Structured Data Capture - Data Element Exchange 2.0 (STU2)

This page is part of the Structured Data Capture - Data Element Exchange Specification (v2.0: STU 2) based on FHIR R3. This is the current published version. For a full list of available versions, see the Directory of published versions

XML representation of the sdcde-codesystem Profile.

Narrative view of the profile


<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="sdcde-codesystem"/>
  <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 style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/stu3/formats.html#table" title="The logical name of the element">Name</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/stu3/formats.html#table" title="Information about the use of the element">Flags</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/stu3/formats.html#table" title="Minimum and Maximum # of times the the element can appear in the instance">Card.</a></th><th style="width: 100px" class="hierarchy"><a href="http://hl7.org/fhir/stu3/formats.html#table" title="Reference to the type of the element">Type</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/stu3/formats.html#table" title="Additional information about the element">Description &amp; Constraints</a><span style="float: right"><a href="http://hl7.org/fhir/stu3/formats.html#table" title="Legend for this format"><img src="http://hl7.org/fhir/stu3/help16.png" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td 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(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="sdcde-codesystem-definitions.html#CodeSystem:sdcdecodesystem" title="Slice SDCDECodeSystem: Sets expectations for SDC-conformant systems around code system support for representing permitted question answers.">CodeSystem</a><a name="CodeSystem"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td 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(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="sdcde-codesystem-definitions.html#CodeSystem:sdcdecodesystem.url">url</a><a name="CodeSystem.url"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/stu3/datatypes.html#uri">uri</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td 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(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="sdcde-codesystem-definitions.html#CodeSystem:sdcdecodesystem.identifier">identifier</a><a name="CodeSystem.identifier"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/stu3/datatypes.html#Identifier">Identifier</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td 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(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="sdcde-codesystem-definitions.html#CodeSystem:sdcdecodesystem.version">version</a><a name="CodeSystem.version"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/stu3/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td 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(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="sdcde-codesystem-definitions.html#CodeSystem:sdcdecodesystem.name">name</a><a name="CodeSystem.name"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/stu3/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td 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(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="sdcde-codesystem-definitions.html#CodeSystem:sdcdecodesystem.status">status</a><a name="CodeSystem.status"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/stu3/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td 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(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="sdcde-codesystem-definitions.html#CodeSystem:sdcdecodesystem.experimental">experimental</a><a name="CodeSystem.experimental"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/stu3/datatypes.html#boolean">boolean</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td 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(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="sdcde-codesystem-definitions.html#CodeSystem:sdcdecodesystem.date">date</a><a name="CodeSystem.date"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/stu3/datatypes.html#dateTime">dateTime</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td 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(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="sdcde-codesystem-definitions.html#CodeSystem:sdcdecodesystem.publisher">publisher</a><a name="CodeSystem.publisher"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/stu3/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td 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(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="sdcde-codesystem-definitions.html#CodeSystem:sdcdecodesystem.description">description</a><a name="CodeSystem.description"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/stu3/datatypes.html#markdown">markdown</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td 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(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="sdcde-codesystem-definitions.html#CodeSystem:sdcdecodesystem.useContext">useContext</a><a name="CodeSystem.useContext"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/stu3/datatypes.html#UsageContext">UsageContext</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td 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(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="sdcde-codesystem-definitions.html#CodeSystem:sdcdecodesystem.caseSensitive">caseSensitive</a><a name="CodeSystem.caseSensitive"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/stu3/datatypes.html#boolean">boolean</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td 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(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="sdcde-codesystem-definitions.html#CodeSystem:sdcdecodesystem.compositional">compositional</a><a name="CodeSystem.compositional"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/stu3/datatypes.html#boolean">boolean</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td 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(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="sdcde-codesystem-definitions.html#CodeSystem:sdcdecodesystem.versionNeeded">versionNeeded</a><a name="CodeSystem.versionNeeded"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/stu3/datatypes.html#boolean">boolean</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td 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(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="sdcde-codesystem-definitions.html#CodeSystem:sdcdecodesystem.content">content</a><a name="CodeSystem.content"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/stu3/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td 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(tbl_bck01.