FHIR Cross-Version Extensions package for FHIR R4 from FHIR R5
0.0.1-snapshot-2 - informative International flag

FHIR Cross-Version Extensions package for FHIR R4 from FHIR R5 - Version 0.0.1-snapshot-2. See the Directory of published versions

Extension: Ext_R5_Ingredient - Detailed Descriptions

Page standards status: Informative Maturity Level: 0

Definitions for the ext-R5-Ingredient extension.

Guidance on how to interpret the contents of this table can be foundhere

0. Extension
Definition

This cross-version extension represents Ingredient from http://hl7.org/fhir/StructureDefinition/Ingredient|5.0.0 for use in FHIR R4.

ShortAn ingredient of a manufactured item or pharmaceutical product
Control0..*
2. Extension.extension
Control3..*
SlicingThis element introduces a set of slices on Extension.extension. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
  • value @ url
  • 4. Extension.extension:status
    Slice Namestatus
    Definition

    The status of this ingredient. Enables tracking the life-cycle of the content.

    Shortdraft | active | retired | unknown
    Control1..1
    6. Extension.extension:status.url
    Control1..1
    Fixed Valuestatus
    8. Extension.extension:status.value[x]
    Definition

    The status of this ingredient. Enables tracking the life-cycle of the content.

    Shortdraft | active | retired | unknown
    BindingThe codes SHALL be taken from R5_publication_status_for_R4 (0.0.1-snapshot-2)
    (required to http://hl7.org/fhir/5.0/ValueSet/R5-publication-status-for-R4|0.0.1-snapshot-2)

    The lifecycle status of an artifact.

    Typecode
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    10. Extension.extension:for
    Slice Namefor
    Definition

    This cross-version extension represents Ingredient.for from http://hl7.org/fhir/StructureDefinition/Ingredient|5.0.0 for use in FHIR R4.

    ShortThe product which this ingredient is a constituent part of
    Control0..*
    12. Extension.extension:for.url
    Control1..1
    Fixed Valuefor
    14. Extension.extension:for.value[x]
    Definition

    This cross-version extension represents Ingredient.for from http://hl7.org/fhir/StructureDefinition/Ingredient|5.0.0 for use in FHIR R4.

    ShortThe product which this ingredient is a constituent part of
    TypeReference
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    16. Extension.extension:role
    Slice Namerole
    Definition

    A classification of the ingredient identifying its purpose within the product, e.g. active, inactive.

    ShortPurpose of the ingredient within the product, e.g. active, inactive
    Control1..1
    18. Extension.extension:role.url
    Control1..1
    Fixed Valuerole
    20. Extension.extension:role.value[x]
    Definition

    A classification of the ingredient identifying its purpose within the product, e.g. active, inactive.

    ShortPurpose of the ingredient within the product, e.g. active, inactive
    BindingFor example codes, see R5_ingredient_role_for_R4 (0.0.1-snapshot-2)
    (example to http://hl7.org/fhir/5.0/ValueSet/R5-ingredient-role-for-R4|0.0.1-snapshot-2)

    A classification of the ingredient identifying its purpose within the product, e.g. active, inactive.

    TypeCodeableConcept
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    22. Extension.extension:function
    Slice Namefunction
    Definition

    A classification of the ingredient identifying its precise purpose(s) in the drug product. This extends the Ingredient.role to add more detail. Example: antioxidant, alkalizing agent.

    ShortPrecise action within the drug product, e.g. antioxidant, alkalizing agent
    Control0..*
    24. Extension.extension:function.url
    Control1..1
    Fixed Valuefunction
    26. Extension.extension:function.value[x]
    Definition

    A classification of the ingredient identifying its precise purpose(s) in the drug product. This extends the Ingredient.role to add more detail. Example: antioxidant, alkalizing agent.

    ShortPrecise action within the drug product, e.g. antioxidant, alkalizing agent
    BindingFor example codes, see R5_ingredient_function_for_R4 (0.0.1-snapshot-2)
    (example to http://hl7.org/fhir/5.0/ValueSet/R5-ingredient-function-for-R4|0.0.1-snapshot-2)

    A classification of the ingredient identifying its precise purpose(s) in the drug product (beyond e.g. active/inactive).

    TypeCodeableConcept
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    28. Extension.extension:group
    Slice Namegroup
    Definition

    This cross-version extension represents Ingredient.group from http://hl7.org/fhir/StructureDefinition/Ingredient|5.0.0 for use in FHIR R4.

    ShortA classification of the ingredient according to where in the physical item it tends to be used, such the outer shell of a tablet, inner body or ink
    Control0..1
    30. Extension.extension:group.url
    Control1..1
    Fixed Valuegroup
    32. Extension.extension:group.value[x]
    Definition

    This cross-version extension represents Ingredient.group from http://hl7.org/fhir/StructureDefinition/Ingredient|5.0.0 for use in FHIR R4.

    ShortA classification of the ingredient according to where in the physical item it tends to be used, such the outer shell of a tablet, inner body or ink
    TypeCodeableConcept
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    34. Extension.extension:allergenicIndicator
    Slice NameallergenicIndicator
    Definition

    If the ingredient is a known or suspected allergen. Note that this is a property of the substance, so if a reference to a SubstanceDefinition is used to decribe that (rather than just a code), the allergen information should go there, not here.

    ShortIf the ingredient is a known or suspected allergen
    Control0..1
    36. Extension.extension:allergenicIndicator.url
    Control1..1
    Fixed ValueallergenicIndicator
    38. Extension.extension:allergenicIndicator.value[x]
    Definition

    If the ingredient is a known or suspected allergen. Note that this is a property of the substance, so if a reference to a SubstanceDefinition is used to decribe that (rather than just a code), the allergen information should go there, not here.

    ShortIf the ingredient is a known or suspected allergen
    Typeboolean
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    40. Extension.extension:comment
    Slice Namecomment
    Definition

    This cross-version extension represents Ingredient.comment from http://hl7.org/fhir/StructureDefinition/Ingredient|5.0.0 for use in FHIR R4.

    ShortA place for providing any notes that are relevant to the component, e.g. removed during process, adjusted for loss on drying
    Control0..1
    42. Extension.extension:comment.url
    Control1..1
    Fixed Valuecomment
    44. Extension.extension:comment.value[x]
    Definition

    This cross-version extension represents Ingredient.comment from http://hl7.org/fhir/StructureDefinition/Ingredient|5.0.0 for use in FHIR R4.

    ShortA place for providing any notes that are relevant to the component, e.g. removed during process, adjusted for loss on drying
    Typemarkdown
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    46. Extension.extension:manufacturer
    Slice Namemanufacturer
    Definition

    The organization(s) that manufacture this ingredient. Can be used to indicate: 1) Organizations we are aware of that manufacture this ingredient 2) Specific Manufacturer(s) currently being used 3) Set of organisations allowed to manufacture this ingredient for this product Users must be clear on the application of context relevant to their use case.

    ShortAn organization that manufactures this ingredient
    Control0..*
    48. Extension.extension:manufacturer.extension
    Control1..*
    SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
    • value @ url
    • 50. Extension.extension:manufacturer.extension:role
      Slice Namerole
      Definition

      The way in which this manufacturer is associated with the ingredient. For example whether it is a possible one (others allowed), or an exclusive authorized one for this ingredient. Note that this is not the manufacturing process role.

      Shortallowed | possible | actual
      Control0..1
      52. Extension.extension:manufacturer.extension:role.url
      Control1..1
      Fixed Valuerole
      54. Extension.extension:manufacturer.extension:role.value[x]
      Definition

      The way in which this manufacturer is associated with the ingredient. For example whether it is a possible one (others allowed), or an exclusive authorized one for this ingredient. Note that this is not the manufacturing process role.

      Shortallowed | possible | actual
      BindingThe codes SHALL be taken from R5_ingredient_manufacturer_role_for_R4 (0.0.1-snapshot-2)
      (required to http://hl7.org/fhir/5.0/ValueSet/R5-ingredient-manufacturer-role-for-R4|0.0.1-snapshot-2)

      The way in which this manufacturer is associated with the ingredient.

      Typecode
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      56. Extension.extension:manufacturer.extension:manufacturer
      Slice Namemanufacturer
      Definition

      This cross-version extension represents Ingredient.manufacturer.manufacturer from http://hl7.org/fhir/StructureDefinition/Ingredient|5.0.0 for use in FHIR R4.

      ShortAn organization that manufactures this ingredient
      Control1..1
      58. Extension.extension:manufacturer.extension:manufacturer.url
      Control1..1
      Fixed Valuemanufacturer
      60. Extension.extension:manufacturer.extension:manufacturer.value[x]
      Definition

      This cross-version extension represents Ingredient.manufacturer.manufacturer from http://hl7.org/fhir/StructureDefinition/Ingredient|5.0.0 for use in FHIR R4.

      ShortAn organization that manufactures this ingredient
      TypeReference
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      62. Extension.extension:manufacturer.url
      Control1..1
      Fixed Valuemanufacturer
      64. Extension.extension:substance
      Slice Namesubstance
      Definition

      This cross-version extension represents Ingredient.substance from http://hl7.org/fhir/StructureDefinition/Ingredient|5.0.0 for use in FHIR R4.

      ShortThe substance that comprises this ingredient
      Control1..1
      66. Extension.extension:substance.extension
      Control1..*
      SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
      • value @ url
      • 68. Extension.extension:substance.extension:code
        Slice Namecode
        Definition

        A code or full resource that represents the ingredient's substance.

        ShortA code or full resource that represents the ingredient substance
        Control1..1
        70. Extension.extension:substance.extension:code.extension
        Control0..*
        SlicingThis element introduces a set of slices on Extension.extension.extension.extension. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
        • value @ url
        • 72. Extension.extension:substance.extension:code.extension:concept
          Slice Nameconcept
          Definition

          A reference to a concept - e.g. the information is identified by its general class to the degree of precision found in the terminology.

          ShortReference to a concept (by class)
          Control0..1
          74. Extension.extension:substance.extension:code.extension:concept.url
          Control1..1
          Fixed Valueconcept
          76. Extension.extension:substance.extension:code.extension:concept.value[x]
          Definition

          A reference to a concept - e.g. the information is identified by its general class to the degree of precision found in the terminology.

          ShortReference to a concept (by class)
          TypeCodeableConcept
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          78. Extension.extension:substance.extension:code.extension:reference
          Slice Namereference
          Definition

          A reference to a resource the provides exact details about the information being referenced.

          ShortReference to a resource (by instance)
          Control0..1
          80. Extension.extension:substance.extension:code.extension:reference.url
          Control1..1
          Fixed Valuereference
          82. Extension.extension:substance.extension:code.extension:reference.value[x]
          Definition

          A reference to a resource the provides exact details about the information being referenced.

          ShortReference to a resource (by instance)
          TypeReference
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          84. Extension.extension:substance.extension:code.extension:_datatype
          Slice Name_datatype
          Definition

          Data type name for Ingredient.substance.code from FHIR R5

          ShortData type name for Ingredient.substance.code from FHIR R5
          Control0..1
          TypeExtension(Datatype) (Extension Type: string)
          86. Extension.extension:substance.extension:code.extension:_datatype.value[x]
          Comments

          Must be: CodeableReference

          Control1..1
          Typestring
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Fixed ValueCodeableReference
          88. Extension.extension:substance.extension:code.url
          Control1..1
          Fixed Valuecode
          90. Extension.extension:substance.extension:strength
          Slice Namestrength
          Definition

          The quantity of substance in the unit of presentation, or in the volume (or mass) of the single pharmaceutical product or manufactured item. The allowed repetitions do not represent different strengths, but are different representations - mathematically equivalent - of a single strength.

          ShortThe quantity of substance, per presentation, or per volume or mass, and type of quantity
          Control0..*
          92. Extension.extension:substance.extension:strength.extension
          Control0..*
          SlicingThis element introduces a set of slices on Extension.extension.extension.extension. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
          • value @ url
          • 94. Extension.extension:substance.extension:strength.extension:presentation[x]
            Slice Namepresentation[x]
            Definition

            The quantity of substance in the unit of presentation, or in the volume (or mass) of the single pharmaceutical product or manufactured item. Unit of presentation refers to the quantity that the item occurs in e.g. a strength per tablet size, perhaps 'per 20mg' (the size of the tablet). It is not generally normalized as a unitary unit, which would be 'per mg').

            ShortThe quantity of substance in the unit of presentation
            Control0..1
            96. Extension.extension:substance.extension:strength.extension:presentation[x].extension
            Control0..*
            SlicingThis element introduces a set of slices on Extension.extension.extension.extension.extension. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
            • value @ url
            • 98. Extension.extension:substance.extension:strength.extension:presentation[x].extension:lowNumerator
              Slice NamelowNumerator
              Definition

              The value of the low limit numerator.

