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "DeviceMetric.calibration.type" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "code" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:binding [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:value [ fhir:v "DeviceMetricCalibrationType" ]
         ] ) ;
         fhir:strength [ fhir:v "required" ] ;
         fhir:description [ fhir:v "Describes the type of a metric calibration." ] ;
         fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/metric-calibration-type|5.0.0-draft-final" ]
       ]
     ] [
       fhir:id [ fhir:v "DeviceMetric.calibration.state" ] ;
       fhir:path [ fhir:v "DeviceMetric.calibration.state" ] ;
       fhir:short [ fhir:v "not-calibrated | calibration-required | calibrated | unspecified" ] ;
       fhir:definition [ fhir:v "Describes the state of the calibration." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "DeviceMetric.calibration.state" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "code" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:binding [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:value [ fhir:v "DeviceMetricCalibrationState" ]
         ] ) ;
         fhir:strength [ fhir:v "required" ] ;
         fhir:description [ fhir:v "Describes the state of a metric calibration." ] ;
         fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/metric-calibration-state|5.0.0-draft-final" ]
       ]
     ] [
       fhir:id [ fhir:v "DeviceMetric.calibration.time" ] ;
       fhir:path [ fhir:v "DeviceMetric.calibration.time" ] ;
       fhir:short [ fhir:v "Describes the time last calibration has been performed" ] ;
       fhir:definition [ fhir:v "Describes the time last calibration has been performed." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "DeviceMetric.calibration.time" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "instant" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ]
     ] )
  ] ;
  fhir:differential [
     fhir:element ( [
       fhir:id [ fhir:v "DeviceMetric" ] ;
       fhir:path [ fhir:v "DeviceMetric" ] ;
       fhir:short [ fhir:v "Measurement, calculation or setting capability of a medical device" ] ;
       fhir:definition [ fhir:v "Describes a measurement, calculation or setting capability of a device." ] ;
       fhir:comment [ fhir:v "The DeviceMetric resource is derived from the ISO/IEEE 11073-10201 Domain Information Model standard, but is more widely applicable." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "w5" ] ;
         fhir:map [ fhir:v "administrative.device" ]
       ] )
     ] [
       fhir:id [ fhir:v "DeviceMetric.identifier" ] ;
       fhir:path [ fhir:v "DeviceMetric.identifier" ] ;
       fhir:short [ fhir:v "Instance identifier" ] ;
       fhir:definition [ fhir:v "Unique instance identifiers assigned to a device by the device or gateway software, manufacturers, other organizations or owners. For example: handle ID." ] ;
       fhir:comment [ fhir:v "For identifiers assigned to a device by the device or gateway software, the `system` element of the identifier should be set to the unique identifier of the device." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Identifier" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "w5" ] ;
         fhir:map [ fhir:v "FiveWs.identifier" ]
       ] )
     ] [
       fhir:id [ fhir:v "DeviceMetric.type" ] ;
       fhir:path [ fhir:v "DeviceMetric.type" ] ;
       fhir:short [ fhir:v "Identity of metric, for example Heart Rate or PEEP Setting" ] ;
       fhir:definition [ fhir:v "Describes the type of the metric. For example: Heart Rate, PEEP Setting, etc." ] ;
       fhir:comment [ fhir:v "DeviceMetric.type can be referred to either IEEE 11073-10101 or LOINC." ] ;
       fhir:min [ fhir:v "1" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "CodeableConcept" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:binding [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:value [ fhir:v "MetricType" ]
         ] ) ;
         fhir:strength [ fhir:v "preferred" ] ;
         fhir:description [ fhir:v "IEEE 11073-10101" ] ;
         fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/devicemetric-type" ]
       ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "w5" ] ;
         fhir:map [ fhir:v "FiveWs.class" ]
       ] )
     ] [
       fhir:id [ fhir:v "DeviceMetric.unit" ] ;
       fhir:path [ fhir:v "DeviceMetric.unit" ] ;
       fhir:short [ fhir:v "Unit of Measure for the Metric" ] ;
       fhir:definition [ fhir:v "Describes the unit that an observed value determined for this metric will have. For example: Percent, Seconds, etc." ] ;
       fhir:comment [ fhir:v "DeviceMetric.unit can refer to either UCUM or preferable a RTMMS coding system." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "CodeableConcept" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:binding [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:value [ fhir:v "MetricUnit" ]
         ] ) ;
         fhir:strength [ fhir:v "preferred" ] ;
         fhir:description [ fhir:v "IEEE 11073-10101" ] ;
         fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/devicemetric-type" ]
       ]
     ] [
       fhir:id [ fhir:v "DeviceMetric.device" ] ;
       fhir:path [ fhir:v "DeviceMetric.device" ] ;
       fhir:short [ fhir:v "Describes the link to the Device" ] ;
       fhir:definition [ fhir:v "Describes the link to the Device.  This is also known as a channel device." ] ;
       fhir:comment [ fhir:v "Note if this is not the top level device - also know as the source device, it may be referenced in the device.parent element." ] ;
       fhir:min [ fhir:v "1" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Reference" ] ;
         fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Device" ] )
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ]
     ] [
       fhir:id [ fhir:v "DeviceMetric.operationalStatus" ] ;
       fhir:path [ fhir:v "DeviceMetric.operationalStatus" ] ;
       fhir:short [ fhir:v "on | off | standby | entered-in-error" ] ;