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="sdcde-codesystem-definitions.html#CodeSystem:sdcdecodesystem.concept">concept</a><a name="CodeSystem.concept"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/stu3/datatypes.html#BackboneElement">BackboneElement</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td 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(tbl_bck010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="sdcde-codesystem-definitions.html#CodeSystem:sdcdecodesystem.concept.code">code</a><a name="CodeSystem.concept.code"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/stu3/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td 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(tbl_bck010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="sdcde-codesystem-definitions.html#CodeSystem:sdcdecodesystem.concept.display">display</a><a name="CodeSystem.concept.display"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/stu3/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td 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(tbl_bck010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="sdcde-codesystem-definitions.html#CodeSystem:sdcdecodesystem.concept.definition">definition</a><a name="CodeSystem.concept.definition"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/stu3/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td 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(tbl_bck010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="sdcde-codesystem-definitions.html#CodeSystem:sdcdecodesystem.concept.concept">concept</a><a name="CodeSystem.concept.concept"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td 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(tbl_bck000.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: white; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="sdcde-codesystem-definitions.html#CodeSystem:sdcdecodesystem.concept.extension:conceptconceptorder" title="Extension URL = http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder">valueset-conceptOrder</a><a name="CodeSystem.concept.extension"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span>..<span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/stu3/datatypes.html#integer">integer</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Appearance order for user selection<br/><span style="font-weight:bold">URL: </span><a href="http://hl7.org/fhir/stu3/extension-valueset-conceptorder.html">http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder</a></td></tr>
<tr><td colspan="5" class="hierarchy"><br/><a href="http://hl7.org/fhir/stu3/formats.html#table" title="Legend for this format"><img src="http://hl7.org/fhir/stu3/help16.png" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
  </text>
  <url value="http://hl7.org/fhir/us/sdcde/StructureDefinition/sdcde-codesystem"/>
  <version value="2.0"/>
  <name value="Structured Data Capture Code System"/>
  <status value="draft"/>
  <date value="2014-07-06"/>
  <publisher
             value="Health Level Seven International (Orders and Observations - Structured Data Capture)"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value
             value="http://wiki.siframework.org/Structured+Data+Capture+Initiative"/>
    </telecom>
  </contact>
  <fhirVersion value="3.0.0"/>
  <mapping>
    <identity value="ihesdc"/>
    <uri value="http://wiki.siframework.org/IHE+SDC+Profile"/>
    <name value="IHE Structured Data Capture"/>
  </mapping>
  <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/w5"/>
    <name value="W5 Mapping"/>
  </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="CodeSystem"/>
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/CodeSystem"/>
  <derivation value="constraint"/>
  <snapshot>
    <element id="CodeSystem:sdcdecodesystem">
      <path value="CodeSystem"/>
      <sliceName value="SDCDECodeSystem"/>
      <short value="A set of codes drawn from one or more code systems"/>
      <definition
                  value="Sets expectations for SDC-conformant systems around code system support for representing permitted question answers."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="CodeSystem"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <constraint>
        <key value="dom-2"/>
        <severity value="error"/>
        <human
               value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/>
        <expression value="contained.contained.empty()"/>
        <xpath value="not(parent::f:contained and f:contained)"/>
        <source value="DomainResource"/>
      </constraint>
      <constraint>
        <key value="dom-1"/>
        <severity value="error"/>
        <human
               value="If the resource is contained in another resource, it SHALL NOT contain any narrative"/>
        <expression value="contained.text.empty()"/>
        <xpath value="not(parent::f:contained and f:text)"/>
        <source value="DomainResource"/>
      </constraint>
      <constraint>
        <key value="dom-4"/>
        <severity value="error"/>
        <human
               value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"/>
        <expression
                    value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/>
        <xpath
               value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/>
        <source value="DomainResource"/>
      </constraint>
      <constraint>
        <key value="dom-3"/>
        <severity value="error"/>
        <human
               value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource"/>
        <expression
                    value="contained.where((&#39;#&#39;+id in %resource.descendants().reference).not()).empty()"/>
        <xpath
               value="not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat(&#39;#&#39;, $id))]))"/>
        <source value="DomainResource"/>
      </constraint>
      <constraint>
        <key value="csd-1"/>
        <severity value="error"/>
        <human
               value="Within a code system definition, all the codes SHALL be unique"/>
        <expression
                    value="(concept.code | descendants().concept.code).isDistinct()"/>
        <xpath
               value="count(distinct-values(descendant::f:concept/f:code/@value))=count(descendant::f:concept)"/>
        <source value="CodeSystem"/>
      </constraint>
      <mustSupport value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="Entity. Role, or Act"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="conformance.terminology"/>
      </mapping>
      <mapping>
        <identity value="ihesdc"/>
        <map value="Form_Package//list_field"/>
      </mapping>
    </element>
    <element id="CodeSystem:sdcdecodesystem.id">
      <path value="CodeSystem.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="The only time that a resource does not have an id is when it is being submitted to the server using a create operation."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element id="CodeSystem:sdcdecodesystem.meta">
      <path value="CodeSystem.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 may 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>
      <isSummary value="true"/>
    </element>
    <element id="CodeSystem:sdcdecodesystem.implicitRules">
      <path value="CodeSystem.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."/>
      <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. 