              ShortLow Numerator limit
              Control0..1
              100. Extension.extension:substance.extension:strength.extension:presentation[x].extension:lowNumerator.url
              Control1..1
              Fixed ValuelowNumerator
              102. Extension.extension:substance.extension:strength.extension:presentation[x].extension:lowNumerator.value[x]
              Definition

              The value of the low limit numerator.

              ShortLow Numerator limit
              TypeQuantity(SimpleQuantity)
              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
              104. Extension.extension:substance.extension:strength.extension:presentation[x].extension:highNumerator
              Slice NamehighNumerator
              Definition

              The value of the high limit numerator.

              ShortHigh Numerator limit
              Control0..1
              106. Extension.extension:substance.extension:strength.extension:presentation[x].extension:highNumerator.url
              Control1..1
              Fixed ValuehighNumerator
              108. Extension.extension:substance.extension:strength.extension:presentation[x].extension:highNumerator.value[x]
              Definition

              The value of the high limit numerator.

              ShortHigh Numerator limit
              TypeQuantity(SimpleQuantity)
              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
              110. Extension.extension:substance.extension:strength.extension:presentation[x].extension:denominator
              Slice Namedenominator
              Definition

              The value of the denominator.

              ShortDenominator value
              Control0..1
              112. Extension.extension:substance.extension:strength.extension:presentation[x].extension:denominator.url
              Control1..1
              Fixed Valuedenominator
              114. Extension.extension:substance.extension:strength.extension:presentation[x].extension:denominator.value[x]
              Definition

              The value of the denominator.

              ShortDenominator value
              TypeQuantity(SimpleQuantity)
              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
              116. Extension.extension:substance.extension:strength.extension:presentation[x].extension:_datatype
              Slice Name_datatype
              Definition

              Data type name for Ingredient.substance.strength.presentation[x] from FHIR R5

              ShortData type name for Ingredient.substance.strength.presentation[x] from FHIR R5
              Control0..1
              TypeExtension(Datatype) (Extension Type: string)
              118. Extension.extension:substance.extension:strength.extension:presentation[x].extension:_datatype.value[x]
              Comments

              Must be: RatioRange

              Control1..1
              Typestring
              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Fixed ValueRatioRange
              120. Extension.extension:substance.extension:strength.extension:presentation[x].url
              Control1..1
              Fixed Valuepresentation[x]
              122. Extension.extension:substance.extension:strength.extension:presentation[x].value[x]
              Definition

              The quantity of substance in the unit of presentation, or in the volume (or mass) of the single pharmaceutical product or manufactured item. Unit of presentation refers to the quantity that the item occurs in e.g. a strength per tablet size, perhaps 'per 20mg' (the size of the tablet). It is not generally normalized as a unitary unit, which would be 'per mg').

              ShortThe quantity of substance in the unit of presentation
              TypeChoice of: Ratio, CodeableConcept, Quantity
              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
              124. Extension.extension:substance.extension:strength.extension:textPresentation
              Slice NametextPresentation
              Definition

              A textual represention of either the whole of the presentation strength or a part of it - with the rest being in Strength.presentation as a ratio.

              ShortText of either the whole presentation strength or a part of it (rest being in Strength.presentation as a ratio)
              Control0..1
              126. Extension.extension:substance.extension:strength.extension:textPresentation.url
              Control1..1
              Fixed ValuetextPresentation
              128. Extension.extension:substance.extension:strength.extension:textPresentation.value[x]
              Definition

              A textual represention of either the whole of the presentation strength or a part of it - with the rest being in Strength.presentation as a ratio.

              ShortText of either the whole presentation strength or a part of it (rest being in Strength.presentation as a ratio)
              Typestring
              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              130. Extension.extension:substance.extension:strength.extension:concentration[x]
              Slice Nameconcentration[x]
              Definition

              This cross-version extension represents Ingredient.substance.strength.concentration[x] from http://hl7.org/fhir/StructureDefinition/Ingredient|5.0.0 for use in FHIR R4.

              ShortThe strength per unitary volume (or mass)
              Control0..1
              132. Extension.extension:substance.extension:strength.extension:concentration[x].extension
              Control0..*
              SlicingThis element introduces a set of slices on Extension.extension.extension.extension.extension. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
              • value @ url
              • 134. Extension.extension:substance.extension:strength.extension:concentration[x].extension:lowNumerator
                Slice NamelowNumerator
                Definition

                The value of the low limit numerator.

                ShortLow Numerator limit
                Control0..1
                136. Extension.extension:substance.extension:strength.extension:concentration[x].extension:lowNumerator.url
                Control1..1
                Fixed ValuelowNumerator
                138. Extension.extension:substance.extension:strength.extension:concentration[x].extension:lowNumerator.value[x]
                Definition

                The value of the low limit numerator.

                ShortLow Numerator limit
                TypeQuantity(SimpleQuantity)
                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                140. Extension.extension:substance.extension:strength.extension:concentration[x].extension:highNumerator
                Slice NamehighNumerator
                Definition

                The value of the high limit numerator.

                ShortHigh Numerator limit
                Control0..1
                142. Extension.extension:substance.extension:strength.extension:concentration[x].extension:highNumerator.url
                Control1..1
                Fixed ValuehighNumerator
                144. Extension.extension:substance.extension:strength.extension:concentration[x].extension:highNumerator.value[x]
                Definition

                The value of the high limit numerator.

                ShortHigh Numerator limit
                TypeQuantity(SimpleQuantity)
                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                146. Extension.extension:substance.extension:strength.extension:concentration[x].extension:denominator
                Slice Namedenominator
                Definition

                The value of the denominator.

                ShortDenominator value
                Control0..1
                148. Extension.extension:substance.extension:strength.extension:concentration[x].extension:denominator.url
                Control1..1
                Fixed Valuedenominator
                150. Extension.extension:substance.extension:strength.extension:concentration[x].extension:denominator.value[x]
                Definition

                The value of the denominator.

                ShortDenominator value
                TypeQuantity(SimpleQuantity)
                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                152. Extension.extension:substance.extension:strength.extension:concentration[x].extension:_datatype
                Slice Name_datatype
                Definition

                Data type name for Ingredient.substance.strength.concentration[x] from FHIR R5

                ShortData type name for Ingredient.substance.strength.concentration[x] from FHIR R5
                Control0..1
                TypeExtension(Datatype) (Extension Type: string)
                154. Extension.extension:substance.extension:strength.extension:concentration[x].extension:_datatype.value[x]
                Comments

                Must be: RatioRange

                Control1..1
                Typestring
                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Fixed ValueRatioRange
                156. Extension.extension:substance.extension:strength.extension:concentration[x].url
                Control1..1
                Fixed Valueconcentration[x]
                158. Extension.extension:substance.extension:strength.extension:concentration[x].value[x]
                Definition

                This cross-version extension represents Ingredient.substance.strength.concentration[x] from http://hl7.org/fhir/StructureDefinition/Ingredient|5.0.0 for use in FHIR R4.

                ShortThe strength per unitary volume (or mass)
                TypeChoice of: Ratio, CodeableConcept, Quantity
                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                160. Extension.extension:substance.extension:strength.extension:textConcentration
                Slice NametextConcentration
                Definition

                A textual represention of either the whole of the concentration strength or a part of it - with the rest being in Strength.concentration as a ratio.

                ShortText of either the whole concentration strength or a part of it (rest being in Strength.concentration as a ratio)
                Control0..1
                162. Extension.extension:substance.extension:strength.extension:textConcentration.url
                Control1..1
                Fixed ValuetextConcentration
                164. Extension.extension:substance.extension:strength.extension:textConcentration.value[x]
                Definition

                A textual represention of either the whole of the concentration strength or a part of it - with the rest being in Strength.concentration as a ratio.

                ShortText of either the whole concentration strength or a part of it (rest being in Strength.concentration as a ratio)
                Typestring
                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                166. Extension.extension:substance.extension:strength.extension:basis
                Slice Namebasis
                Definition

                This cross-version extension represents Ingredient.substance.strength.basis from http://hl7.org/fhir/StructureDefinition/Ingredient|5.0.0 for use in FHIR R4.

                ShortA code that indicates if the strength is, for example, based on the ingredient substance as stated or on the substance base (when the ingredient is a salt)
                Control0..1
                168. Extension.extension:substance.extension:strength.extension:basis.url
                Control1..1
                Fixed Valuebasis
                170. Extension.extension:substance.extension:strength.extension:basis.value[x]
                Definition

                This cross-version extension represents Ingredient.substance.strength.basis from http://hl7.org/fhir/StructureDefinition/Ingredient|5.0.0 for use in FHIR R4.

                ShortA code that indicates if the strength is, for example, based on the ingredient substance as stated or on the substance base (when the ingredient is a salt)
                TypeCodeableConcept
                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                172. Extension.extension:substance.extension:strength.extension:measurementPoint
                Slice NamemeasurementPoint
                Definition

                For when strength is measured at a particular point or distance. There are products where strength is measured at a particular point. For example, the strength of the ingredient in some inhalers is measured at a particular position relative to the point of aerosolization.

                ShortWhen strength is measured at a particular point or distance
                Control0..1
                174. Extension.extension:substance.extension:strength.extension:measurementPoint.url
                Control1..1
                Fixed ValuemeasurementPoint
                176. Extension.extension:substance.extension:strength.extension:measurementPoint.value[x]
                Definition

                For when strength is measured at a particular point or distance. There are products where strength is measured at a particular point. For example, the strength of the ingredient in some inhalers is measured at a particular position relative to the point of aerosolization.

                ShortWhen strength is measured at a particular point or distance
                Typestring
                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                178. Extension.extension:substance.extension:strength.extension:country
                Slice Namecountry
                Definition

                The country or countries for which the strength range applies.

                ShortWhere the strength range applies
                Control0..*
                180. Extension.extension:substance.extension:strength.extension:country.url
                Control1..1
                Fixed Valuecountry
                182. Extension.extension:substance.extension:strength.extension:country.value[x]
                Definition

                The country or countries for which the strength range applies.

                ShortWhere the strength range applies
                BindingFor example codes, see R5_country_for_R4 (0.0.1-snapshot-2)
                (example to http://hl7.org/fhir/5.0/ValueSet/R5-country-for-R4|0.0.1-snapshot-2)

                Jurisdiction codes

                TypeCodeableConcept
                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                184. Extension.extension:substance.extension:strength.extension:referenceStrength
                Slice NamereferenceStrength
                Definition

                Strength expressed in terms of a reference substance. For when the ingredient strength is additionally expressed as equivalent to the strength of some other closely related substance (e.g. salt vs. base). Reference strength represents the strength (quantitative composition) of the active moiety of the active substance. There are situations when the active substance and active moiety are different, therefore both a strength and a reference strength are needed.

                ShortStrength expressed in terms of a reference substance
                Control0..*
                186. Extension.extension:substance.extension:strength.extension:referenceStrength.extension
                Control2..*
                SlicingThis element introduces a set of slices on Extension.extension.extension.extension.extension. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                • value @ url
                • 188. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:substance
                  Slice Namesubstance
                  Definition

                  This cross-version extension represents Ingredient.substance.strength.referenceStrength.substance from http://hl7.org/fhir/StructureDefinition/Ingredient|5.0.0 for use in FHIR R4.

                  ShortRelevant reference substance
                  Control1..1
                  190. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:substance.extension
                  Control0..*
                  SlicingThis element introduces a set of slices on Extension.extension.extension.extension.extension.extension. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                  • value @ url
                  • 192. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:substance.extension:concept
                    Slice Nameconcept
                    Definition

                    A reference to a concept - e.g. the information is identified by its general class to the degree of precision found in the terminology.

                    ShortReference to a concept (by class)
                    Control0..1
                    194. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:substance.extension:concept.url
                    Control1..1
                    Fixed Valueconcept
                    196. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:substance.extension:concept.value[x]
                    Definition

                    A reference to a concept - e.g. the information is identified by its general class to the degree of precision found in the terminology.

                    ShortReference to a concept (by class)
                    TypeCodeableConcept
                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                    198. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:substance.extension:reference
                    Slice Namereference
                    Definition

                    A reference to a resource the provides exact details about the information being referenced.

                    ShortReference to a resource (by instance)
                    Control0..1
                    200. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:substance.extension:reference.url
                    Control1..1
                    Fixed Valuereference
                    202. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:substance.extension:reference.value[x]
                    Definition

                    A reference to a resource the provides exact details about the information being referenced.

                    ShortReference to a resource (by instance)
                    TypeReference
                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                    204. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:substance.extension:_datatype
                    Slice Name_datatype
                    Definition

                    Data type name for Ingredient.substance.strength.referenceStrength.substance from FHIR R5

                    ShortData type name for Ingredient.substance.strength.referenceStrength.substance from FHIR R5
                    Control0..1
                    TypeExtension(Datatype) (Extension Type: string)
                    206. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:substance.extension:_datatype.value[x]
                    Comments

                    Must be: CodeableReference

                    Control1..1
                    Typestring
                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Fixed ValueCodeableReference
                    208. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:substance.url
                    Control1..1
                    Fixed Valuesubstance
                    210. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:strength[x]
                    Slice Namestrength[x]
                    Definition

                    This cross-version extension represents Ingredient.substance.strength.referenceStrength.strength[x] from http://hl7.org/fhir/StructureDefinition/Ingredient|5.0.0 for use in FHIR R4.