       fhir:definition [ fhir:v "Indicates current operational state of the device. For example: On, Off, Standby, etc." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "code" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:binding [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:value [ fhir:v "DeviceMetricOperationalStatus" ]
         ] ) ;
         fhir:strength [ fhir:v "required" ] ;
         fhir:description [ fhir:v "Describes the operational status of the DeviceMetric." ] ;
         fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/metric-operational-status|5.0.0-draft-final" ]
       ]
     ] [
       fhir:id [ fhir:v "DeviceMetric.color" ] ;
       fhir:path [ fhir:v "DeviceMetric.color" ] ;
       fhir:short [ fhir:v "black | red | green | yellow | blue | magenta | cyan | white" ] ;
       fhir:definition [ fhir:v "Describes the color representation for the metric. This is often used to aid clinicians to track and identify parameter types by color. In practice, consider a Patient Monitor that has ECG/HR and Pleth for example; the parameters are displayed in different characteristic colors, such as HR-blue, BP-green, and PR and SpO2- magenta." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "code" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:binding [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:value [ fhir:v "DeviceMetricColor" ]
         ] ) ;
         fhir:strength [ fhir:v "required" ] ;
         fhir:description [ fhir:v "Describes the typical color of representation." ] ;
         fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/metric-color|5.0.0-draft-final" ]
       ]
     ] [
       fhir:id [ fhir:v "DeviceMetric.category" ] ;
       fhir:path [ fhir:v "DeviceMetric.category" ] ;
       fhir:short [ fhir:v "measurement | setting | calculation | unspecified" ] ;
       fhir:definition [ fhir:v "Indicates the category of the observation generation process. A DeviceMetric can be for example a setting, measurement, or calculation." ] ;
       fhir:min [ fhir:v "1" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "code" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:binding [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:value [ fhir:v "DeviceMetricCategory" ]
         ] ) ;
         fhir:strength [ fhir:v "required" ] ;
         fhir:description [ fhir:v "Describes the category of the metric." ] ;
         fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/metric-category|5.0.0-draft-final" ]
       ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "w5" ] ;
         fhir:map [ fhir:v "FiveWs.class" ]
       ] )
     ] [
       fhir:id [ fhir:v "DeviceMetric.measurementFrequency" ] ;
       fhir:path [ fhir:v "DeviceMetric.measurementFrequency" ] ;
       fhir:short [ fhir:v "Indicates how often the metric is taken or recorded" ] ;
       fhir:definition [ fhir:v "The frequency at which the metric is taken or recorded. Devices measure metrics at a wide range of frequencies; for example, an ECG might sample measurements in the millisecond range, while an NIBP might trigger only once an hour. Less often, the measurementFrequency may be based on a unit other than time, such as distance (e.g. for a measuring wheel). The update period may be different than the measurement frequency, if the device does not update the published observed value with the same frequency as it was measured." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Quantity" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ]
     ] [
       fhir:id [ fhir:v "DeviceMetric.calibration" ] ;
       fhir:path [ fhir:v "DeviceMetric.calibration" ] ;
       fhir:short [ fhir:v "Describes the calibrations that have been performed or that are required to be performed" ] ;
       fhir:definition [ fhir:v "Describes the calibrations that have been performed or that are required to be performed." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "BackboneElement" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ]
     ] [
       fhir:id [ fhir:v "DeviceMetric.calibration.type" ] ;
       fhir:path [ fhir:v "DeviceMetric.calibration.type" ] ;
       fhir:short [ fhir:v "unspecified | offset | gain | two-point" ] ;
       fhir:definition [ fhir:v "Describes the type of the calibration method." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "code" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:binding [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:value [ fhir:v "DeviceMetricCalibrationType" ]
         ] ) ;
         fhir:strength [ fhir:v "required" ] ;
         fhir:description [ fhir:v "Describes the type of a metric calibration." ] ;
         fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/metric-calibration-type|5.0.0-draft-final" ]
       ]
     ] [
       fhir:id [ fhir:v "DeviceMetric.calibration.state" ] ;
       fhir:path [ fhir:v "DeviceMetric.calibration.state" ] ;
       fhir:short [ fhir:v "not-calibrated | calibration-required | calibrated | unspecified" ] ;
       fhir:definition [ fhir:v "Describes the state of the calibration." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "code" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:binding [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:value [ fhir:v "DeviceMetricCalibrationState" ]
         ] ) ;
         fhir:strength [ fhir:v "required" ] ;
         fhir:description [ fhir:v "Describes the state of a metric calibration." ] ;
         fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/metric-calibration-state|5.0.0-draft-final" ]
       ]
     ] [
       fhir:id [ fhir:v "DeviceMetric.calibration.time" ] ;
       fhir:path [ fhir:v "DeviceMetric.calibration.time" ] ;
       fhir:short [ fhir:v "Describes the time last calibration has been performed" ] ;
       fhir:definition [ fhir:v "Describes the time last calibration has been performed." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "instant" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ]
     ] )
  ] .

# -------------------------------------------------------------------------------------


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.