This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it&#39;s meaning or interpretation."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.implicitRules"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
    </element>
    <element id="CodeSystem:sdcdecodesystem.language">
      <path value="CodeSystem.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>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
          <valueReference>
            <reference value="http://hl7.org/fhir/ValueSet/all-languages"/>
          </valueReference>
        </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="extensible"/>
        <description value="A human language."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/languages"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="CodeSystem:sdcdecodesystem.text">
      <path value="CodeSystem.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 may 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 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 in formation 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>
      <condition value="dom-1"/>
      <mapping>
        <identity value="rim"/>
        <map value="Act.text?"/>
      </mapping>
    </element>
    <element id="CodeSystem:sdcdecodesystem.contained">
      <path value="CodeSystem.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, and nor can they have their own independent transaction scope."/>
      <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."/>
      <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>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="CodeSystem:sdcdecodesystem.extension">
      <path value="CodeSystem.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. In order 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."/>
      <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>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="CodeSystem:sdcdecodesystem.modifierExtension">
      <path value="CodeSystem.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. Usually modifier elements provide negation or qualification. In order 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."/>
      <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.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="CodeSystem:sdcdecodesystem.url">
      <path value="CodeSystem.url"/>
      <short
             value="Logical URI to reference this code system (globally unique) (Coding.system)"/>
      <definition
                  value="An absolute URI that is used to identify this code system when it is referenced in a specification, model, design or an instance. This SHALL be a URL, SHOULD be globally unique, and SHOULD be an address at which this code system is (or will be) published. The URL SHOULD include the major version of the code system. For more information see [Technical and Business Versions](resource.html#versions). This is used in [Coding]{datatypes.html#Coding}.system."/>
      <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."/>
      <requirements
                    value="Allows the code system to be referenced by a single globally unique identifier."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CodeSystem.url"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <mustSupport value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="w5"/>
        <map value="id"/>
      </mapping>
    </element>
    <element id="CodeSystem:sdcdecodesystem.identifier">
      <path value="CodeSystem.identifier"/>
      <short value="Additional identifier for the code system"/>
      <definition
                  value="A formal identifier that is used to identify this code system 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, e.g., to identify this code system 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="1"/>
      <base>
        <path value="CodeSystem.identifier"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Identifier"/>
      </type>
      <mustSupport value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="objimpl"/>
        <map value="no-gen-base"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="id"/>
      </mapping>
    </element>
    <element id="CodeSystem:sdcdecodesystem.version">
      <path value="CodeSystem.version"/>
      <short value="Business version of the code system (Coding.version)"/>
      <definition
                  value="The identifier that is used to identify this version of the code system when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the code system 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. This is used in [Coding]{datatypes.html#Coding}.version."/>
      <comment
               value="There may be different code system instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a refrence to a particular business version of the code system with the format [url]|[version]."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CodeSystem.version"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mustSupport value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="w5"/>
        <map value="id.version"/>
      </mapping>
    </element>
    <element id="CodeSystem:sdcdecodesystem.name">
      <path value="CodeSystem.name"/>
      <short value="Name for this code system (computer friendly)"/>
      <definition
                  value="A natural language name identifying the code system. 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 alpha-numeric type name to ensure that it is computable friendly."/>
      <requirements value="Support human navigation and code generation."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="CodeSystem.name"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mustSupport value="true"/>
      <isSummary value="true"/>
    </element>
    <element id="CodeSystem:sdcdecodesystem.title">
      <path value="CodeSystem.title"/>
      <short value="Name for this code system (human friendly)"/>
      <definition
                  value="A short, descriptive, user-friendly title for the code system."/>
      <comment
               value="This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CodeSystem.title"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element id="CodeSystem:sdcdecodesystem.status">
      <path value="CodeSystem.status"/>
      <short value="draft | active | retired | unknown"/>
      <definition
                  value="The status of this code system. Enables tracking the life-cycle of the content."/>
      <comment
               value="Allows filtering of code systems that are appropriate for use vs. not.  