                    ShortStrength expressed in terms of a reference substance
                    Control1..1
                    212. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:strength[x].extension
                    Control0..*
                    SlicingThis element introduces a set of slices on Extension.extension.extension.extension.extension.extension. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                    • value @ url
                    • 214. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:strength[x].extension:lowNumerator
                      Slice NamelowNumerator
                      Definition

                      The value of the low limit numerator.

                      ShortLow Numerator limit
                      Control0..1
                      216. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:strength[x].extension:lowNumerator.url
                      Control1..1
                      Fixed ValuelowNumerator
                      218. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:strength[x].extension:lowNumerator.value[x]
                      Definition

                      The value of the low limit numerator.

                      ShortLow Numerator limit
                      TypeQuantity(SimpleQuantity)
                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                      220. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:strength[x].extension:highNumerator
                      Slice NamehighNumerator
                      Definition

                      The value of the high limit numerator.

                      ShortHigh Numerator limit
                      Control0..1
                      222. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:strength[x].extension:highNumerator.url
                      Control1..1
                      Fixed ValuehighNumerator
                      224. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:strength[x].extension:highNumerator.value[x]
                      Definition

                      The value of the high limit numerator.

                      ShortHigh Numerator limit
                      TypeQuantity(SimpleQuantity)
                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                      226. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:strength[x].extension:denominator
                      Slice Namedenominator
                      Definition

                      The value of the denominator.

                      ShortDenominator value
                      Control0..1
                      228. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:strength[x].extension:denominator.url
                      Control1..1
                      Fixed Valuedenominator
                      230. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:strength[x].extension:denominator.value[x]
                      Definition

                      The value of the denominator.

                      ShortDenominator value
                      TypeQuantity(SimpleQuantity)
                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                      232. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:strength[x].extension:_datatype
                      Slice Name_datatype
                      Definition

                      Data type name for Ingredient.substance.strength.referenceStrength.strength[x] from FHIR R5

                      ShortData type name for Ingredient.substance.strength.referenceStrength.strength[x] from FHIR R5
                      Control0..1
                      TypeExtension(Datatype) (Extension Type: string)
                      234. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:strength[x].extension:_datatype.value[x]
                      Comments

                      Must be: RatioRange

                      Control1..1
                      Typestring
                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Fixed ValueRatioRange
                      236. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:strength[x].url
                      Control1..1
                      Fixed Valuestrength[x]
                      238. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:strength[x].value[x]
                      Definition

                      This cross-version extension represents Ingredient.substance.strength.referenceStrength.strength[x] from http://hl7.org/fhir/StructureDefinition/Ingredient|5.0.0 for use in FHIR R4.

                      ShortStrength expressed in terms of a reference substance
                      TypeChoice of: Ratio, Quantity
                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                      240. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:measurementPoint
                      Slice NamemeasurementPoint
                      Definition

                      For when strength is measured at a particular point or distance.

                      ShortWhen strength is measured at a particular point or distance
                      Control0..1
                      242. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:measurementPoint.url
                      Control1..1
                      Fixed ValuemeasurementPoint
                      244. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:measurementPoint.value[x]
                      Definition

                      For when strength is measured at a particular point or distance.

                      ShortWhen strength is measured at a particular point or distance
                      Typestring
                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      246. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:country
                      Slice Namecountry
                      Definition

                      The country or countries for which the strength range applies.

                      ShortWhere the strength range applies
                      Control0..*
                      248. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:country.url
                      Control1..1
                      Fixed Valuecountry
                      250. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:country.value[x]
                      Definition

                      The country or countries for which the strength range applies.

                      ShortWhere the strength range applies
                      BindingFor example codes, see R5_country_for_R4 (0.0.1-snapshot-2)
                      (example to http://hl7.org/fhir/5.0/ValueSet/R5-country-for-R4|0.0.1-snapshot-2)

                      Jurisdiction codes

                      TypeCodeableConcept
                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                      252. Extension.extension:substance.extension:strength.extension:referenceStrength.url
                      Control1..1
                      Fixed ValuereferenceStrength
                      254. Extension.extension:substance.extension:strength.url
                      Control1..1
                      Fixed Valuestrength
                      256. Extension.extension:substance.url
                      Control1..1
                      Fixed Valuesubstance
                      258. Extension.url
                      Control1..1
                      Fixed Valuehttp://hl7.org/fhir/5.0/StructureDefinition/extension-Ingredient

                      Guidance on how to interpret the contents of this table can be foundhere

                      0. Extension
                      Definition

                      This cross-version extension represents Ingredient from http://hl7.org/fhir/StructureDefinition/Ingredient|5.0.0 for use in FHIR R4.


                      Optional Extension Element - found in all resources.

                      ShortAn ingredient of a manufactured item or pharmaceutical productOptional Extensions Element
                      Control0..*
                      This element is affected by the following invariants: ele-1
                      Is Modifierfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      2. Extension.extension
                      Definition

                      An Extension


                      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.

                      ShortExtensionAdditional content defined by implementations
                      Comments

                      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.

                      Control30..*
                      TypeExtension
                      Is Modifierfalse
                      Summaryfalse
                      Alternate Namesextensions, user content
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      SlicingThis element introduces a set of slices on Extension.extension. The slices areUnordered and ClosedOpen, and can be differentiated using the following discriminators:
                      • value @ url
                      • 4. Extension.extension:status
                        Slice Namestatus
                        Definition

                        The status of this ingredient. Enables tracking the life-cycle of the content.

                        Shortdraft | active | retired | unknownAdditional content defined by implementations
                        Control10..1*
                        TypeExtension
                        Is Modifierfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        6. Extension.extension:status.url
                        Definition

                        Source of the definition for the extension code - a logical name or a URL.

                        Shortidentifies the meaning of the extension
                        Comments

                        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.

                        Control1..1
                        Typeuri
                        Is Modifierfalse
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Summaryfalse
                        Fixed Valuestatus
                        8. Extension.extension:status.value[x]
                        Definition

                        The status of this ingredient. Enables tracking the life-cycle of the content.


                        Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                        Shortdraft | active | retired | unknownValue of extension
                        Control0..1
                        BindingThe codes SHALL be taken from For codes, see R5_publication_status_for_R4 (0.0.1-snapshot-2)
                        (required to http://hl7.org/fhir/5.0/ValueSet/R5-publication-status-for-R4|0.0.1-snapshot-2)

                        The lifecycle status of an artifact.

                        Typecode, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        10. Extension.extension:for
                        Slice Namefor
                        Definition

                        This cross-version extension represents Ingredient.for from http://hl7.org/fhir/StructureDefinition/Ingredient|5.0.0 for use in FHIR R4.

                        ShortThe product which this ingredient is a constituent part ofAdditional content defined by implementations
                        Control0..*
                        TypeExtension
                        Is Modifierfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        12. Extension.extension:for.url
                        Definition

                        Source of the definition for the extension code - a logical name or a URL.

                        Shortidentifies the meaning of the extension
                        Comments

                        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.

                        Control1..1
                        Typeuri
                        Is Modifierfalse
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Summaryfalse
                        Fixed Valuefor
                        14. Extension.extension:for.value[x]
                        Definition

                        This cross-version extension represents Ingredient.for from http://hl7.org/fhir/StructureDefinition/Ingredient|5.0.0 for use in FHIR R4.


                        Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                        ShortThe product which this ingredient is a constituent part ofValue of extension
                        Control0..1
                        TypeReference, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                        Is Modifierfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        16. Extension.extension:role
                        Slice Namerole
                        Definition

                        A classification of the ingredient identifying its purpose within the product, e.g. active, inactive.

                        ShortPurpose of the ingredient within the product, e.g. active, inactiveAdditional content defined by implementations
                        Control10..1*
                        TypeExtension
                        Is Modifierfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        18. Extension.extension:role.url
                        Definition

                        Source of the definition for the extension code - a logical name or a URL.

                        Shortidentifies the meaning of the extension
                        Comments

                        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.

                        Control1..1
                        Typeuri
                        Is Modifierfalse
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Summaryfalse
                        Fixed Valuerole
                        20. Extension.extension:role.value[x]
                        Definition

                        A classification of the ingredient identifying its purpose within the product, e.g. active, inactive.


                        Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                        ShortPurpose of the ingredient within the product, e.g. active, inactiveValue of extension
                        Control0..1
                        BindingFor example codes, see For codes, see R5_ingredient_role_for_R4 (0.0.1-snapshot-2)
                        (example to http://hl7.org/fhir/5.0/ValueSet/R5-ingredient-role-for-R4|0.0.1-snapshot-2)

                        A classification of the ingredient identifying its purpose within the product, e.g. active, inactive.

                        TypeCodeableConcept, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                        Is Modifierfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        22. Extension.extension:function
                        Slice Namefunction
                        Definition

                        A classification of the ingredient identifying its precise purpose(s) in the drug product. This extends the Ingredient.role to add more detail. Example: antioxidant, alkalizing agent.

                        ShortPrecise action within the drug product, e.g. antioxidant, alkalizing agentAdditional content defined by implementations
                        Control0..*
                        TypeExtension
                        Is Modifierfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        24. Extension.extension:function.url
                        Definition

                        Source of the definition for the extension code - a logical name or a URL.

                        Shortidentifies the meaning of the extension
                        Comments

                        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.

                        Control1..1
                        Typeuri
                        Is Modifierfalse
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Summaryfalse
                        Fixed Valuefunction
                        26. Extension.extension:function.value[x]
                        Definition

                        A classification of the ingredient identifying its precise purpose(s) in the drug product. This extends the Ingredient.role to add more detail. Example: antioxidant, alkalizing agent.


                        Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                        ShortPrecise action within the drug product, e.g. antioxidant, alkalizing agentValue of extension
                        Control0..1
                        BindingFor example codes, see For codes, see R5_ingredient_function_for_R4 (0.0.1-snapshot-2)
                        (example to http://hl7.org/fhir/5.0/ValueSet/R5-ingredient-function-for-R4|0.0.1-snapshot-2)

                        A classification of the ingredient identifying its precise purpose(s) in the drug product (beyond e.g. active/inactive).

                        TypeCodeableConcept, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                        Is Modifierfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        28. Extension.extension:group
                        Slice Namegroup
                        Definition

                        This cross-version extension represents Ingredient.group from http://hl7.org/fhir/StructureDefinition/Ingredient|5.0.0 for use in FHIR R4.

                        ShortA classification of the ingredient according to where in the physical item it tends to be used, such the outer shell of a tablet, inner body or inkAdditional content defined by implementations
                        Control0..1*
                        TypeExtension
                        Is Modifierfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        30. Extension.extension:group.url
                        Definition

                        Source of the definition for the extension code - a logical name or a URL.

                        Shortidentifies the meaning of the extension
                        Comments

                        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.

                        Control1..1
                        Typeuri
                        Is Modifierfalse
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Summaryfalse
                        Fixed Valuegroup
                        32. Extension.extension:group.value[x]
                        Definition

                        This cross-version extension represents Ingredient.group from http://hl7.org/fhir/StructureDefinition/Ingredient|5.0.0 for use in FHIR R4.


                        Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                        ShortA classification of the ingredient according to where in the physical item it tends to be used, such the outer shell of a tablet, inner body or inkValue of extension
                        Control0..1
                        TypeCodeableConcept, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                        Is Modifierfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        34. Extension.extension:allergenicIndicator
                        Slice NameallergenicIndicator
                        Definition

                        If the ingredient is a known or suspected allergen. Note that this is a property of the substance, so if a reference to a SubstanceDefinition is used to decribe that (rather than just a code), the allergen information should go there, not here.

                        ShortIf the ingredient is a known or suspected allergenAdditional content defined by implementations
                        Control0..1*
                        TypeExtension
                        Is Modifierfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        36. Extension.extension:allergenicIndicator.url
                        Definition

                        Source of the definition for the extension code - a logical name or a URL.

                        Shortidentifies the meaning of the extension
                        Comments

                        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.

                        Control1..1
                        Typeuri
                        Is Modifierfalse
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Summaryfalse
                        Fixed ValueallergenicIndicator
                        38. Extension.extension:allergenicIndicator.value[x]
                        Definition

                        If the ingredient is a known or suspected allergen. Note that this is a property of the substance, so if a reference to a SubstanceDefinition is used to decribe that (rather than just a code), the allergen information should go there, not here.


                        Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                        ShortIf the ingredient is a known or suspected allergenValue of extension
                        Control0..1
                        Typeboolean, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, Expression, Signature, unsignedInt, time
                        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        40. Extension.extension:comment
                        Slice Namecomment
                        Definition

                        This cross-version extension represents Ingredient.comment from http://hl7.org/fhir/StructureDefinition/Ingredient|5.0.0 for use in FHIR R4.

