ext-R4B-ClinicalUseDefinition.contraindication
type: StructureDefinition
node role: treeRoot
id:
  v: ext-R4B-ClinicalUseDefinition.contraindication
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: StructureDefinition ext-R4B-ClinicalUseDefinition.contraindication Name Flags Card. Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> Extension 0..1 Extension R4B: Specifics for when this is a contraindication (new) #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:diseaseSymptomProcedure 0..1 Extension R4B: The situation that is being documented as contraindicating against this item (new) #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:_datatype 1..1 Extension DataType slice for a FHIR R4B `CodeableReference` value #xD; url 1..1 uri "http://hl7.org/fhir/StructureDefinition/_datatype" #xD; value[x] 1..1 string Value of extension Fixed Value: CodeableReference #xD; extension:concept 0..1 Extension R4B: Reference to a concept (by class) #xD; url 1..1 uri "concept" #xD; value[x] 0..1 CodeableConcept Reference to a concept (by class) #xD; extension:reference 0..1 Extension R4B: Reference to a resource (by instance) #xD; url 1..1 uri "reference" #xD; value[x] 0..1 Reference(Cross-version Profile for R4B.ObservationDefinition for use in FHIR STU3(0.1.0) | Basic) Reference to a resource (by instance) #xD; url 1..1 uri "diseaseSymptomProcedure" #xD; value[x] 0..0 Value of extension #xD; extension:diseaseStatus 0..1 Extension R4B: The status of the disease or symptom for the contraindication (new) #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:_datatype 1..1 Extension DataType slice for a FHIR R4B `CodeableReference` value #xD; url 1..1 uri "http://hl7.org/fhir/StructureDefinition/_datatype" #xD; value[x] 1..1 string Value of extension Fixed Value: CodeableReference #xD; extension:concept 0..1 Extension R4B: Reference to a concept (by class) #xD; url 1..1 uri "concept" #xD; value[x] 0..1 CodeableConcept Reference to a concept (by class) #xD; extensio…
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-wg
    l: structuredefinition-wg
  value: Code
    v: fhir
extension:
  extension:
    url:
      v: packageId
      l: packageId
    value: Id
      v: hl7.fhir.uv.xver-r4b.r3
  extension:
    url:
      v: version
      l: version
    value: String
      v: 0.1.0
  extension:
    url:
      v: uri
      l: uri
    value: Uri
      v: http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4b.r3
      l: hl7.fhir.uv.xver-r4b.r3
  url:
    v: http://hl7.org/fhir/StructureDefinition/package-source
    l: package-source
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm
    l: structuredefinition-fmm
  value: Integer
    v: 0
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom
        l: structuredefinition-conformance-derivedFrom
      value: Uri
        v: http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4b.r3
        l: hl7.fhir.uv.xver-r4b.r3
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: trial-use
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom
        l: structuredefinition-conformance-derivedFrom
      value: Uri
        v: http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4b.r3
        l: hl7.fhir.uv.xver-r4b.r3
url:
  v: http://hl7.org/fhir/4.3/StructureDefinition/extension-ClinicalUseDefinition.contraindication
  l: extension-ClinicalUseDefinition.contraindication
version:
  v: 0.1.0
name:
  v: ExtensionClinicalUseDefinition_Contraindication
title:
  v: R4B: Specifics for when this is a contraindication (new)
status:
  v: active
experimental:
  v: false
date:
  v: 2026-03-17T21:02:03.8104715+00:00
publisher:
  v: FHIR Infrastructure
contact:
  name:
    v: FHIR Infrastructure
  telecom:
    system:
      v: url
    value:
      v: http://www.hl7.org/Special/committees/fiwg
description:
  v: R4B: `ClinicalUseDefinition.contraindication` (new:BackboneElement)
jurisdiction:
  coding:
    system:
      v: http://unstats.un.org/unsd/methods/m49/m49.htm
      l: m49.htm
    code:
      v: 001
    display:
      v: World
purpose:
  v: This extension is part of the cross-version definitions generated to enable use of the element `ClinicalUseDefinition.contraindication` as defined in FHIR R4B in FHIR STU3. The source element is defined as: `ClinicalUseDefinition.contraindication` 0..1 `BackboneElement` Across FHIR versions, the element set has been mapped as: * R4B `ClinicalUseDefinition.contraindication` 0..1 `BackboneElement` Following are the generation technical comments: Element `ClinicalUseDefinition.contraindication` is not mapped to FHIR STU3, since FHIR R4B `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
fhir version:
  v: 3.0.2
mapping:
  identity:
    v: rim
  uri:
    v: http://hl7.org/v3
    l: v3
  name:
    v: RIM Mapping
kind:
  v: complex-type
abstract:
  v: false
context type:
  v: resource
context:
  v: Basic
type:
  v: Extension
base definition:
  v: http://hl7.org/fhir/StructureDefinition/Extension
  l: Extension
derivation:
  v: constraint
snapshot:
  element:
    id:
      v: Extension
    path:
      v: Extension
    short:
      v: R4B: Specifics for when this is a contraindication (new)
    definition:
      v: R4B: `ClinicalUseDefinition.contraindication` (new:BackboneElement)
    comment:
      v: Element `ClinicalUseDefinition.contraindication` is not mapped to FHIR STU3, since FHIR R4B `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
    min:
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    max:
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    base:
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      min:
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      max:
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    condition:
      v: ele-1
    constraint:
      key:
        v: ele-1
      severity:
        v: error
      human:
        v: All FHIR elements must have a @value or children
      expression:
        v: hasValue() | (children().count() > id.count())
      xpath:
        v: @value|f:*|h:div
      source:
        v: http://hl7.org/fhir/StructureDefinition/Element
        l: Element
    constraint:
      key:
        v: ext-1
      severity:
        v: error
      human:
        v: Must have either extensions or value[x], not both
      expression:
        v: extension.exists() != value.exists()
      xpath:
        v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
      source:
        v: http://hl7.org/fhir/StructureDefinition/Extension
        l: Extension
    is modifier:
      v: false
  element:
    id:
      v: Extension.id
    path:
      v: Extension.id
    representation:
      v: xmlAttr
    short:
      v: xml:id (or equivalent in JSON)
    definition:
      v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
    min:
      v: 0
    max:
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    base:
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code:
  v: string
  l: string