This is labeled as &quot;Is Modifier&quot; because applications should not use a retired code system without due consideration."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="CodeSystem.status"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <mustSupport value="true"/>
      <isModifier value="true"/>
      <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 a Value Set or Concept Map."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/publication-status"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="w5"/>
        <map value="status"/>
      </mapping>
    </element>
    <element id="CodeSystem:sdcdecodesystem.experimental">
      <path value="CodeSystem.experimental"/>
      <short value="For testing purposes, not real usage"/>
      <definition
                  value="A boolean value to indicate that this code system is authored for testing purposes (or education/evaluation/marketing), and is not intended to be used for genuine usage."/>
      <comment
               value="Allows filtering of code system that are appropriate for use vs. not. This is labeled as &quot;Is Modifier&quot; because applications should not use an experimental code system in production."/>
      <requirements
                    value="Enables experimental content to be developed following the same lifecycle that would be used for a production-level code system."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CodeSystem.experimental"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
      <mustSupport value="true"/>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="w5"/>
        <map value="class"/>
      </mapping>
    </element>
    <element id="CodeSystem:sdcdecodesystem.date">
      <path value="CodeSystem.date"/>
      <short value="Date this was last changed"/>
      <definition
                  value="The date  (and optionally time) when the code system was published. The date must change if and 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 code system 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 code system. 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="CodeSystem.date"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="dateTime"/>
      </type>
      <mustSupport value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="w5"/>
        <map value="when.recorded"/>
      </mapping>
    </element>
    <element id="CodeSystem:sdcdecodesystem.publisher">
      <path value="CodeSystem.publisher"/>
      <short value="Name of the publisher (organization or individual)"/>
      <definition
                  value="The name of the individual or organization that published the code system."/>
      <comment
               value="Usually an organization, but may be an individual. The publisher (or steward) of the code system is the organization or individual primarily responsible for the maintenance and upkeep of the code system. 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 code system. This item SHOULD be populated unless the information is available from context."/>
      <requirements
                    value="Helps establish the &quot;authority/credibility&quot; of the code system.  May also allow for contact."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CodeSystem.publisher"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mustSupport value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="w5"/>
        <map value="who.witness"/>
      </mapping>
    </element>
    <element id="CodeSystem:sdcdecodesystem.contact">
      <path value="CodeSystem.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="CodeSystem.contact"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="ContactDetail"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element id="CodeSystem:sdcdecodesystem.description">
      <path value="CodeSystem.description"/>
      <short value="Natural language description of the code system"/>
      <definition
                  value="A free text natural language description of the code system from a consumer&#39;s perspective."/>
      <comment
               value="This description can be used to capture details such as why the code system was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the code system as conveyed in the &#39;text&#39; field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the profile is presumed to be the predominant language in the place the profile was created)."/>
      <alias value="Scope"/>
      <alias value="Purpose"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="CodeSystem.description"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="markdown"/>
      </type>
      <mustSupport value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="CodeSystem:sdcdecodesystem.useContext">
      <path value="CodeSystem.useContext"/>
      <short value="Context 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 terms may be used to assist with indexing and searching for appropriate code system instances."/>
      <comment
               value="When multiple useContexts are specified, there is no expectation whether all or any of the contexts apply."/>
      <requirements value="Assist in searching for appropriate content."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="CodeSystem.useContext"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="UsageContext"/>
      </type>
      <mustSupport value="true"/>
      <isSummary value="true"/>
    </element>
    <element id="CodeSystem:sdcdecodesystem.jurisdiction">
      <path value="CodeSystem.jurisdiction"/>
      <short value="Intended jurisdiction for code system (if applicable)"/>
      <definition
                  value="A legal or geographic region in which the code system is intended to be used."/>
      <comment
               value="It may be possible for the code system to be used in jurisdictions other than those for which it was originally designed or intended."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="CodeSystem.jurisdiction"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <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"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/jurisdiction"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="CodeSystem:sdcdecodesystem.purpose">
      <path value="CodeSystem.purpose"/>
      <short value="Why this code system is defined"/>
      <definition
                  value="Explaination of why this code system is needed and why it has been designed as it has."/>
      <comment
               value="This element does not describe the usage of the code system Instead  it provides traceability of &#39;&#39;why&#39;&#39; the resource is either needed or &#39;&#39;why&#39;&#39; it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this code system."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CodeSystem.purpose"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="markdown"/>
      </type>
      <mapping>
        <identity value="objimpl"/>
        <map value="no-gen-base"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="why"/>
      </mapping>
    </element>
    <element id="CodeSystem:sdcdecodesystem.copyright">
      <path value="CodeSystem.copyright"/>
      <short value="Use and/or publishing restrictions"/>
      <definition
                  value="A copyright statement relating to the code system and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the code system."/>
      <comment
