ext-R4B-ClinicalUseDefinition
type: StructureDefinition
node role: treeRoot
id:
  v: ext-R4B-ClinicalUseDefinition
text:
  status:
    v: extensions
  div: Generated Narrative: StructureDefinition ext-R4B-ClinicalUseDefinition Name Flags Card. Type Description & Constraints Extension 0..* Extension(4.0.1) A single issue - either an indication, contraindication, interaction or an undesirable effect for a medicinal product, medication, device or procedure #xD; Slices for extension 1..* Extension Extension Slice: Unordered, Closed by value:url #xD; extension:type 1..1 Extension indication | contraindication | interaction | undesirable-effect | warning #xD; url 1..1 uri "type" #xD; value[x] 0..1 code indication | contraindication | interaction | undesirable-effect | warning Binding: R4B_clinical_use_definition_type_for_R4 (0.0.1-snapshot-2) (required): Overall defining type of this clinical use definition. #xD; extension:category 0..* Extension A categorisation of the issue, primarily for dividing warnings into subject heading areas such as "Pregnancy", "Overdose" #xD; url 1..1 uri "category" #xD; value[x] 0..1 CodeableConcept A categorisation of the issue, primarily for dividing warnings into subject heading areas such as "Pregnancy", "Overdose" Binding: R4B_clinical_use_definition_category_for_R4 (0.0.1-snapshot-2) (preferred): A categorisation for a clinical use information item. #xD; extension:status 0..1 Extension Whether this is a current issue or one that has been retired etc #xD; url 1..1 uri "status" #xD; value[x] 0..1 CodeableConcept Whether this is a current issue or one that has been retired etc Binding: PublicationStatus (preferred): The lifecycle status of an artifact. #xD; extension:contraindication 0..1 Extension Specifics for when this is a contraindication #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Closed by value:url #xD; extension:diseaseSymptomProcedure 0..1 Extension The situation that is being documented as contraindicating against this item #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Closed by value:url #xD; extension:concept 0..1 Extension Referenc…
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-wg
  value: code
    v: fhir
extension:
  extension:
    url:
      v: packageId
    value: id
      v: hl7.fhir.uv.xver-r4b.r4
  extension:
    url:
      v: version
    value: string
      v: 0.0.1-snapshot-2
  url:
    v: http://hl7.org/fhir/StructureDefinition/package-source
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm
  value: integer
    v: 0
    extension:
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        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom
      value: canonical
        v: http://hl7.org/fhir/4.3/ImplementationGuide/hl7.fhir.uv.xver-r4b.r4
        link: http://hl7.org/fhir/4.3/ImplementationGuide/hl7.fhir.uv.xver-r4b.r4
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
  value: code
    v: trial-use
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom
      value: canonical
        v: http://hl7.org/fhir/4.3/ImplementationGuide/hl7.fhir.uv.xver-r4b.r4
        link: http://hl7.org/fhir/4.3/ImplementationGuide/hl7.fhir.uv.xver-r4b.r4
url:
  v: http://hl7.org/fhir/4.3/StructureDefinition/extension-ClinicalUseDefinition
version:
  v: 0.0.1-snapshot-2
name:
  v: Ext_R4B_ClinicalUseDefinition
title:
  v: Cross-version Extension for R4B.ClinicalUseDefinition for use in FHIR R4
status:
  v: active
experimental:
  v: false
date:
  v: 2025-09-01T22:36:49.769034+10:00
publisher:
  v: FHIR Infrastructure
contact:
  name:
    v: FHIR Infrastructure
  telecom:
    system:
      v: url
    value:
      v: http://www.hl7.org/Special/committees/fiwg
description:
  v: This cross-version extension represents ClinicalUseDefinition from http://hl7.org/fhir/StructureDefinition/ClinicalUseDefinition|4.3.0 for use in FHIR R4.
jurisdiction:
  coding:
    system:
      v: http://unstats.un.org/unsd/methods/m49/m49.htm
    code:
      v: 001
    display:
      v: World
fhir version:
  v: 4.0.1
mapping:
  identity:
    v: rim
  uri:
    v: http://hl7.org/v3
  name:
    v: RIM Mapping
kind:
  v: complex-type
abstract:
  v: false
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    v: element
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type:
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derivation:
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    path:
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    short:
      v: A single issue - either an indication, contraindication, interaction or an undesirable effect for a medicinal product, medication, device or procedure
    definition:
      v: This cross-version extension represents ClinicalUseDefinition from http://hl7.org/fhir/StructureDefinition/ClinicalUseDefinition|4.3.0 for use in FHIR R4.
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url
v: string