                        ShortA place for providing any notes that are relevant to the component, e.g. removed during process, adjusted for loss on dryingAdditional content defined by implementations
                        Control0..1*
                        TypeExtension
                        Is Modifierfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        42. Extension.extension:comment.url
                        Definition

                        Source of the definition for the extension code - a logical name or a URL.

                        Shortidentifies the meaning of the extension
                        Comments

                        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.

                        Control1..1
                        Typeuri
                        Is Modifierfalse
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Summaryfalse
                        Fixed Valuecomment
                        44. Extension.extension:comment.value[x]
                        Definition

                        This cross-version extension represents Ingredient.comment from http://hl7.org/fhir/StructureDefinition/Ingredient|5.0.0 for use in FHIR R4.


                        Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                        ShortA place for providing any notes that are relevant to the component, e.g. removed during process, adjusted for loss on dryingValue of extension
                        Control0..1
                        Typemarkdown, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        46. Extension.extension:manufacturer
                        Slice Namemanufacturer
                        Definition

                        The organization(s) that manufacture this ingredient. Can be used to indicate: 1) Organizations we are aware of that manufacture this ingredient 2) Specific Manufacturer(s) currently being used 3) Set of organisations allowed to manufacture this ingredient for this product Users must be clear on the application of context relevant to their use case.

                        ShortAn organization that manufactures this ingredientAdditional content defined by implementations
                        Control0..*
                        TypeExtension
                        Is Modifierfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        48. Extension.extension:manufacturer.extension
                        Definition

                        An Extension


                        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.

                        ShortExtensionAdditional content defined by implementations
                        Comments

                        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.

                        Control10..*
                        TypeExtension
                        Is Modifierfalse
                        Summaryfalse
                        Alternate Namesextensions, user content
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and ClosedOpen, and can be differentiated using the following discriminators:
                        • value @ url
                        • 50. Extension.extension:manufacturer.extension:role
                          Slice Namerole
                          Definition

                          The way in which this manufacturer is associated with the ingredient. For example whether it is a possible one (others allowed), or an exclusive authorized one for this ingredient. Note that this is not the manufacturing process role.

                          Shortallowed | possible | actualAdditional content defined by implementations
                          Control0..1*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          52. Extension.extension:manufacturer.extension:role.url
                          Definition

                          Source of the definition for the extension code - a logical name or a URL.

                          Shortidentifies the meaning of the extension
                          Comments

                          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.

                          Control1..1
                          Typeuri
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          Fixed Valuerole
                          54. Extension.extension:manufacturer.extension:role.value[x]
                          Definition

                          The way in which this manufacturer is associated with the ingredient. For example whether it is a possible one (others allowed), or an exclusive authorized one for this ingredient. Note that this is not the manufacturing process role.


                          Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                          Shortallowed | possible | actualValue of extension
                          Control0..1
                          BindingThe codes SHALL be taken from For codes, see R5_ingredient_manufacturer_role_for_R4 (0.0.1-snapshot-2)
                          (required to http://hl7.org/fhir/5.0/ValueSet/R5-ingredient-manufacturer-role-for-R4|0.0.1-snapshot-2)

                          The way in which this manufacturer is associated with the ingredient.

                          Typecode, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          56. Extension.extension:manufacturer.extension:manufacturer
                          Slice Namemanufacturer
                          Definition

                          This cross-version extension represents Ingredient.manufacturer.manufacturer from http://hl7.org/fhir/StructureDefinition/Ingredient|5.0.0 for use in FHIR R4.

                          ShortAn organization that manufactures this ingredientAdditional content defined by implementations
                          Control10..1*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          58. Extension.extension:manufacturer.extension:manufacturer.url
                          Definition

                          Source of the definition for the extension code - a logical name or a URL.

                          Shortidentifies the meaning of the extension
                          Comments

                          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.

                          Control1..1
                          Typeuri
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          Fixed Valuemanufacturer
                          60. Extension.extension:manufacturer.extension:manufacturer.value[x]
                          Definition

                          This cross-version extension represents Ingredient.manufacturer.manufacturer from http://hl7.org/fhir/StructureDefinition/Ingredient|5.0.0 for use in FHIR R4.


                          Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                          ShortAn organization that manufactures this ingredientValue of extension
                          Control0..1
                          TypeReference, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                          Is Modifierfalse
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          62. Extension.extension:manufacturer.url
                          Definition

                          Source of the definition for the extension code - a logical name or a URL.

                          Shortidentifies the meaning of the extension
                          Comments

                          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.

                          Control1..1
                          Typeuri
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          Fixed Valuemanufacturer
                          64. Extension.extension:substance
                          Slice Namesubstance
                          Definition

                          This cross-version extension represents Ingredient.substance from http://hl7.org/fhir/StructureDefinition/Ingredient|5.0.0 for use in FHIR R4.

                          ShortThe substance that comprises this ingredientAdditional content defined by implementations
                          Control10..1*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          66. Extension.extension:substance.extension
                          Definition

                          An Extension


                          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.

                          ShortExtensionAdditional content defined by implementations
                          Comments

                          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.

                          Control10..*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Alternate Namesextensions, user content
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and ClosedOpen, and can be differentiated using the following discriminators:
                          • value @ url
                          • 68. Extension.extension:substance.extension:code
                            Slice Namecode
                            Definition

                            A code or full resource that represents the ingredient's substance.

                            ShortA code or full resource that represents the ingredient substanceAdditional content defined by implementations
                            Control10..1*
                            TypeExtension
                            Is Modifierfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            70. Extension.extension:substance.extension:code.extension
                            Definition

                            An Extension


                            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.

                            ShortExtensionAdditional content defined by implementations
                            Comments

                            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.

                            Control0..*
                            TypeExtension
                            Is Modifierfalse
                            Summaryfalse
                            Alternate Namesextensions, user content
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            SlicingThis element introduces a set of slices on Extension.extension.extension.extension. The slices areUnordered and ClosedOpen, and can be differentiated using the following discriminators:
                            • value @ url
                            • 72. Extension.extension:substance.extension:code.extension:concept
                              Slice Nameconcept
                              Definition

                              A reference to a concept - e.g. the information is identified by its general class to the degree of precision found in the terminology.

                              ShortReference to a concept (by class)Additional content defined by implementations
                              Control0..1*
                              TypeExtension
                              Is Modifierfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              74. Extension.extension:substance.extension:code.extension:concept.url
                              Definition

                              Source of the definition for the extension code - a logical name or a URL.

                              Shortidentifies the meaning of the extension
                              Comments

                              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.

                              Control1..1
                              Typeuri
                              Is Modifierfalse
                              XML FormatIn the XML format, this property is represented as an attribute.
                              Summaryfalse
                              Fixed Valueconcept
                              76. Extension.extension:substance.extension:code.extension:concept.value[x]
                              Definition

                              A reference to a concept - e.g. the information is identified by its general class to the degree of precision found in the terminology.


                              Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                              ShortReference to a concept (by class)Value of extension
                              Control0..1
                              TypeCodeableConcept, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                              Is Modifierfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              78. Extension.extension:substance.extension:code.extension:reference
                              Slice Namereference
                              Definition

                              A reference to a resource the provides exact details about the information being referenced.

                              ShortReference to a resource (by instance)Additional content defined by implementations
                              Control0..1*
                              TypeExtension
                              Is Modifierfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              80. Extension.extension:substance.extension:code.extension:reference.url
                              Definition

                              Source of the definition for the extension code - a logical name or a URL.

                              Shortidentifies the meaning of the extension
                              Comments

                              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.

                              Control1..1
                              Typeuri
                              Is Modifierfalse
                              XML FormatIn the XML format, this property is represented as an attribute.
                              Summaryfalse
                              Fixed Valuereference
                              82. Extension.extension:substance.extension:code.extension:reference.value[x]
                              Definition

                              A reference to a resource the provides exact details about the information being referenced.


                              Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                              ShortReference to a resource (by instance)Value of extension
                              Control0..1
                              TypeReference, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                              Is Modifierfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              84. Extension.extension:substance.extension:code.extension:_datatype
                              Slice Name_datatype
                              Definition

                              Data type name for Ingredient.substance.code from FHIR R5

                              ShortData type name for Ingredient.substance.code from FHIR R5
                              Control0..1
                              TypeExtension(Datatype) (Extension Type: string)
                              Is Modifierfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              86. Extension.extension:substance.extension:code.extension:_datatype.extension
                              Definition

                              An Extension


                              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.

                              ShortExtensionAdditional content defined by implementations
                              Comments

                              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.

                              Control0..0*
                              TypeExtension
                              Is Modifierfalse
                              Summaryfalse
                              Alternate Namesextensions, user content
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              SlicingThis element introduces a set of slices on Extension.extension.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                              • value @ url
                              • 88. Extension.extension:substance.extension:code.extension:_datatype.url
                                Definition

                                Source of the definition for the extension code - a logical name or a URL.

                                Shortidentifies the meaning of the extension
                                Comments

                                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.

                                Control1..1
                                Typeuri
                                Is Modifierfalse
                                XML FormatIn the XML format, this property is represented as an attribute.
                                Summaryfalse
                                Fixed Valuehttp://hl7.org/fhir/StructureDefinition/_datatype
                                90. Extension.extension:substance.extension:code.extension:_datatype.value[x]
                                Definition

                                Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).


                                Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                ShortValue of extension
                                Comments

                                Must be: CodeableReference

                                Control10..1
                                This element is affected by the following invariants: ext-1
                                Typestring, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summaryfalse
                                Fixed ValueCodeableReference
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                92. Extension.extension:substance.extension:code.url
                                Definition

                                Source of the definition for the extension code - a logical name or a URL.

                                Shortidentifies the meaning of the extension
                                Comments

                                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.

                                Control1..1
                                Typeuri
                                Is Modifierfalse
                                XML FormatIn the XML format, this property is represented as an attribute.
                                Summaryfalse
                                Fixed Valuecode
                                94. Extension.extension:substance.extension:strength
                                Slice Namestrength
                                Definition

                                The quantity of substance in the unit of presentation, or in the volume (or mass) of the single pharmaceutical product or manufactured item. The allowed repetitions do not represent different strengths, but are different representations - mathematically equivalent - of a single strength.

                                ShortThe quantity of substance, per presentation, or per volume or mass, and type of quantityAdditional content defined by implementations
                                Control0..*
                                TypeExtension
                                Is Modifierfalse
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                96. Extension.extension:substance.extension:strength.extension
                                Definition

                                An Extension


                                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.

                                ShortExtensionAdditional content defined by implementations
                                Comments

                                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.

                                Control0..*
                                TypeExtension
                                Is Modifierfalse
                                Summaryfalse
                                Alternate Namesextensions, user content
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                SlicingThis element introduces a set of slices on Extension.extension.extension.extension. The slices areUnordered and ClosedOpen, and can be differentiated using the following discriminators:
                                • value @ url
                                • 98. Extension.extension:substance.extension:strength.extension:presentation[x]
                                  Slice Namepresentation[x]
                                  Definition

                                  The quantity of substance in the unit of presentation, or in the volume (or mass) of the single pharmaceutical product or manufactured item. Unit of presentation refers to the quantity that the item occurs in e.g. a strength per tablet size, perhaps 'per 20mg' (the size of the tablet). It is not generally normalized as a unitary unit, which would be 'per mg').

                                  ShortThe quantity of substance in the unit of presentationAdditional content defined by implementations
                                  Control0..1*
                                  TypeExtension
                                  Is Modifierfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                  ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                  100. Extension.extension:substance.extension:strength.extension:presentation[x].extension
                                  Definition

                                  An Extension


                                  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.

                                  ShortExtensionAdditional content defined by implementations
                                  Comments

                                  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.

                                  Control0..*
                                  TypeExtension
                                  Is Modifierfalse
                                  Summaryfalse
                                  Alternate Namesextensions, user content
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                  ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                  SlicingThis element introduces a set of slices on Extension.extension.extension.extension.extension. The slices areUnordered and ClosedOpen, and can be differentiated using the following discriminators:
                                  • value @ url
                                  • 102. Extension.extension:substance.extension:strength.extension:presentation[x].extension:lowNumerator
                                    Slice NamelowNumerator
                                    Definition

                                    The value of the low limit numerator.

                                    ShortLow Numerator limitAdditional content defined by implementations
                                    Control0..1*
                                    TypeExtension
                                    Is Modifierfalse
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                    104. Extension.extension:substance.extension:strength.extension:presentation[x].extension:lowNumerator.url
                                    Definition

                                    Source of the definition for the extension code - a logical name or a URL.

                                    Shortidentifies the meaning of the extension
                                    Comments

                                    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.

                                    Control1..1
                                    Typeuri
                                    Is Modifierfalse
                                    XML FormatIn the XML format, this property is represented as an attribute.
                                    Summaryfalse
                                    Fixed ValuelowNumerator
                                    106. Extension.extension:substance.extension:strength.extension:presentation[x].extension:lowNumerator.value[x]
                                    Definition

                                    The value of the low limit numerator.