               value="... Sometimes, the copyright differs between the code system and the codes that are included. The copyright statement should clearly differentiate between these when required."/>
      <requirements
                    value="Consumers must be able to determine any legal restrictions on the use of the code system and/or its content."/>
      <alias value="License"/>
      <alias value="Restrictions"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CodeSystem.copyright"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="markdown"/>
      </type>
      <mapping>
        <identity value="objimpl"/>
        <map value="no-gen-base"/>
      </mapping>
    </element>
    <element id="CodeSystem:sdcdecodesystem.caseSensitive">
      <path value="CodeSystem.caseSensitive"/>
      <short value="If code comparison is case sensitive"/>
      <definition
                  value="If code comparison is case sensitive when codes within this system are compared to each other."/>
      <comment
               value="If this value is missing, then it is not specified whether a code system is case sensitive or not. When the rule is not known, Postel&#39;s law should be followed: produce codes with the correct case, and accept codes in any case. This element is primarily provided to support validation software."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="CodeSystem.caseSensitive"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
      <mustSupport value="true"/>
      <isSummary value="true"/>
    </element>
    <element id="CodeSystem:sdcdecodesystem.valueSet">
      <path value="CodeSystem.valueSet"/>
      <short value="Canonical URL for value set with entire code system"/>
      <definition
                  value="Canonical URL of value set that contains the entire code system."/>
      <comment
               value="The definition of the value set SHALL include all codes from this code system, and it SHALL be immutable."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CodeSystem.valueSet"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element id="CodeSystem:sdcdecodesystem.hierarchyMeaning">
      <path value="CodeSystem.hierarchyMeaning"/>
      <short value="grouped-by | is-a | part-of | classified-with"/>
      <definition value="The meaning of the hierarchy of concepts."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CodeSystem.hierarchyMeaning"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="CodeSystemHierarchyMeaning"/>
        </extension>
        <strength value="required"/>
        <description
                     value="The meaning of the hierarchy of concepts in a code system"/>
        <valueSetReference>
          <reference
                     value="http://hl7.org/fhir/ValueSet/codesystem-hierarchy-meaning"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="CodeSystem:sdcdecodesystem.compositional">
      <path value="CodeSystem.compositional"/>
      <short value="If code system defines a post-composition grammar"/>
      <definition
                  value="True If code system defines a post-composition grammar."/>
      <comment
               value="Note that the code system resource does not define what the compositional grammar is, only whether or not there is one."/>
      <alias value="grammar"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CodeSystem.compositional"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
      <mustSupport value="true"/>
      <isSummary value="true"/>
    </element>
    <element id="CodeSystem:sdcdecodesystem.versionNeeded">
      <path value="CodeSystem.versionNeeded"/>
      <short value="If definitions are not stable"/>
      <definition
                  value="This flag is used to signify that the code system has not (or does not) maintain the definitions, and a version must be specified when referencing this code system."/>
      <comment
               value="Best practice is that code systems do not redefine concepts, or that if concepts are redefined, a new code system definition is created. But this is not always possible, so some code systems may be defined as &#39;versionNeeded&#39;."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CodeSystem.versionNeeded"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
      <mustSupport value="true"/>
      <isSummary value="true"/>
    </element>
    <element id="CodeSystem:sdcdecodesystem.content">
      <path value="CodeSystem.content"/>
      <short value="not-present | example | fragment | complete"/>
      <definition
                  value="How much of the content of the code system - the concepts and codes it defines - are represented in this resource."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="CodeSystem.content"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <mustSupport value="true"/>
      <isSummary value="true"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="CodeSystemContentMode"/>
        </extension>
        <strength value="required"/>
        <description
                     value="How much of the content of the code system - the concepts and codes it defines - are represented in a code system resource"/>
        <valueSetReference>
          <reference
                     value="http://hl7.org/fhir/ValueSet/codesystem-content-mode"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="CodeSystem:sdcdecodesystem.count">
      <path value="CodeSystem.count"/>
      <short value="Total concepts in the code system"/>
      <definition
                  value="The total number of concepts defined by the code system. Where the code system has a compositional grammar, the count refers to the number of base (primitive) concepts."/>
      <comment
               value="The count of concepts defined in this resource cannot be more than this value, but may be less for several reasons - see the content value."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CodeSystem.count"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="unsignedInt"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element id="CodeSystem:sdcdecodesystem.filter">
      <path value="CodeSystem.filter"/>
      <short value="Filter that can be used in a value set"/>
      <definition
                  value="A filter that can be used in a value set compose statement when selecting concepts using a filter."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="CodeSystem.filter"/>
        <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() | (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="Element"/>
      </constraint>
      <isSummary value="true"/>
    </element>
    <element id="CodeSystem:sdcdecodesystem.filter.id">
      <path value="CodeSystem.filter.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition
                  value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="CodeSystem:sdcdecodesystem.filter.extension">
      <path value="CodeSystem.filter.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. In order 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."/>
      <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>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="CodeSystem:sdcdecodesystem.filter.modifierExtension">
      <path value="CodeSystem.filter.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 element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order 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."/>