identity:
  v: rim
map:
  v: n/a

id:
  v: Extension.extension
path:
  v: Extension.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  ordered:
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  rules:
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short:
  v: Extension
definition:
  v: An Extension
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base:
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type:
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    l: Extension

id:
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path:
  v: Extension.extension
slice name:
  v: diseaseSymptomProcedure
short:
  v: R4B: The situation that is being documented as contraindicating against this item (new)
definition:
  v: R4B: `ClinicalUseDefinition.contraindication.diseaseSymptomProcedure` (new:CodeableReference(ObservationDefinition))
comment:
  v: Element `ClinicalUseDefinition.contraindication.diseaseSymptomProcedure` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication` requires a cross-version extension. Element `ClinicalUseDefinition.contraindication.diseaseSymptomProcedure` is not mapped to FHIR STU3, since FHIR R4B `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication.diseaseSymptomProcedure` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
requirements:
  v: Element `ClinicalUseDefinition.contraindication.diseaseSymptomProcedure` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication` requires a cross-version extension. Element `ClinicalUseDefinition.contraindication.diseaseSymptomProcedure` is not mapped to FHIR STU3, since FHIR R4B `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication.diseaseSymptomProcedure` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
min:
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max:
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base:
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type:
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    l: Extension

id:
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path:
  v: Extension.extension.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
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base:
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type:
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    l: string
mapping:
  identity:
    v: rim
  map:
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id:
  v: Extension.extension:diseaseSymptomProcedure.extension
path:
  v: Extension.extension.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  ordered:
    v: false
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 0
max:
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type:
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    l: Extension