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definition:
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id:
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path:
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slice name:
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short:
  v: indication | contraindication | interaction | undesirable-effect | warning
definition:
  v: This cross-version extension represents ClinicalUseDefinition.type from http://hl7.org/fhir/StructureDefinition/ClinicalUseDefinition|4.3.0 for use in FHIR R4.
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path:
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    value: url
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  code:
    v: http://hl7.org/fhirpath/System.String
is modifier:
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mapping:
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id:
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path:
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slicing:
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    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. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  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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  expression:
    v: hasValue() or (children().count() > id.count())
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    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element|4.0.1
    link: 4.0
    link: .1
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  key:
    v: ext-1
  severity:
    v: error
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    v: Must have either extensions or value[x], not both
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    link: 4.0
    link: .1
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mapping:
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id:
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path:
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representation:
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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.
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    value: url
      v: uri
  code:
    v: http://hl7.org/fhirpath/System.String
fixed: uri
  v: type
is modifier:
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is summary:
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mapping:
  identity:
    v: rim
  map:
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id:
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path:
  v: Extension.extension.value[x]
short:
  v: indication | contraindication | interaction | undesirable-effect | warning
definition:
  v: This cross-version extension represents ClinicalUseDefinition.type from http://hl7.org/fhir/StructureDefinition/ClinicalUseDefinition|4.3.0 for use in FHIR R4.
min:
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base:
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constraint:
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    v: hasValue() or (children().count() > id.count())
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    link: .1
is modifier:
  v: false
is summary:
  v: false
binding:
  strength:
    v: required
  description:
    v: Overall defining type of this clinical use definition.
  value set:
    v: http://hl7.org/fhir/4.3/ValueSet/R4B-clinical-use-definition-type-for-R4|0.0.1-snapshot-2
    link: 4.3
    link: 0.0
    link: .1
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
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path:
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slice name:
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short:
  v: A categorisation of the issue, primarily for dividing warnings into subject heading areas such as "Pregnancy", "Overdose"
definition:
  v: A categorisation of the issue, primarily for dividing warnings into subject heading areas such as "Pregnancy and Lactation", "Overdose", "Effects on Ability to Drive and Use Machines".
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    link: 4.0
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is modifier:
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id:
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path:
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  v: Unique id for inter-element referencing
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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is modifier:
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id:
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slicing:
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    path:
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  description:
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short:
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definition:
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comment:
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  v: identifies the meaning of the extension
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comment:
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mapping:
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id:
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path:
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short:
  v: A categorisation of the issue, primarily for dividing warnings into subject heading areas such as "Pregnancy", "Overdose"
definition:
  v: A categorisation of the issue, primarily for dividing warnings into subject heading areas such as "Pregnancy and Lactation", "Overdose", "Effects on Ability to Drive and Use Machines".
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    link: 4.0
    link: .1
is modifier:
  v: false
is summary:
  v: false
binding:
  strength:
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  description:
    v: A categorisation for a clinical use information item.
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    link: .1
mapping:
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id:
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path:
  v: Extension.extension
slice name:
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short:
  v: Whether this is a current issue or one that has been retired etc
definition:
  v: This cross-version extension represents ClinicalUseDefinition.status from http://hl7.org/fhir/StructureDefinition/ClinicalUseDefinition|4.3.0 for use in FHIR R4.
min:
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base:
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type:
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constraint:
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constraint:
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    link: .1
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is summary:
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id:
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path:
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representation:
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short:
  v: Unique id for inter-element referencing
definition:
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min:
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max:
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base:
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type:
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    value: url
      v: string
  code:
    v: http://hl7.org/fhirpath/System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Extension.extension:status.extension
path:
  v: 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. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  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
  max:
    v: *
type:
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constraint:
  key:
    v: ele-1
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    v: error
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    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element|4.0.1
    link: 4.0
    link: .1
constraint:
  key:
    v: ext-1
  severity:
    v: error
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    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
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    link: .1
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  map:
    v: n/a