                                    Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                    ShortLow Numerator limitValue of extension
                                    Control0..1
                                    TypeQuantity(SimpleQuantity), date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                    Is Modifierfalse
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    108. Extension.extension:substance.extension:strength.extension:presentation[x].extension:highNumerator
                                    Slice NamehighNumerator
                                    Definition

                                    The value of the high limit numerator.

                                    ShortHigh Numerator limitAdditional content defined by implementations
                                    Control0..1*
                                    TypeExtension
                                    Is Modifierfalse
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                    110. Extension.extension:substance.extension:strength.extension:presentation[x].extension:highNumerator.url
                                    Definition

                                    Source of the definition for the extension code - a logical name or a URL.

                                    Shortidentifies the meaning of the extension
                                    Comments

                                    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.

                                    Control1..1
                                    Typeuri
                                    Is Modifierfalse
                                    XML FormatIn the XML format, this property is represented as an attribute.
                                    Summaryfalse
                                    Fixed ValuehighNumerator
                                    112. Extension.extension:substance.extension:strength.extension:presentation[x].extension:highNumerator.value[x]
                                    Definition

                                    The value of the high limit numerator.


                                    Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                    ShortHigh Numerator limitValue of extension
                                    Control0..1
                                    TypeQuantity(SimpleQuantity), date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                    Is Modifierfalse
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    114. Extension.extension:substance.extension:strength.extension:presentation[x].extension:denominator
                                    Slice Namedenominator
                                    Definition

                                    The value of the denominator.

                                    ShortDenominator valueAdditional content defined by implementations
                                    Control0..1*
                                    TypeExtension
                                    Is Modifierfalse
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                    116. Extension.extension:substance.extension:strength.extension:presentation[x].extension:denominator.url
                                    Definition

                                    Source of the definition for the extension code - a logical name or a URL.

                                    Shortidentifies the meaning of the extension
                                    Comments

                                    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.

                                    Control1..1
                                    Typeuri
                                    Is Modifierfalse
                                    XML FormatIn the XML format, this property is represented as an attribute.
                                    Summaryfalse
                                    Fixed Valuedenominator
                                    118. Extension.extension:substance.extension:strength.extension:presentation[x].extension:denominator.value[x]
                                    Definition

                                    The value of the denominator.


                                    Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                    ShortDenominator valueValue of extension
                                    Control0..1
                                    TypeQuantity(SimpleQuantity), date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                    Is Modifierfalse
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    120. Extension.extension:substance.extension:strength.extension:presentation[x].extension:_datatype
                                    Slice Name_datatype
                                    Definition

                                    Data type name for Ingredient.substance.strength.presentation[x] from FHIR R5

                                    ShortData type name for Ingredient.substance.strength.presentation[x] from FHIR R5
                                    Control0..1
                                    TypeExtension(Datatype) (Extension Type: string)
                                    Is Modifierfalse
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                    122. Extension.extension:substance.extension:strength.extension:presentation[x].extension:_datatype.extension
                                    Definition

                                    An Extension


                                    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.

                                    ShortExtensionAdditional content defined by implementations
                                    Comments

                                    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.

                                    Control0..0*
                                    TypeExtension
                                    Is Modifierfalse
                                    Summaryfalse
                                    Alternate Namesextensions, user content
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                    SlicingThis element introduces a set of slices on Extension.extension.extension.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                    • value @ url
                                    • 124. Extension.extension:substance.extension:strength.extension:presentation[x].extension:_datatype.url
                                      Definition

                                      Source of the definition for the extension code - a logical name or a URL.

                                      Shortidentifies the meaning of the extension
                                      Comments

                                      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.

                                      Control1..1
                                      Typeuri
                                      Is Modifierfalse
                                      XML FormatIn the XML format, this property is represented as an attribute.
                                      Summaryfalse
                                      Fixed Valuehttp://hl7.org/fhir/StructureDefinition/_datatype
                                      126. Extension.extension:substance.extension:strength.extension:presentation[x].extension:_datatype.value[x]
                                      Definition

                                      Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).


                                      Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                      ShortValue of extension
                                      Comments

                                      Must be: RatioRange

                                      Control10..1
                                      This element is affected by the following invariants: ext-1
                                      Typestring, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summaryfalse
                                      Fixed ValueRatioRange
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      128. Extension.extension:substance.extension:strength.extension:presentation[x].url
                                      Definition

                                      Source of the definition for the extension code - a logical name or a URL.

                                      Shortidentifies the meaning of the extension
                                      Comments

                                      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.

                                      Control1..1
                                      Typeuri
                                      Is Modifierfalse
                                      XML FormatIn the XML format, this property is represented as an attribute.
                                      Summaryfalse
                                      Fixed Valuepresentation[x]
                                      130. Extension.extension:substance.extension:strength.extension:presentation[x].value[x]
                                      Definition

                                      The quantity of substance in the unit of presentation, or in the volume (or mass) of the single pharmaceutical product or manufactured item. Unit of presentation refers to the quantity that the item occurs in e.g. a strength per tablet size, perhaps 'per 20mg' (the size of the tablet). It is not generally normalized as a unitary unit, which would be 'per mg').


                                      Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                      ShortThe quantity of substance in the unit of presentationValue of extension
                                      Control0..1
                                      TypeChoice of: Ratio, CodeableConcept, Quantity, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Age, Reference, TriggerDefinition, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                      Is Modifierfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      132. Extension.extension:substance.extension:strength.extension:textPresentation
                                      Slice NametextPresentation
                                      Definition

                                      A textual represention of either the whole of the presentation strength or a part of it - with the rest being in Strength.presentation as a ratio.

                                      ShortText of either the whole presentation strength or a part of it (rest being in Strength.presentation as a ratio)Additional content defined by implementations
                                      Control0..1*
                                      TypeExtension
                                      Is Modifierfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                      134. Extension.extension:substance.extension:strength.extension:textPresentation.url
                                      Definition

                                      Source of the definition for the extension code - a logical name or a URL.

                                      Shortidentifies the meaning of the extension
                                      Comments

                                      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.

                                      Control1..1
                                      Typeuri
                                      Is Modifierfalse
                                      XML FormatIn the XML format, this property is represented as an attribute.
                                      Summaryfalse
                                      Fixed ValuetextPresentation
                                      136. Extension.extension:substance.extension:strength.extension:textPresentation.value[x]
                                      Definition

                                      A textual represention of either the whole of the presentation strength or a part of it - with the rest being in Strength.presentation as a ratio.


                                      Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                      ShortText of either the whole presentation strength or a part of it (rest being in Strength.presentation as a ratio)Value of extension
                                      Control0..1
                                      Typestring, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      138. Extension.extension:substance.extension:strength.extension:concentration[x]
                                      Slice Nameconcentration[x]
                                      Definition

                                      This cross-version extension represents Ingredient.substance.strength.concentration[x] from http://hl7.org/fhir/StructureDefinition/Ingredient|5.0.0 for use in FHIR R4.

                                      ShortThe strength per unitary volume (or mass)Additional content defined by implementations
                                      Control0..1*
                                      TypeExtension
                                      Is Modifierfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                      140. Extension.extension:substance.extension:strength.extension:concentration[x].extension
                                      Definition

                                      An Extension


                                      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.

                                      ShortExtensionAdditional content defined by implementations
                                      Comments

                                      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.

                                      Control0..*
                                      TypeExtension
                                      Is Modifierfalse
                                      Summaryfalse
                                      Alternate Namesextensions, user content
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                      SlicingThis element introduces a set of slices on Extension.extension.extension.extension.extension. The slices areUnordered and ClosedOpen, and can be differentiated using the following discriminators:
                                      • value @ url
                                      • 142. Extension.extension:substance.extension:strength.extension:concentration[x].extension:lowNumerator
                                        Slice NamelowNumerator
                                        Definition

                                        The value of the low limit numerator.

                                        ShortLow Numerator limitAdditional content defined by implementations
                                        Control0..1*
                                        TypeExtension
                                        Is Modifierfalse
                                        Summaryfalse
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                        144. Extension.extension:substance.extension:strength.extension:concentration[x].extension:lowNumerator.url
                                        Definition

                                        Source of the definition for the extension code - a logical name or a URL.

                                        Shortidentifies the meaning of the extension
                                        Comments

                                        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.

                                        Control1..1
                                        Typeuri
                                        Is Modifierfalse
                                        XML FormatIn the XML format, this property is represented as an attribute.
                                        Summaryfalse
                                        Fixed ValuelowNumerator
                                        146. Extension.extension:substance.extension:strength.extension:concentration[x].extension:lowNumerator.value[x]
                                        Definition

                                        The value of the low limit numerator.


                                        Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                        ShortLow Numerator limitValue of extension
                                        Control0..1
                                        TypeQuantity(SimpleQuantity), date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                                        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                        Is Modifierfalse
                                        Summaryfalse
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        148. Extension.extension:substance.extension:strength.extension:concentration[x].extension:highNumerator
                                        Slice NamehighNumerator
                                        Definition

                                        The value of the high limit numerator.

                                        ShortHigh Numerator limitAdditional content defined by implementations
                                        Control0..1*
                                        TypeExtension
                                        Is Modifierfalse
                                        Summaryfalse
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                        150. Extension.extension:substance.extension:strength.extension:concentration[x].extension:highNumerator.url
                                        Definition

                                        Source of the definition for the extension code - a logical name or a URL.

                                        Shortidentifies the meaning of the extension
                                        Comments

                                        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.

                                        Control1..1
                                        Typeuri
                                        Is Modifierfalse
                                        XML FormatIn the XML format, this property is represented as an attribute.
                                        Summaryfalse
                                        Fixed ValuehighNumerator
                                        152. Extension.extension:substance.extension:strength.extension:concentration[x].extension:highNumerator.value[x]
                                        Definition

                                        The value of the high limit numerator.


                                        Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                        ShortHigh Numerator limitValue of extension
                                        Control0..1
                                        TypeQuantity(SimpleQuantity), date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                                        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                        Is Modifierfalse
                                        Summaryfalse
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        154. Extension.extension:substance.extension:strength.extension:concentration[x].extension:denominator
                                        Slice Namedenominator
                                        Definition

                                        The value of the denominator.

                                        ShortDenominator valueAdditional content defined by implementations
                                        Control0..1*
                                        TypeExtension
                                        Is Modifierfalse
                                        Summaryfalse
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                        156. Extension.extension:substance.extension:strength.extension:concentration[x].extension:denominator.url
                                        Definition

                                        Source of the definition for the extension code - a logical name or a URL.

                                        Shortidentifies the meaning of the extension
                                        Comments

                                        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.

                                        Control1..1
                                        Typeuri
                                        Is Modifierfalse
                                        XML FormatIn the XML format, this property is represented as an attribute.
                                        Summaryfalse
                                        Fixed Valuedenominator
                                        158. Extension.extension:substance.extension:strength.extension:concentration[x].extension:denominator.value[x]
                                        Definition

                                        The value of the denominator.


                                        Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                        ShortDenominator valueValue of extension
                                        Control0..1
                                        TypeQuantity(SimpleQuantity), date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                                        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                        Is Modifierfalse
                                        Summaryfalse
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        160. Extension.extension:substance.extension:strength.extension:concentration[x].extension:_datatype
                                        Slice Name_datatype
                                        Definition

                                        Data type name for Ingredient.substance.strength.concentration[x] from FHIR R5

                                        ShortData type name for Ingredient.substance.strength.concentration[x] from FHIR R5
                                        Control0..1
                                        TypeExtension(Datatype) (Extension Type: string)
                                        Is Modifierfalse
                                        Summaryfalse
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                        162. Extension.extension:substance.extension:strength.extension:concentration[x].extension:_datatype.extension
                                        Definition

                                        An Extension


                                        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.

                                        ShortExtensionAdditional content defined by implementations
                                        Comments

                                        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.

                                        Control0..0*
                                        TypeExtension
                                        Is Modifierfalse
                                        Summaryfalse
                                        Alternate Namesextensions, user content
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                        SlicingThis element introduces a set of slices on Extension.extension.extension.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                        • value @ url
                                        • 164. Extension.extension:substance.extension:strength.extension:concentration[x].extension:_datatype.url
                                          Definition

                                          Source of the definition for the extension code - a logical name or a URL.

                                          Shortidentifies the meaning of the extension
                                          Comments

                                          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.

                                          Control1..1
                                          Typeuri
                                          Is Modifierfalse
                                          XML FormatIn the XML format, this property is represented as an attribute.
                                          Summaryfalse
                                          Fixed Valuehttp://hl7.org/fhir/StructureDefinition/_datatype
                                          166. Extension.extension:substance.extension:strength.extension:concentration[x].extension:_datatype.value[x]
                                          Definition

                                          Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).


                                          Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                          ShortValue of extension
                                          Comments

                                          Must be: RatioRange

                                          Control10..1
                                          This element is affected by the following invariants: ext-1
                                          Typestring, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                                          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                          Is Modifierfalse
                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                          Summaryfalse
                                          Fixed ValueRatioRange
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          168. Extension.extension:substance.extension:strength.extension:concentration[x].url
                                          Definition

                                          Source of the definition for the extension code - a logical name or a URL.