id:
  v: Extension.extension:diseaseSymptomProcedure.extension:_datatype
path:
  v: Extension.extension.extension
slice name:
  v: _datatype
short:
  v: DataType slice for a FHIR R4B `CodeableReference` value
definition:
  v: Slice to indicate the presence of a R4B `CodeableReference` in FHIR STU3
min:
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max:
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base:
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id:
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path:
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representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
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type:
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mapping:
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id:
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path:
  v: Extension.extension.extension.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional Content defined by implementations
definition:
  v: 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:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
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    l: Extension
mapping:
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id:
  v: Extension.extension:diseaseSymptomProcedure.extension:_datatype.url
path:
  v: Extension.extension.extension.url
representation:
  v: xmlAttr
short:
  v: identifies the meaning of the extension
definition:
  v: Source of the definition for the extension code - a logical name or a URL.
comment:
  v: The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
min:
  v: 1
max:
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base:
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    v: Extension.url
  min:
    v: 1
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type:
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    v: uri
    l: uri
fixed: Uri
  v: http://hl7.org/fhir/StructureDefinition/_datatype
  l: datatype
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Extension.extension:diseaseSymptomProcedure.extension:_datatype.value[x]
path:
  v: Extension.extension.extension.value[x]
short:
  v: Value of extension
definition:
  v: Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).
comment:
  v: Must be: CodeableReference
min:
  v: 1
max:
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base:
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type:
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    l: string
fixed: String
  v: CodeableReference
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Extension.extension:diseaseSymptomProcedure.extension:concept
path:
  v: Extension.extension.extension
slice name:
  v: concept
short:
  v: R4B: Reference to a concept (by class)
definition:
  v: R4B: `CodeableReference.concept`
comment:
  v: Element `CodeableReference.concept` is mapped to FHIR STU3 element `CodeableConcept` as `Equivalent`.
requirements:
  v: Element `CodeableReference.concept` is mapped to FHIR STU3 element `CodeableConcept` as `Equivalent`.
min:
  v: 0
max:
  v: 1
base:
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type:
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    l: Extension

id:
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path:
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representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
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type:
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    v: string
    l: string
mapping:
  identity:
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  map:
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id:
  v: Extension.extension:diseaseSymptomProcedure.extension:concept.extension
path:
  v: Extension.extension.extension.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional Content defined by implementations
definition:
  v: 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:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
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max:
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base:
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type:
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    l: Extension
mapping:
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id:
  v: Extension.extension:diseaseSymptomProcedure.extension:concept.url
path:
  v: Extension.extension.extension.url
representation:
  v: xmlAttr
short:
  v: identifies the meaning of the extension
definition:
  v: Source of the definition for the extension code - a logical name or a URL.
comment:
  v: The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
min:
  v: 1
max:
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base:
  path:
    v: Extension.url
  min:
    v: 1
  max:
    v: 1
type:
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    v: uri
    l: uri
fixed: Uri
  v: concept
  l: concept
mapping:
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    v: rim
  map:
    v: N/A