id:
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path:
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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:
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    v: 1
  max:
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    value: url
      v: uri
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    v: http://hl7.org/fhirpath/System.String
fixed: uri
  v: status
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
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path:
  v: Extension.extension.value[x]
short:
  v: Whether this is a current issue or one that has been retired etc
definition:
  v: This cross-version extension represents ClinicalUseDefinition.status from http://hl7.org/fhir/StructureDefinition/ClinicalUseDefinition|4.3.0 for use in FHIR R4.
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  v: 0
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  v: 1
base:
  path:
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    v: 0
  max:
    v: 1
type:
  code:
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constraint:
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    v: ele-1
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    v: error
  human:
    v: All FHIR elements must have a @value or children
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    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
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    v: http://hl7.org/fhir/StructureDefinition/Element|4.0.1
    link: 4.0
    link: .1
is modifier:
  v: false
is summary:
  v: false
binding:
  strength:
    v: preferred
  description:
    v: The lifecycle status of an artifact.
  value set:
    v: http://hl7.org/fhir/ValueSet/publication-status|4.0.1
    link: 4.0
    link: .1
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Extension.extension:contraindication
path:
  v: Extension.extension
slice name:
  v: contraindication
short:
  v: Specifics for when this is a contraindication
definition:
  v: This cross-version extension represents ClinicalUseDefinition.contraindication from http://hl7.org/fhir/StructureDefinition/ClinicalUseDefinition|4.3.0 for use in FHIR R4.
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base:
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    link: 4.0
    link: .1
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    v: ext-1
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    v: error
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    v: Must have either extensions or value[x], not both
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id:
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  v: Unique id for inter-element referencing
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  v: 0
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    v: http://hl7.org/fhirpath/System.String
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    v: http://hl7.org/fhir/StructureDefinition/Element|4.0.1
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    v: Must have either extensions or value[x], not both
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  v: false

id:
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path:
  v: Extension.extension.extension
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short:
  v: The situation that is being documented as contraindicating against this item
definition:
  v: This cross-version extension represents ClinicalUseDefinition.contraindication.diseaseSymptomProcedure from http://hl7.org/fhir/StructureDefinition/ClinicalUseDefinition|4.3.0 for use in FHIR R4.
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    v: 0
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    v: hasValue() or (children().count() > id.count())
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    v: http://hl7.org/fhir/StructureDefinition/Element|4.0.1
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  key:
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    v: Must have either extensions or value[x], not both
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id:
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  v: Unique id for inter-element referencing
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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: 0
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  v: false
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  identity:
    v: rim
  map:
    v: n/a

id:
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  v: Extension.extension.extension.extension
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      v: value
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      v: url
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    v: Extensions are always sliced by (at least) url
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    v: closed
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  v: Extension
definition:
  v: An Extension
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  v: 0
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    v: Must have either extensions or value[x], not both
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id:
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path:
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slice name:
  v: concept
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.
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  v: 0
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representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
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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: 1
base:
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    v: http://hl7.org/fhirpath/System.String
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    v: Extensions are always sliced by (at least) url
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  v: Additional content defined by implementations
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  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  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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  v: 0
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  v: *
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    v: 0
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    v: *
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    v: All FHIR elements must have a @value or children
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    v: hasValue() or (children().count() > id.count())
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    v: http://hl7.org/fhir/StructureDefinition/Element|4.0.1
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constraint:
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    v: ext-1
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    v: error
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    v: Must have either extensions or value[x], not both
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id:
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path:
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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.
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type:
  extension:
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    v: http://hl7.org/fhirpath/System.String
fixed: uri
  v: concept
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
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path:
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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.
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  v: 1
base:
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    v: 0
  max:
    v: 1
type:
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    v: ele-1
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    v: error
  human:
    v: All FHIR elements must have a @value or children
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is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
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path:
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short:
  v: Reference to a resource (by instance)
definition:
  v: A reference to a resource the provides exact details about the information being referenced.
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  v: 0
max:
  v: 1
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    v: Element.extension
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    v: *
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constraint:
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    v: ext-1
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    v: Must have either extensions or value[x], not both
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id:
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path:
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  v: xmlAttr
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  v: Unique id for inter-element referencing
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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max:
  v: 1
base:
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    v: 1
type:
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    v: http://hl7.org/fhirpath/System.String
is modifier:
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id:
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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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    v: Must have either extensions or value[x], not both
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short:
  v: identifies the meaning of the extension
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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.
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type:
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  v: xmlAttr
short:
  v: Unique id for inter-element referencing
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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path:
  v: Extension.extension.extension.extension.extension
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  discriminator:
    type:
      v: value
    path:
      v: url
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    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. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  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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alias:
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  v: 0
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  v: *
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    v: hasValue() or (children().count() > id.count())
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    v: http://hl7.org/fhir/StructureDefinition/Element|4.0.1
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    v: Must have either extensions or value[x], not both
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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.
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.
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  v: reference
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  v: Reference to a resource (by instance)
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  v: Unique id for inter-element referencing
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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.
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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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short:
  v: Value of extension
definition:
  v: Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R5/extensibility.html) for a list).
comment:
  v: Must be: CodeableReference
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    v: All FHIR elements must have a @value or children
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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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  v: Value of extension
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  v: Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).
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    v: boolean
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type:
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id:
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path:
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slice name:
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short:
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id:
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path:
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  v: Unique id for inter-element referencing
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definition:
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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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id:
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short:
  v: identifies the meaning of the extension
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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.
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      v: uri
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  v: indication
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is summary:
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  map:
    v: N/A