                                          Shortidentifies the meaning of the extension
                                          Comments

                                          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.

                                          Control1..1
                                          Typeuri
                                          Is Modifierfalse
                                          XML FormatIn the XML format, this property is represented as an attribute.
                                          Summaryfalse
                                          Fixed Valueconcentration[x]
                                          170. Extension.extension:substance.extension:strength.extension:concentration[x].value[x]
                                          Definition

                                          This cross-version extension represents Ingredient.substance.strength.concentration[x] from http://hl7.org/fhir/StructureDefinition/Ingredient|5.0.0 for use in FHIR R4.


                                          Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                          ShortThe strength per unitary volume (or mass)Value of extension
                                          Control0..1
                                          TypeChoice of: Ratio, CodeableConcept, Quantity, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Age, Reference, TriggerDefinition, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                                          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                          Is Modifierfalse
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          172. Extension.extension:substance.extension:strength.extension:textConcentration
                                          Slice NametextConcentration
                                          Definition

                                          A textual represention of either the whole of the concentration strength or a part of it - with the rest being in Strength.concentration as a ratio.

                                          ShortText of either the whole concentration strength or a part of it (rest being in Strength.concentration as a ratio)Additional content defined by implementations
                                          Control0..1*
                                          TypeExtension
                                          Is Modifierfalse
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                          174. Extension.extension:substance.extension:strength.extension:textConcentration.url
                                          Definition

                                          Source of the definition for the extension code - a logical name or a URL.

                                          Shortidentifies the meaning of the extension
                                          Comments

                                          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.

                                          Control1..1
                                          Typeuri
                                          Is Modifierfalse
                                          XML FormatIn the XML format, this property is represented as an attribute.
                                          Summaryfalse
                                          Fixed ValuetextConcentration
                                          176. Extension.extension:substance.extension:strength.extension:textConcentration.value[x]
                                          Definition

                                          A textual represention of either the whole of the concentration strength or a part of it - with the rest being in Strength.concentration as a ratio.


                                          Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                          ShortText of either the whole concentration strength or a part of it (rest being in Strength.concentration as a ratio)Value of extension
                                          Control0..1
                                          Typestring, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                                          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                          Is Modifierfalse
                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          178. Extension.extension:substance.extension:strength.extension:basis
                                          Slice Namebasis
                                          Definition

                                          This cross-version extension represents Ingredient.substance.strength.basis from http://hl7.org/fhir/StructureDefinition/Ingredient|5.0.0 for use in FHIR R4.

                                          ShortA code that indicates if the strength is, for example, based on the ingredient substance as stated or on the substance base (when the ingredient is a salt)Additional content defined by implementations
                                          Control0..1*
                                          TypeExtension
                                          Is Modifierfalse
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                          180. Extension.extension:substance.extension:strength.extension:basis.url
                                          Definition

                                          Source of the definition for the extension code - a logical name or a URL.

                                          Shortidentifies the meaning of the extension
                                          Comments

                                          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.

                                          Control1..1
                                          Typeuri
                                          Is Modifierfalse
                                          XML FormatIn the XML format, this property is represented as an attribute.
                                          Summaryfalse
                                          Fixed Valuebasis
                                          182. Extension.extension:substance.extension:strength.extension:basis.value[x]
                                          Definition

                                          This cross-version extension represents Ingredient.substance.strength.basis from http://hl7.org/fhir/StructureDefinition/Ingredient|5.0.0 for use in FHIR R4.


                                          Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                          ShortA code that indicates if the strength is, for example, based on the ingredient substance as stated or on the substance base (when the ingredient is a salt)Value of extension
                                          Control0..1
                                          TypeCodeableConcept, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                                          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                          Is Modifierfalse
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          184. Extension.extension:substance.extension:strength.extension:measurementPoint
                                          Slice NamemeasurementPoint
                                          Definition

                                          For when strength is measured at a particular point or distance. There are products where strength is measured at a particular point. For example, the strength of the ingredient in some inhalers is measured at a particular position relative to the point of aerosolization.

                                          ShortWhen strength is measured at a particular point or distanceAdditional content defined by implementations
                                          Control0..1*
                                          TypeExtension
                                          Is Modifierfalse
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                          186. Extension.extension:substance.extension:strength.extension:measurementPoint.url
                                          Definition

                                          Source of the definition for the extension code - a logical name or a URL.

                                          Shortidentifies the meaning of the extension
                                          Comments

                                          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.

                                          Control1..1
                                          Typeuri
                                          Is Modifierfalse
                                          XML FormatIn the XML format, this property is represented as an attribute.
                                          Summaryfalse
                                          Fixed ValuemeasurementPoint
                                          188. Extension.extension:substance.extension:strength.extension:measurementPoint.value[x]
                                          Definition

                                          For when strength is measured at a particular point or distance. There are products where strength is measured at a particular point. For example, the strength of the ingredient in some inhalers is measured at a particular position relative to the point of aerosolization.


                                          Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                          ShortWhen strength is measured at a particular point or distanceValue of extension
                                          Control0..1
                                          Typestring, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                                          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                          Is Modifierfalse
                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          190. Extension.extension:substance.extension:strength.extension:country
                                          Slice Namecountry
                                          Definition

                                          The country or countries for which the strength range applies.

                                          ShortWhere the strength range appliesAdditional content defined by implementations
                                          Control0..*
                                          TypeExtension
                                          Is Modifierfalse
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                          192. Extension.extension:substance.extension:strength.extension:country.url
                                          Definition

                                          Source of the definition for the extension code - a logical name or a URL.

                                          Shortidentifies the meaning of the extension
                                          Comments

                                          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.

                                          Control1..1
                                          Typeuri
                                          Is Modifierfalse
                                          XML FormatIn the XML format, this property is represented as an attribute.
                                          Summaryfalse
                                          Fixed Valuecountry
                                          194. Extension.extension:substance.extension:strength.extension:country.value[x]
                                          Definition

                                          The country or countries for which the strength range applies.


                                          Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                          ShortWhere the strength range appliesValue of extension
                                          Control0..1
                                          BindingFor example codes, see For codes, see R5_country_for_R4 (0.0.1-snapshot-2)
                                          (example to http://hl7.org/fhir/5.0/ValueSet/R5-country-for-R4|0.0.1-snapshot-2)

                                          Jurisdiction codes

                                          TypeCodeableConcept, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                                          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                          Is Modifierfalse
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          196. Extension.extension:substance.extension:strength.extension:referenceStrength
                                          Slice NamereferenceStrength
                                          Definition

                                          Strength expressed in terms of a reference substance. For when the ingredient strength is additionally expressed as equivalent to the strength of some other closely related substance (e.g. salt vs. base). Reference strength represents the strength (quantitative composition) of the active moiety of the active substance. There are situations when the active substance and active moiety are different, therefore both a strength and a reference strength are needed.

                                          ShortStrength expressed in terms of a reference substanceAdditional content defined by implementations
                                          Control0..*
                                          TypeExtension
                                          Is Modifierfalse
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                          198. Extension.extension:substance.extension:strength.extension:referenceStrength.extension
                                          Definition

                                          An Extension


                                          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.

                                          ShortExtensionAdditional content defined by implementations
                                          Comments

                                          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.

                                          Control20..*
                                          TypeExtension
                                          Is Modifierfalse
                                          Summaryfalse
                                          Alternate Namesextensions, user content
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                          SlicingThis element introduces a set of slices on Extension.extension.extension.extension.extension. The slices areUnordered and ClosedOpen, and can be differentiated using the following discriminators:
                                          • value @ url
                                          • 200. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:substance
                                            Slice Namesubstance
                                            Definition

                                            This cross-version extension represents Ingredient.substance.strength.referenceStrength.substance from http://hl7.org/fhir/StructureDefinition/Ingredient|5.0.0 for use in FHIR R4.

                                            ShortRelevant reference substanceAdditional content defined by implementations
                                            Control10..1*
                                            TypeExtension
                                            Is Modifierfalse
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                            ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                            202. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:substance.extension
                                            Definition

                                            An Extension


                                            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.

                                            ShortExtensionAdditional content defined by implementations
                                            Comments

                                            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.

                                            Control0..*
                                            TypeExtension
                                            Is Modifierfalse
                                            Summaryfalse
                                            Alternate Namesextensions, user content
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                            ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                            SlicingThis element introduces a set of slices on Extension.extension.extension.extension.extension.extension. The slices areUnordered and ClosedOpen, and can be differentiated using the following discriminators:
                                            • value @ url
                                            • 204. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:substance.extension:concept
                                              Slice Nameconcept
                                              Definition

                                              A reference to a concept - e.g. the information is identified by its general class to the degree of precision found in the terminology.

                                              ShortReference to a concept (by class)Additional content defined by implementations
                                              Control0..1*
                                              TypeExtension
                                              Is Modifierfalse
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                              ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                              206. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:substance.extension:concept.url
                                              Definition

                                              Source of the definition for the extension code - a logical name or a URL.

                                              Shortidentifies the meaning of the extension
                                              Comments

                                              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.

                                              Control1..1
                                              Typeuri
                                              Is Modifierfalse
                                              XML FormatIn the XML format, this property is represented as an attribute.
                                              Summaryfalse
                                              Fixed Valueconcept
                                              208. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:substance.extension:concept.value[x]
                                              Definition

                                              A reference to a concept - e.g. the information is identified by its general class to the degree of precision found in the terminology.


                                              Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                              ShortReference to a concept (by class)Value of extension
                                              Control0..1
                                              TypeCodeableConcept, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                                              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                              Is Modifierfalse
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              210. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:substance.extension:reference
                                              Slice Namereference
                                              Definition

                                              A reference to a resource the provides exact details about the information being referenced.

                                              ShortReference to a resource (by instance)Additional content defined by implementations
                                              Control0..1*
                                              TypeExtension
                                              Is Modifierfalse
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                              ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                              212. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:substance.extension:reference.url
                                              Definition

                                              Source of the definition for the extension code - a logical name or a URL.

                                              Shortidentifies the meaning of the extension
                                              Comments

                                              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.

                                              Control1..1
                                              Typeuri
                                              Is Modifierfalse
                                              XML FormatIn the XML format, this property is represented as an attribute.
                                              Summaryfalse
                                              Fixed Valuereference
                                              214. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:substance.extension:reference.value[x]
                                              Definition

                                              A reference to a resource the provides exact details about the information being referenced.


                                              Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                              ShortReference to a resource (by instance)Value of extension
                                              Control0..1
                                              TypeReference, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                                              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                              Is Modifierfalse
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              216. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:substance.extension:_datatype
                                              Slice Name_datatype
                                              Definition

                                              Data type name for Ingredient.substance.strength.referenceStrength.substance from FHIR R5

                                              ShortData type name for Ingredient.substance.strength.referenceStrength.substance from FHIR R5
                                              Control0..1
                                              TypeExtension(Datatype) (Extension Type: string)
                                              Is Modifierfalse
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                              ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                              218. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:substance.extension:_datatype.extension
                                              Definition

                                              An Extension


                                              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.

                                              ShortExtensionAdditional content defined by implementations
                                              Comments

                                              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.

                                              Control0..0*
                                              TypeExtension
                                              Is Modifierfalse
                                              Summaryfalse
                                              Alternate Namesextensions, user content
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                              ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                              SlicingThis element introduces a set of slices on Extension.extension.extension.extension.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                              • value @ url
                                              • 220. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:substance.extension:_datatype.url
                                                Definition

                                                Source of the definition for the extension code - a logical name or a URL.

                                                Shortidentifies the meaning of the extension
                                                Comments

                                                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.

                                                Control1..1
                                                Typeuri
                                                Is Modifierfalse
                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                Summaryfalse
                                                Fixed Valuehttp://hl7.org/fhir/StructureDefinition/_datatype
                                                222. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:substance.extension:_datatype.value[x]
                                                Definition

                                                Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).


                                                Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                                ShortValue of extension
                                                Comments

                                                Must be: CodeableReference

                                                Control10..1
                                                This element is affected by the following invariants: ext-1
                                                Typestring, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                                                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                Is Modifierfalse
                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                Summaryfalse
                                                Fixed ValueCodeableReference
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                224. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:substance.url
                                                Definition

                                                Source of the definition for the extension code - a logical name or a URL.

                                                Shortidentifies the meaning of the extension
                                                Comments

                                                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.

                                                Control1..1
                                                Typeuri
                                                Is Modifierfalse
                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                Summaryfalse
                                                Fixed Valuesubstance
                                                226. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:strength[x]
                                                Slice Namestrength[x]
                                                Definition

                                                This cross-version extension represents Ingredient.substance.strength.referenceStrength.strength[x] from http://hl7.org/fhir/StructureDefinition/Ingredient|5.0.0 for use in FHIR R4.