      <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"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="CodeSystem:sdcdecodesystem.filter.code">
      <path value="CodeSystem.filter.code"/>
      <short value="Code that identifies the filter"/>
      <definition
                  value="The code that identifies this filter when it is used in the instance."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="CodeSystem.filter.code"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element id="CodeSystem:sdcdecodesystem.filter.description">
      <path value="CodeSystem.filter.description"/>
      <short value="How or why the filter is used"/>
      <definition value="A description of how or why the filter is used."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CodeSystem.filter.description"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element id="CodeSystem:sdcdecodesystem.filter.operator">
      <path value="CodeSystem.filter.operator"/>
      <short value="Operators that can be used with filter"/>
      <definition value="A list of operators that can be used with the filter."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="CodeSystem.filter.operator"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="FilterOperator"/>
        </extension>
        <strength value="required"/>
        <description
                     value="The kind of operation to perform as a part of a property based filter."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/filter-operator"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="CodeSystem:sdcdecodesystem.filter.value">
      <path value="CodeSystem.filter.value"/>
      <short value="What to use for the value"/>
      <definition
                  value="A description of what the value for the filter should be."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="CodeSystem.filter.value"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element id="CodeSystem:sdcdecodesystem.property">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Property"/>
      </extension>
      <path value="CodeSystem.property"/>
      <short value="Additional information supplied about each concept"/>
      <definition
                  value="A property defines an additional slot through which additional information can be provided about a concept."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="CodeSystem.property"/>
        <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() | (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="Element"/>
      </constraint>
      <isSummary value="true"/>
    </element>
    <element id="CodeSystem:sdcdecodesystem.property.id">
      <path value="CodeSystem.property.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition
                  value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="CodeSystem:sdcdecodesystem.property.extension">
      <path value="CodeSystem.property.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. In order 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."/>
      <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>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="CodeSystem:sdcdecodesystem.property.modifierExtension">
      <path value="CodeSystem.property.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 element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order 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."/>
      <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"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="CodeSystem:sdcdecodesystem.property.code">
      <path value="CodeSystem.property.code"/>
      <short
             value="Identifies the property on the concepts, and when referred to in operations"/>
      <definition
                  value="A code that is used to identify the property. The code is used internally (in CodeSystem.concept.property.code) and also externally, such as in property filters."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="CodeSystem.property.code"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element id="CodeSystem:sdcdecodesystem.property.uri">
      <path value="CodeSystem.property.uri"/>
      <short value="Formal identifier for the property"/>
      <definition
                  value="Reference to the formal meaning of the property. One possible source of meaning is the [Concept Properties](codesystem-concept-properties.html) code system."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CodeSystem.property.uri"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element id="CodeSystem:sdcdecodesystem.property.description">
      <path value="CodeSystem.property.description"/>
      <short value="Why the property is defined, and/or what it conveys"/>
      <definition
                  value="A description of the property- why it is defined, and how its value might be used."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CodeSystem.property.description"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element id="CodeSystem:sdcdecodesystem.property.type">
      <path value="CodeSystem.property.type"/>
      <short value="code | Coding | string | integer | boolean | dateTime"/>
      <definition
                  value="The type of the property value. Properties of type &quot;code&quot; contain a code defined by the code system (e.g. a reference to anotherr defined concept)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="CodeSystem.property.type"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="PropertyType"/>
        </extension>
        <strength value="required"/>
        <description value="The type of a property value"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/concept-property-type"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="CodeSystem:sdcdecodesystem.concept">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="ConceptDefinition"/>
      </extension>
      <path value="CodeSystem.concept"/>
      <short value="Concepts in the code system"/>
      <definition
                  value="Concepts that are in the code system. The concept definitions are inherently hierarchical, but the definitions must be consulted to determine what the meaning of the hierarchical relationships are."/>
      <comment
               value="If this is empty, it means that the code system resource does not represent the content of the code system."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="CodeSystem.concept"/>
        <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() | (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="Element"/>
      </constraint>
      <mustSupport value="true"/>
      <mapping>
        <identity value="ihesdc"/>
        <map value="list_item"/>
      </mapping>
    </element>
    <element id="CodeSystem:sdcdecodesystem.concept.id">
      <path value="CodeSystem.concept.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition
                  value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="CodeSystem:sdcdecodesystem.concept.extension">
      <path value="CodeSystem.concept.extension"/>
      <slicing id="5">
        <discriminator>
          <type value="value"/>
          <path value="url"/>
        </discriminator>
        <ordered value="false"/>
        <rules value="open"/>
      </slicing>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
    </element>
    <element
             id="CodeSystem:sdcdecodesystem.concept.extension:conceptconceptorder">