id:
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path:
  v: Extension.extension.extension.value[x]
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  v: The indication which this is a contraidication for
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    v: All FHIR elements must have a @value or children
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    v: hasValue() or (children().count() > id.count())
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    link: 4.0
    link: .1
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mapping:
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  map:
    v: N/A

id:
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  v: Information about use of the product in relation to other therapies described as part of the contraindication
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  v: Information about the use of the medicinal product in relation to other therapies described as part of the contraindication.
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    link: 4.0
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  v: Unique id for inter-element referencing
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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: http://hl7.org/fhirpath/System.String
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  v: Extension
definition:
  v: An Extension
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  v: 2
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    v: 0
  max:
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    v: ele-1
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    v: hasValue() or (children().count() > id.count())
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id:
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  v: The type of relationship between the product indication/contraindication and another therapy
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  v: The type of relationship between the medicinal product indication or contraindication and another therapy.
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    v: hasValue() or (children().count() > id.count())
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  v: false
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  v: false

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  v: xmlAttr
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  v: Unique id for inter-element referencing
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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: 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. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  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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    v: ext-1
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id:
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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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  identity:
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id:
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path:
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  v: The type of relationship between the product indication/contraindication and another therapy
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    v: All FHIR elements must have a @value or children
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    v: hasValue() or (children().count() > id.count())
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    link: 4.3
    link: 0.0
    link: .1
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    v: rim
  map:
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id:
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path:
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  v: Reference to a specific medication as part of an indication or contraindication
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  v: Reference to a specific medication (active substance, medicinal product or class of products) as part of an indication or contraindication.
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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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id:
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  code:
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  code:
    v: TriggerDefinition
type:
  code:
    v: UsageContext
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  code:
    v: Dosage
type:
  code:
    v: Meta
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  key:
    v: ele-1
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    v: error
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    v: All FHIR elements must have a @value or children
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    v: hasValue() or (children().count() > id.count())
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    v: http://hl7.org/fhir/StructureDefinition/Element|4.0.1
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id:
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path:
  v: Extension.extension
slice name:
  v: indication
short:
  v: Specifics for when this is an indication
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id:
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  v: Unique id for inter-element referencing
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  v: The situation that is being documented as an indicaton for this item
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  v: Reference to a concept (by class)
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  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.
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  v: Unique id for inter-element referencing
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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: Additional content defined by implementations
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  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
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  v: 0
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  v: *
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    v: 0
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id:
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  v: identifies the meaning of the extension
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  v: concept
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  v: false
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  v: Reference to a resource (by instance)
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  v: Unique id for inter-element referencing
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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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definition:
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    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
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    v: http://hl7.org/fhir/StructureDefinition/Element|4.0.1
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  key:
    v: ext-1
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    v: Must have either extensions or value[x], not both
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representation:
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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
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  path:
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    v: 1
  max:
    v: 1
type:
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      v: uri
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  v: http://hl7.org/fhir/StructureDefinition/_datatype
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path:
  v: Extension.extension.extension.extension.value[x]
short:
  v: Value of extension
definition:
  v: Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R5/extensibility.html) for a list).
comment:
  v: Must be: CodeableReference
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  v: 1
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  v: 1
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    v: 0
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fixed: string
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    v: All FHIR elements must have a @value or children
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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.
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.
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  v: 1
base:
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    v: 1
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  v: Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).
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    v: boolean
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    v: UsageContext
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    v: Dosage
type:
  code:
    v: Meta
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  key:
    v: ele-1
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    v: All FHIR elements must have a @value or children
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id:
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  v: The status of the disease or symptom for the indication
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    v: http://hl7.org/fhir/StructureDefinition/Element|4.0.1
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definition:
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  v: 0
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    v: 0
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path:
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slice name:
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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.
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  v: 0
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id:
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  v: Unique id for inter-element referencing
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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: 0
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base:
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definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  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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id:
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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:
  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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  v: concept
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id:
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path:
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    v: 1
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    v: ele-1
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id:
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  v: Reference to a resource (by instance)
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id:
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  v: Unique id for inter-element referencing
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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max:
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base:
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    v: 1
type:
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