                                                ShortStrength expressed in terms of a reference substanceAdditional content defined by implementations
                                                Control10..1*
                                                TypeExtension
                                                Is Modifierfalse
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                228. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:strength[x].extension
                                                Definition

                                                An Extension


                                                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.

                                                ShortExtensionAdditional content defined by implementations
                                                Comments

                                                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.

                                                Control0..*
                                                TypeExtension
                                                Is Modifierfalse
                                                Summaryfalse
                                                Alternate Namesextensions, user content
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                SlicingThis element introduces a set of slices on Extension.extension.extension.extension.extension.extension. The slices areUnordered and ClosedOpen, and can be differentiated using the following discriminators:
                                                • value @ url
                                                • 230. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:strength[x].extension:lowNumerator
                                                  Slice NamelowNumerator
                                                  Definition

                                                  The value of the low limit numerator.

                                                  ShortLow Numerator limitAdditional content defined by implementations
                                                  Control0..1*
                                                  TypeExtension
                                                  Is Modifierfalse
                                                  Summaryfalse
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                  ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                  232. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:strength[x].extension:lowNumerator.url
                                                  Definition

                                                  Source of the definition for the extension code - a logical name or a URL.

                                                  Shortidentifies the meaning of the extension
                                                  Comments

                                                  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.

                                                  Control1..1
                                                  Typeuri
                                                  Is Modifierfalse
                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                  Summaryfalse
                                                  Fixed ValuelowNumerator
                                                  234. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:strength[x].extension:lowNumerator.value[x]
                                                  Definition

                                                  The value of the low limit numerator.


                                                  Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                                  ShortLow Numerator limitValue of extension
                                                  Control0..1
                                                  TypeQuantity(SimpleQuantity), date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                                                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                  Is Modifierfalse
                                                  Summaryfalse
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  236. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:strength[x].extension:highNumerator
                                                  Slice NamehighNumerator
                                                  Definition

                                                  The value of the high limit numerator.

                                                  ShortHigh Numerator limitAdditional content defined by implementations
                                                  Control0..1*
                                                  TypeExtension
                                                  Is Modifierfalse
                                                  Summaryfalse
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                  ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                  238. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:strength[x].extension:highNumerator.url
                                                  Definition

                                                  Source of the definition for the extension code - a logical name or a URL.

                                                  Shortidentifies the meaning of the extension
                                                  Comments

                                                  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.

                                                  Control1..1
                                                  Typeuri
                                                  Is Modifierfalse
                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                  Summaryfalse
                                                  Fixed ValuehighNumerator
                                                  240. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:strength[x].extension:highNumerator.value[x]
                                                  Definition

                                                  The value of the high limit numerator.


                                                  Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                                  ShortHigh Numerator limitValue of extension
                                                  Control0..1
                                                  TypeQuantity(SimpleQuantity), date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                                                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                  Is Modifierfalse
                                                  Summaryfalse
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  242. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:strength[x].extension:denominator
                                                  Slice Namedenominator
                                                  Definition

                                                  The value of the denominator.

                                                  ShortDenominator valueAdditional content defined by implementations
                                                  Control0..1*
                                                  TypeExtension
                                                  Is Modifierfalse
                                                  Summaryfalse
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                  ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                  244. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:strength[x].extension:denominator.url
                                                  Definition

                                                  Source of the definition for the extension code - a logical name or a URL.

                                                  Shortidentifies the meaning of the extension
                                                  Comments

                                                  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.

                                                  Control1..1
                                                  Typeuri
                                                  Is Modifierfalse
                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                  Summaryfalse
                                                  Fixed Valuedenominator
                                                  246. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:strength[x].extension:denominator.value[x]
                                                  Definition

                                                  The value of the denominator.


                                                  Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                                  ShortDenominator valueValue of extension
                                                  Control0..1
                                                  TypeQuantity(SimpleQuantity), date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                                                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                  Is Modifierfalse
                                                  Summaryfalse
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  248. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:strength[x].extension:_datatype
                                                  Slice Name_datatype
                                                  Definition

                                                  Data type name for Ingredient.substance.strength.referenceStrength.strength[x] from FHIR R5

                                                  ShortData type name for Ingredient.substance.strength.referenceStrength.strength[x] from FHIR R5
                                                  Control0..1
                                                  TypeExtension(Datatype) (Extension Type: string)
                                                  Is Modifierfalse
                                                  Summaryfalse
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                  ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                  250. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:strength[x].extension:_datatype.extension
                                                  Definition

                                                  An Extension


                                                  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.

                                                  ShortExtensionAdditional content defined by implementations
                                                  Comments

                                                  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.

                                                  Control0..0*
                                                  TypeExtension
                                                  Is Modifierfalse
                                                  Summaryfalse
                                                  Alternate Namesextensions, user content
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                  ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                  SlicingThis element introduces a set of slices on Extension.extension.extension.extension.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                  • value @ url
                                                  • 252. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:strength[x].extension:_datatype.url
                                                    Definition

                                                    Source of the definition for the extension code - a logical name or a URL.

                                                    Shortidentifies the meaning of the extension
                                                    Comments

                                                    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.

                                                    Control1..1
                                                    Typeuri
                                                    Is Modifierfalse
                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                    Summaryfalse
                                                    Fixed Valuehttp://hl7.org/fhir/StructureDefinition/_datatype
                                                    254. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:strength[x].extension:_datatype.value[x]
                                                    Definition

                                                    Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).


                                                    Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                                    ShortValue of extension
                                                    Comments

                                                    Must be: RatioRange

                                                    Control10..1
                                                    This element is affected by the following invariants: ext-1
                                                    Typestring, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                                                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                    Is Modifierfalse
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Summaryfalse
                                                    Fixed ValueRatioRange
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    256. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:strength[x].url
                                                    Definition

                                                    Source of the definition for the extension code - a logical name or a URL.

                                                    Shortidentifies the meaning of the extension
                                                    Comments

                                                    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.

                                                    Control1..1
                                                    Typeuri
                                                    Is Modifierfalse
                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                    Summaryfalse
                                                    Fixed Valuestrength[x]
                                                    258. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:strength[x].value[x]
                                                    Definition

                                                    This cross-version extension represents Ingredient.substance.strength.referenceStrength.strength[x] from http://hl7.org/fhir/StructureDefinition/Ingredient|5.0.0 for use in FHIR R4.


                                                    Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                                    ShortStrength expressed in terms of a reference substanceValue of extension
                                                    Control0..1
                                                    TypeChoice of: Ratio, Quantity, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Age, Reference, TriggerDefinition, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                                                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                    Is Modifierfalse
                                                    Summaryfalse
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    260. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:measurementPoint
                                                    Slice NamemeasurementPoint
                                                    Definition

                                                    For when strength is measured at a particular point or distance.

                                                    ShortWhen strength is measured at a particular point or distanceAdditional content defined by implementations
                                                    Control0..1*
                                                    TypeExtension
                                                    Is Modifierfalse
                                                    Summaryfalse
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                    262. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:measurementPoint.url
                                                    Definition

                                                    Source of the definition for the extension code - a logical name or a URL.

                                                    Shortidentifies the meaning of the extension
                                                    Comments

                                                    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.

                                                    Control1..1
                                                    Typeuri
                                                    Is Modifierfalse
                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                    Summaryfalse
                                                    Fixed ValuemeasurementPoint
                                                    264. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:measurementPoint.value[x]
                                                    Definition

                                                    For when strength is measured at a particular point or distance.


                                                    Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                                    ShortWhen strength is measured at a particular point or distanceValue of extension
                                                    Control0..1
                                                    Typestring, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                                                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                    Is Modifierfalse
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Summaryfalse
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    266. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:country
                                                    Slice Namecountry
                                                    Definition

                                                    The country or countries for which the strength range applies.

                                                    ShortWhere the strength range appliesAdditional content defined by implementations
                                                    Control0..*
                                                    TypeExtension
                                                    Is Modifierfalse
                                                    Summaryfalse
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                    268. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:country.url
                                                    Definition

                                                    Source of the definition for the extension code - a logical name or a URL.

                                                    Shortidentifies the meaning of the extension
                                                    Comments

                                                    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.

                                                    Control1..1
                                                    Typeuri
                                                    Is Modifierfalse
                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                    Summaryfalse
                                                    Fixed Valuecountry
                                                    270. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:country.value[x]
                                                    Definition

                                                    The country or countries for which the strength range applies.


                                                    Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                                    ShortWhere the strength range appliesValue of extension
                                                    Control0..1
                                                    BindingFor example codes, see For codes, see R5_country_for_R4 (0.0.1-snapshot-2)
                                                    (example to http://hl7.org/fhir/5.0/ValueSet/R5-country-for-R4|0.0.1-snapshot-2)

                                                    Jurisdiction codes

                                                    TypeCodeableConcept, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                                                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                    Is Modifierfalse
                                                    Summaryfalse
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    272. Extension.extension:substance.extension:strength.extension:referenceStrength.url
                                                    Definition

                                                    Source of the definition for the extension code - a logical name or a URL.

                                                    Shortidentifies the meaning of the extension
                                                    Comments

                                                    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.

                                                    Control1..1
                                                    Typeuri
                                                    Is Modifierfalse
                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                    Summaryfalse
                                                    Fixed ValuereferenceStrength
                                                    274. Extension.extension:substance.extension:strength.url
                                                    Definition

                                                    Source of the definition for the extension code - a logical name or a URL.

                                                    Shortidentifies the meaning of the extension
                                                    Comments

                                                    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.

                                                    Control1..1
                                                    Typeuri
                                                    Is Modifierfalse
                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                    Summaryfalse
                                                    Fixed Valuestrength
                                                    276. Extension.extension:substance.url
                                                    Definition

                                                    Source of the definition for the extension code - a logical name or a URL.

                                                    Shortidentifies the meaning of the extension
                                                    Comments

                                                    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.

                                                    Control1..1
                                                    Typeuri
                                                    Is Modifierfalse
                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                    Summaryfalse
                                                    Fixed Valuesubstance
                                                    278. Extension.url
                                                    Definition

                                                    Source of the definition for the extension code - a logical name or a URL.

                                                    Shortidentifies the meaning of the extension
                                                    Comments

                                                    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.

                                                    Control1..1
                                                    Typeuri
                                                    Is Modifierfalse
                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                    Summaryfalse
                                                    Fixed Valuehttp://hl7.org/fhir/5.0/StructureDefinition/extension-Ingredient

                                                    Guidance on how to interpret the contents of this table can be foundhere

                                                    0. Extension
                                                    Definition

                                                    This cross-version extension represents Ingredient from http://hl7.org/fhir/StructureDefinition/Ingredient|5.0.0 for use in FHIR R4.

                                                    ShortAn ingredient of a manufactured item or pharmaceutical product
                                                    Control0..*
                                                    This element is affected by the following invariants: ele-1
                                                    Is Modifierfalse
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                    2. Extension.id
                                                    Definition

                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                    ShortUnique id for inter-element referencing
                                                    Control0..1
                                                    Typestring
                                                    Is Modifierfalse
                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                    Summaryfalse
                                                    4. Extension.extension
                                                    Definition

                                                    An Extension

                                                    ShortExtension
                                                    Control3..*
                                                    TypeExtension
                                                    Is Modifierfalse
                                                    Summaryfalse
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                    SlicingThis element introduces a set of slices on Extension.extension. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                    • value @ url
                                                    • 6. Extension.extension:status
                                                      Slice Namestatus
                                                      Definition

                                                      The status of this ingredient. Enables tracking the life-cycle of the content.

                                                      Shortdraft | active | retired | unknown
                                                      Control1..1
                                                      TypeExtension
                                                      Is Modifierfalse
                                                      Summaryfalse
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                      8. Extension.extension:status.id
                                                      Definition

                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                      ShortUnique id for inter-element referencing
                                                      Control0..1
                                                      Typestring
                                                      Is Modifierfalse
                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                      Summaryfalse
                                                      10. Extension.extension:status.extension
                                                      Definition

                                                      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.

                                                      ShortAdditional content defined by implementations
                                                      Comments

                                                      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.

                                                      Control0..*
                                                      TypeExtension
                                                      Is Modifierfalse
                                                      Summaryfalse
                                                      Alternate Namesextensions, user content
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                      SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                      • value @ url
                                                      • 12. Extension.extension:status.url
                                                        Definition

                                                        Source of the definition for the extension code - a logical name or a URL.

                                                        Shortidentifies the meaning of the extension
                                                        Comments

                                                        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.

                                                        Control1..1
                                                        Typeuri
                                                        Is Modifierfalse
                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                        Summaryfalse
                                                        Fixed Valuestatus
                                                        14. Extension.extension:status.value[x]
                                                        Definition

                                                        The status of this ingredient. Enables tracking the life-cycle of the content.

                                                        Shortdraft | active | retired | unknown
                                                        Control0..1
                                                        BindingThe codes SHALL be taken from R5_publication_status_for_R4 (0.0.1-snapshot-2)
                                                        (required to http://hl7.org/fhir/5.0/ValueSet/R5-publication-status-for-R4|0.0.1-snapshot-2)

                                                        The lifecycle status of an artifact.