      <path value="CodeSystem.concept.extension"/>
      <sliceName value="conceptConceptOrder"/>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <comment
               value="The presence of a sort order implies that sort order is important."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder"/>
      </type>
      <condition value="ele-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression value="hasValue() | (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="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(.), &#39;value&#39;)])"/>
        <source value="Extension"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <mapping>
        <identity value="ihesdc"/>
        <map value="list_item_order"/>
      </mapping>
    </element>
    <element id="CodeSystem:sdcdecodesystem.concept.modifierExtension">
      <path value="CodeSystem.concept.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 element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order 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."/>
      <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"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="CodeSystem:sdcdecodesystem.concept.code">
      <path value="CodeSystem.concept.code"/>
      <short value="Code that identifies concept"/>
      <definition
                  value="A code - a text symbol - that uniquely identifies the concept within the code system."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="CodeSystem.concept.code"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <mustSupport value="true"/>
      <mapping>
        <identity value="ihesdc"/>
        <map value="value"/>
      </mapping>
    </element>
    <element id="CodeSystem:sdcdecodesystem.concept.display">
      <path value="CodeSystem.concept.display"/>
      <short value="Text to display to the user"/>
      <definition
                  value="A human readable string that is the recommended default way to present this concept to a user."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CodeSystem.concept.display"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mustSupport value="true"/>
      <mapping>
        <identity value="ihesdc"/>
        <map value="item_prompt"/>
      </mapping>
    </element>
    <element id="CodeSystem:sdcdecodesystem.concept.definition">
      <path value="CodeSystem.concept.definition"/>
      <short value="Formal definition"/>
      <definition
                  value="The formal definition of the concept. The code system resource does not make formal definitions required, because of the prevalence of legacy systems. However, they are highly recommended, as without them there is no formal meaning associated with the concept."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CodeSystem.concept.definition"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mustSupport value="true"/>
      <mapping>
        <identity value="ihesdc"/>
        <map value="value_meaning/label"/>
      </mapping>
    </element>
    <element id="CodeSystem:sdcdecodesystem.concept.designation">
      <path value="CodeSystem.concept.designation"/>
      <short value="Additional representations for the concept"/>
      <definition
                  value="Additional representations for the concept - other languages, aliases, specialized purposes, used for particular purposes, etc."/>
      <requirements
                    value="Many concept definition systems support multiple representations, in multiple languages, and for multiple purposes."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="CodeSystem.concept.designation"/>
        <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() | (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="Element"/>
      </constraint>
    </element>
    <element id="CodeSystem:sdcdecodesystem.concept.designation.id">
      <path value="CodeSystem.concept.designation.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition
                  value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="CodeSystem:sdcdecodesystem.concept.designation.extension">
      <path value="CodeSystem.concept.designation.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. In order 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."/>
      <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>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="CodeSystem:sdcdecodesystem.concept.designation.modifierExtension">
      <path value="CodeSystem.concept.designation.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 element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order 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."/>
      <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"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="CodeSystem:sdcdecodesystem.concept.designation.language">
      <path value="CodeSystem.concept.designation.language"/>
      <short value="Human language of the designation"/>
      <definition value="The language this designation is defined for."/>
      <comment
               value="In the absence of a language, the resource language applies."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CodeSystem.concept.designation.language"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
          <valueReference>
            <reference value="http://hl7.org/fhir/ValueSet/all-languages"/>
          </valueReference>
        </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="extensible"/>
        <description value="A human language."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/languages"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="CodeSystem:sdcdecodesystem.concept.designation.use">
      <path value="CodeSystem.concept.designation.use"/>
      <short value="Details how this designation would be used"/>
      <definition
                  value="A code that details how this designation would be used."/>
      <comment
               value="If no use is provided, the designation can be assumed to be suitable for general display to a human user."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CodeSystem.concept.designation.use"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ConceptDesignationUse"/>
        </extension>
        <strength value="extensible"/>
        <description value="Details of how a designation would be used."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/designation-use"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="CodeSystem:sdcdecodesystem.concept.designation.value">
      <path value="CodeSystem.concept.designation.value"/>
      <short value="The text value for this designation"/>
      <definition value="The text value for this designation."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="CodeSystem.concept.designation.value"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="CodeSystem:sdcdecodesystem.concept.property">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="ConceptProperty"/>
      </extension>
      <path value="CodeSystem.concept.property"/>
      <short value="Property value for the concept"/>
      <definition value="A property value for this concept."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="CodeSystem.concept.property"/>
        <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() | (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="Element"/>
      </constraint>
    </element>