id:
  v: Extension.extension:diseaseSymptomProcedure.extension:concept.value[x]
path:
  v: Extension.extension.extension.value[x]
short:
  v: Reference to a concept (by class)
definition:
  v: A reference to a concept - e.g. the information is identified by its general class to the degree of precision found in the terminology.
min:
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max:
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base:
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type:
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    l: CodeableConcept
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Extension.extension:diseaseSymptomProcedure.extension:reference
path:
  v: Extension.extension.extension
slice name:
  v: reference
short:
  v: R4B: Reference to a resource (by instance)
definition:
  v: R4B: `CodeableReference.reference`
comment:
  v: Element `CodeableReference.reference` is mapped to FHIR STU3 element `Reference` as `Equivalent`.
requirements:
  v: Element `CodeableReference.reference` is mapped to FHIR STU3 element `Reference` as `Equivalent`.
min:
  v: 0
max:
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base:
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type:
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id:
  v: Extension.extension:diseaseSymptomProcedure.extension:reference.id
path:
  v: Extension.extension.extension.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
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    v: string
    l: string
mapping:
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  map:
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id:
  v: Extension.extension:diseaseSymptomProcedure.extension:reference.extension
path:
  v: Extension.extension.extension.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional Content defined by implementations
definition:
  v: 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:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
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    v: 0
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type:
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mapping:
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id:
  v: Extension.extension:diseaseSymptomProcedure.extension:reference.url
path:
  v: Extension.extension.extension.url
representation:
  v: xmlAttr
short:
  v: identifies the meaning of the extension
definition:
  v: Source of the definition for the extension code - a logical name or a URL.
comment:
  v: The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Extension.url
  min:
    v: 1
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    v: 1
type:
  code:
    v: uri
    l: uri
fixed: Uri
  v: reference
  l: reference
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Extension.extension:diseaseSymptomProcedure.extension:reference.value[x]
path:
  v: Extension.extension.extension.value[x]
short:
  v: Reference to a resource (by instance)
definition:
  v: A reference to a resource the provides exact details about the information being referenced.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Extension.value[x]
  min:
    v: 0
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    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/4.3/StructureDefinition/profile-ObservationDefinition|0.1.0
    l: http://hl7.org/fhir/4.3/StructureDefinition/profile-ObservationDefinition
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Basic
    l: Basic
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Extension.extension:diseaseSymptomProcedure.url
path:
  v: Extension.extension.url
representation:
  v: xmlAttr
short:
  v: identifies the meaning of the extension
definition:
  v: Source of the definition for the extension code - a logical name or a URL.
comment:
  v: The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Extension.url
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
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requirements:
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id:
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comment:
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requirements:
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  v: Additional Content defined by implementations
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comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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comment:
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  v: xmlAttr
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  v: identifies the meaning of the extension
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  v: Source of the definition for the extension code - a logical name or a URL.
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  v: R4B: Reference to a resource (by instance)
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  v: Element `CodeableReference.reference` is mapped to FHIR STU3 element `Reference` as `Equivalent`.
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  v: Element `CodeableReference.reference` is mapped to FHIR STU3 element `Reference` as `Equivalent`.
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  v: xml:id (or equivalent in JSON)
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  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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  v: identifies the meaning of the extension
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  v: Source of the definition for the extension code - a logical name or a URL.
comment:
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id:
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  v: xmlAttr
short:
  v: identifies the meaning of the extension
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  v: Source of the definition for the extension code - a logical name or a URL.
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  v: The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
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id:
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  v: Value of extension
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  v: Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).
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comment:
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requirements:
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comment:
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  v: xmlAttr
short:
  v: identifies the meaning of the extension
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  v: Source of the definition for the extension code - a logical name or a URL.
comment:
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id:
  v: Extension.extension:indication.value[x]
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mapping:
  identity:
    v: rim
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    v: N/A

id:
  v: Extension.extension:otherTherapy
path:
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slice name:
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short:
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definition:
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comment:
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requirements:
  v: Element `ClinicalUseDefinition.contraindication.otherTherapy` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication` requires a cross-version extension. Element `ClinicalUseDefinition.contraindication.otherTherapy` is not mapped to FHIR STU3, since FHIR R4B `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication.otherTherapy` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). Creating extension because element `ClinicalUseDefinition.contraindication.otherTherapy` is a content reference and requires an extesion definition.
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id:
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path:
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  v: xmlAttr
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  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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id:
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      v: url
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    v: Extensions are always sliced by (at least) url
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    v: open
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  v: Extension
definition:
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  v: 2
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id:
  v: Extension.extension:otherTherapy.extension:relationshipType
path:
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slice name:
  v: relationshipType
short:
  v: R4B: The type of relationship between the product indication/contraindication and another therapy (new)
definition:
  v: R4B: `ClinicalUseDefinition.contraindication.otherTherapy.relationshipType` (new:CodeableConcept)
comment:
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requirements:
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id:
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Uri
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