    <element id="CodeSystem:sdcdecodesystem.concept.property.id">
      <path value="CodeSystem.concept.property.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition
                  value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="CodeSystem:sdcdecodesystem.concept.property.extension">
      <path value="CodeSystem.concept.property.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. In order 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."/>
      <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>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="CodeSystem:sdcdecodesystem.concept.property.modifierExtension">
      <path value="CodeSystem.concept.property.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 element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order 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."/>
      <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"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="CodeSystem:sdcdecodesystem.concept.property.code">
      <path value="CodeSystem.concept.property.code"/>
      <short value="Reference to CodeSystem.property.code"/>
      <definition
                  value="A code that is a reference to CodeSystem.property.code."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="CodeSystem.concept.property.code"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element id="CodeSystem:sdcdecodesystem.concept.property.value[x]">
      <path value="CodeSystem.concept.property.value[x]"/>
      <short value="Value of the property for this concept"/>
      <definition value="The value of this property."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="CodeSystem.concept.property.value[x]"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <type>
        <code value="Coding"/>
      </type>
      <type>
        <code value="string"/>
      </type>
      <type>
        <code value="integer"/>
      </type>
      <type>
        <code value="boolean"/>
      </type>
      <type>
        <code value="dateTime"/>
      </type>
    </element>
    <element id="CodeSystem:sdcdecodesystem.concept.concept">
      <path value="CodeSystem.concept.concept"/>
      <short value="Child Concepts (is-a/contains/categorizes)"/>
      <definition
                  value="Defines children of a concept to produce a hierarchy of concepts. The nature of the relationships is variable (is-a/contains/categorizes) - see hierarchyMeaning."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="CodeSystem.concept.concept"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <contentReference value="#CodeSystem:sdcdecodesystem.concept"/>
      <mustSupport value="true"/>
    </element>
  </snapshot>
  <differential>
    <element id="CodeSystem:sdcdecodesystem">
      <path value="CodeSystem"/>
      <sliceName value="SDCDECodeSystem"/>
      <definition
                  value="Sets expectations for SDC-conformant systems around code system support for representing permitted question answers."/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <mapping>
        <identity value="ihesdc"/>
        <map value="Form_Package//list_field"/>
      </mapping>
    </element>
    <element id="CodeSystem:sdcdecodesystem.url">
      <path value="CodeSystem.url"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
    </element>
    <element id="CodeSystem:sdcdecodesystem.identifier">
      <path value="CodeSystem.identifier"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
    </element>
    <element id="CodeSystem:sdcdecodesystem.version">
      <path value="CodeSystem.version"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
    </element>
    <element id="CodeSystem:sdcdecodesystem.name">
      <path value="CodeSystem.name"/>
      <min value="1"/>
      <max value="1"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
    </element>
    <element id="CodeSystem:sdcdecodesystem.status">
      <path value="CodeSystem.status"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
    </element>
    <element id="CodeSystem:sdcdecodesystem.experimental">
      <path value="CodeSystem.experimental"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
    </element>
    <element id="CodeSystem:sdcdecodesystem.date">
      <path value="CodeSystem.date"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
    </element>
    <element id="CodeSystem:sdcdecodesystem.publisher">
      <path value="CodeSystem.publisher"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
    </element>
    <element id="CodeSystem:sdcdecodesystem.description">
      <path value="CodeSystem.description"/>
      <min value="1"/>
      <max value="1"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
    </element>
    <element id="CodeSystem:sdcdecodesystem.useContext">
      <path value="CodeSystem.useContext"/>
      <min value="0"/>
      <max value="*"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
    </element>
    <element id="CodeSystem:sdcdecodesystem.caseSensitive">
      <path value="CodeSystem.caseSensitive"/>
      <min value="1"/>
      <max value="1"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
    </element>
    <element id="CodeSystem:sdcdecodesystem.compositional">
      <path value="CodeSystem.compositional"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
    </element>
    <element id="CodeSystem:sdcdecodesystem.versionNeeded">
      <path value="CodeSystem.versionNeeded"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
    </element>
    <element id="CodeSystem:sdcdecodesystem.content">
      <path value="CodeSystem.content"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
    </element>
    <element id="CodeSystem:sdcdecodesystem.concept">
      <path value="CodeSystem.concept"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <mapping>
        <identity value="ihesdc"/>
        <map value="list_item"/>
      </mapping>
    </element>
    <element
             id="CodeSystem:sdcdecodesystem.concept.extension:conceptconceptorder">
      <path value="CodeSystem.concept.extension"/>
      <sliceName value="conceptConceptOrder"/>
      <comment
               value="The presence of a sort order implies that sort order is important."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder"/>
      </type>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <mapping>
        <identity value="ihesdc"/>
        <map value="list_item_order"/>
      </mapping>
    </element>
    <element id="CodeSystem:sdcdecodesystem.concept.code">
      <path value="CodeSystem.concept.code"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <mapping>
        <identity value="ihesdc"/>
        <map value="value"/>
      </mapping>
    </element>
    <element id="CodeSystem:sdcdecodesystem.concept.display">
      <path value="CodeSystem.concept.display"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <mapping>
        <identity value="ihesdc"/>
        <map value="item_prompt"/>
      </mapping>
    </element>
    <element id="CodeSystem:sdcdecodesystem.concept.definition">
      <path value="CodeSystem.concept.definition"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <mapping>
        <identity value="ihesdc"/>
        <map value="value_meaning/label"/>
      </mapping>
    </element>
    <element id="CodeSystem:sdcdecodesystem.concept.concept">
      <path value="CodeSystem.concept.concept"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
    </element>
  </differential>
</StructureDefinition>