                                                        Typecode
                                                        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                        Is Modifierfalse
                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                        Summaryfalse
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        16. Extension.extension:for
                                                        Slice Namefor
                                                        Definition

                                                        This cross-version extension represents Ingredient.for from http://hl7.org/fhir/StructureDefinition/Ingredient|5.0.0 for use in FHIR R4.

                                                        ShortThe product which this ingredient is a constituent part of
                                                        Control0..*
                                                        TypeExtension
                                                        Is Modifierfalse
                                                        Summaryfalse
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                        18. Extension.extension:for.id
                                                        Definition

                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                        ShortUnique id for inter-element referencing
                                                        Control0..1
                                                        Typestring
                                                        Is Modifierfalse
                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                        Summaryfalse
                                                        20. Extension.extension:for.extension
                                                        Definition

                                                        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.

                                                        ShortAdditional content defined by implementations
                                                        Comments

                                                        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.

                                                        Control0..*
                                                        TypeExtension
                                                        Is Modifierfalse
                                                        Summaryfalse
                                                        Alternate Namesextensions, user content
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                        SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                        • value @ url
                                                        • 22. Extension.extension:for.url
                                                          Definition

                                                          Source of the definition for the extension code - a logical name or a URL.

                                                          Shortidentifies the meaning of the extension
                                                          Comments

                                                          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.

                                                          Control1..1
                                                          Typeuri
                                                          Is Modifierfalse
                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                          Summaryfalse
                                                          Fixed Valuefor
                                                          24. Extension.extension:for.value[x]
                                                          Definition

                                                          This cross-version extension represents Ingredient.for from http://hl7.org/fhir/StructureDefinition/Ingredient|5.0.0 for use in FHIR R4.

                                                          ShortThe product which this ingredient is a constituent part of
                                                          Control0..1
                                                          TypeReference
                                                          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                          Is Modifierfalse
                                                          Summaryfalse
                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          26. Extension.extension:role
                                                          Slice Namerole
                                                          Definition

                                                          A classification of the ingredient identifying its purpose within the product, e.g. active, inactive.

                                                          ShortPurpose of the ingredient within the product, e.g. active, inactive
                                                          Control1..1
                                                          TypeExtension
                                                          Is Modifierfalse
                                                          Summaryfalse
                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                          28. Extension.extension:role.id
                                                          Definition

                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                          ShortUnique id for inter-element referencing
                                                          Control0..1
                                                          Typestring
                                                          Is Modifierfalse
                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                          Summaryfalse
                                                          30. Extension.extension:role.extension
                                                          Definition

                                                          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.

                                                          ShortAdditional content defined by implementations
                                                          Comments

                                                          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.

                                                          Control0..*
                                                          TypeExtension
                                                          Is Modifierfalse
                                                          Summaryfalse
                                                          Alternate Namesextensions, user content
                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                          SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                          • value @ url
                                                          • 32. Extension.extension:role.url
                                                            Definition

                                                            Source of the definition for the extension code - a logical name or a URL.

                                                            Shortidentifies the meaning of the extension
                                                            Comments

                                                            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.

                                                            Control1..1
                                                            Typeuri
                                                            Is Modifierfalse
                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                            Summaryfalse
                                                            Fixed Valuerole
                                                            34. Extension.extension:role.value[x]
                                                            Definition

                                                            A classification of the ingredient identifying its purpose within the product, e.g. active, inactive.

                                                            ShortPurpose of the ingredient within the product, e.g. active, inactive
                                                            Control0..1
                                                            BindingFor example codes, see R5_ingredient_role_for_R4 (0.0.1-snapshot-2)
                                                            (example to http://hl7.org/fhir/5.0/ValueSet/R5-ingredient-role-for-R4|0.0.1-snapshot-2)

                                                            A classification of the ingredient identifying its purpose within the product, e.g. active, inactive.

                                                            TypeCodeableConcept
                                                            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                            Is Modifierfalse
                                                            Summaryfalse
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            36. Extension.extension:function
                                                            Slice Namefunction
                                                            Definition

                                                            A classification of the ingredient identifying its precise purpose(s) in the drug product. This extends the Ingredient.role to add more detail. Example: antioxidant, alkalizing agent.

                                                            ShortPrecise action within the drug product, e.g. antioxidant, alkalizing agent
                                                            Control0..*
                                                            TypeExtension
                                                            Is Modifierfalse
                                                            Summaryfalse
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                            38. Extension.extension:function.id
                                                            Definition

                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                            ShortUnique id for inter-element referencing
                                                            Control0..1
                                                            Typestring
                                                            Is Modifierfalse
                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                            Summaryfalse
                                                            40. Extension.extension:function.extension
                                                            Definition

                                                            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.

                                                            ShortAdditional content defined by implementations
                                                            Comments

                                                            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.

                                                            Control0..*
                                                            TypeExtension
                                                            Is Modifierfalse
                                                            Summaryfalse
                                                            Alternate Namesextensions, user content
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                            SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                            • value @ url
                                                            • 42. Extension.extension:function.url
                                                              Definition

                                                              Source of the definition for the extension code - a logical name or a URL.

                                                              Shortidentifies the meaning of the extension
                                                              Comments

                                                              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.

                                                              Control1..1
                                                              Typeuri
                                                              Is Modifierfalse
                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                              Summaryfalse
                                                              Fixed Valuefunction
                                                              44. Extension.extension:function.value[x]
                                                              Definition

                                                              A classification of the ingredient identifying its precise purpose(s) in the drug product. This extends the Ingredient.role to add more detail. Example: antioxidant, alkalizing agent.

                                                              ShortPrecise action within the drug product, e.g. antioxidant, alkalizing agent
                                                              Control0..1
                                                              BindingFor example codes, see R5_ingredient_function_for_R4 (0.0.1-snapshot-2)
                                                              (example to http://hl7.org/fhir/5.0/ValueSet/R5-ingredient-function-for-R4|0.0.1-snapshot-2)

                                                              A classification of the ingredient identifying its precise purpose(s) in the drug product (beyond e.g. active/inactive).

                                                              TypeCodeableConcept
                                                              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                              Is Modifierfalse
                                                              Summaryfalse
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              46. Extension.extension:group
                                                              Slice Namegroup
                                                              Definition

                                                              This cross-version extension represents Ingredient.group from http://hl7.org/fhir/StructureDefinition/Ingredient|5.0.0 for use in FHIR R4.

                                                              ShortA classification of the ingredient according to where in the physical item it tends to be used, such the outer shell of a tablet, inner body or ink
                                                              Control0..1
                                                              TypeExtension
                                                              Is Modifierfalse
                                                              Summaryfalse
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                              48. Extension.extension:group.id
                                                              Definition

                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                              ShortUnique id for inter-element referencing
                                                              Control0..1
                                                              Typestring
                                                              Is Modifierfalse
                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                              Summaryfalse
                                                              50. Extension.extension:group.extension
                                                              Definition

                                                              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.

                                                              ShortAdditional content defined by implementations
                                                              Comments

                                                              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.

                                                              Control0..*
                                                              TypeExtension
                                                              Is Modifierfalse
                                                              Summaryfalse
                                                              Alternate Namesextensions, user content
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                              SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                              • value @ url
                                                              • 52. Extension.extension:group.url
                                                                Definition

                                                                Source of the definition for the extension code - a logical name or a URL.

                                                                Shortidentifies the meaning of the extension
                                                                Comments

                                                                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.

                                                                Control1..1
                                                                Typeuri
                                                                Is Modifierfalse
                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                Summaryfalse
                                                                Fixed Valuegroup
                                                                54. Extension.extension:group.value[x]
                                                                Definition

                                                                This cross-version extension represents Ingredient.group from http://hl7.org/fhir/StructureDefinition/Ingredient|5.0.0 for use in FHIR R4.

                                                                ShortA classification of the ingredient according to where in the physical item it tends to be used, such the outer shell of a tablet, inner body or ink
                                                                Control0..1
                                                                TypeCodeableConcept
                                                                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                56. Extension.extension:allergenicIndicator
                                                                Slice NameallergenicIndicator
                                                                Definition

                                                                If the ingredient is a known or suspected allergen. Note that this is a property of the substance, so if a reference to a SubstanceDefinition is used to decribe that (rather than just a code), the allergen information should go there, not here.

                                                                ShortIf the ingredient is a known or suspected allergen
                                                                Control0..1
                                                                TypeExtension
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                58. Extension.extension:allergenicIndicator.id
                                                                Definition

                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                ShortUnique id for inter-element referencing
                                                                Control0..1
                                                                Typestring
                                                                Is Modifierfalse
                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                Summaryfalse
                                                                60. Extension.extension:allergenicIndicator.extension
                                                                Definition

                                                                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.

                                                                ShortAdditional content defined by implementations
                                                                Comments

                                                                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.

                                                                Control0..*
                                                                TypeExtension
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Alternate Namesextensions, user content
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                • value @ url
                                                                • 62. Extension.extension:allergenicIndicator.url
                                                                  Definition

                                                                  Source of the definition for the extension code - a logical name or a URL.

                                                                  Shortidentifies the meaning of the extension
                                                                  Comments

                                                                  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.

                                                                  Control1..1
                                                                  Typeuri
                                                                  Is Modifierfalse
                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                  Summaryfalse
                                                                  Fixed ValueallergenicIndicator
                                                                  64. Extension.extension:allergenicIndicator.value[x]
                                                                  Definition

                                                                  If the ingredient is a known or suspected allergen. Note that this is a property of the substance, so if a reference to a SubstanceDefinition is used to decribe that (rather than just a code), the allergen information should go there, not here.

                                                                  ShortIf the ingredient is a known or suspected allergen
                                                                  Control0..1
                                                                  Typeboolean
                                                                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                  Is Modifierfalse
                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                  Summaryfalse
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  66. Extension.extension:comment
                                                                  Slice Namecomment
                                                                  Definition

                                                                  This cross-version extension represents Ingredient.comment from http://hl7.org/fhir/StructureDefinition/Ingredient|5.0.0 for use in FHIR R4.

                                                                  ShortA place for providing any notes that are relevant to the component, e.g. removed during process, adjusted for loss on drying
                                                                  Control0..1
                                                                  TypeExtension
                                                                  Is Modifierfalse
                                                                  Summaryfalse
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                  68. Extension.extension:comment.id
                                                                  Definition

                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                  ShortUnique id for inter-element referencing
                                                                  Control0..1
                                                                  Typestring
                                                                  Is Modifierfalse
                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                  Summaryfalse
                                                                  70. Extension.extension:comment.extension
                                                                  Definition

                                                                  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.

                                                                  ShortAdditional content defined by implementations
                                                                  Comments

                                                                  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.

                                                                  Control0..*
                                                                  TypeExtension
                                                                  Is Modifierfalse
                                                                  Summaryfalse
                                                                  Alternate Namesextensions, user content
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                  SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                  • value @ url
                                                                  • 72. Extension.extension:comment.url
                                                                    Definition

                                                                    Source of the definition for the extension code - a logical name or a URL.

                                                                    Shortidentifies the meaning of the extension
                                                                    Comments

                                                                    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.

                                                                    Control1..1
                                                                    Typeuri
                                                                    Is Modifierfalse
                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                    Summaryfalse
                                                                    Fixed Valuecomment
                                                                    74. Extension.extension:comment.value[x]
                                                                    Definition

                                                                    This cross-version extension represents Ingredient.comment from http://hl7.org/fhir/StructureDefinition/Ingredient|5.0.0 for use in FHIR R4.

                                                                    ShortA place for providing any notes that are relevant to the component, e.g. removed during process, adjusted for loss on drying
                                                                    Control0..1
                                                                    Typemarkdown
                                                                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                    Is Modifierfalse
                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                    Summaryfalse
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    76. Extension.extension:manufacturer
                                                                    Slice Namemanufacturer
                                                                    Definition

                                                                    The organization(s) that manufacture this ingredient. Can be used to indicate: 1) Organizations we are aware of that manufacture this ingredient 2) Specific Manufacturer(s) currently being used 3) Set of organisations allowed to manufacture this ingredient for this product Users must be clear on the application of context relevant to their use case.

                                                                    ShortAn organization that manufactures this ingredient
                                                                    Control0..*
                                                                    TypeExtension
                                                                    Is Modifierfalse
                                                                    Summaryfalse
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                    78. Extension.extension:manufacturer.id
                                                                    Definition

                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                    ShortUnique id for inter-element referencing
                                                                    Control0..1
                                                                    Typestring
                                                                    Is Modifierfalse
                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                    Summaryfalse
                                                                    80. Extension.extension:manufacturer.extension
                                                                    Definition

                                                                    An Extension

                                                                    ShortExtension
                                                                    Control1..*
                                                                    TypeExtension
                                                                    Is Modifierfalse
                                                                    Summaryfalse
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                    SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                    • value @ url
                                                                    • 82. Extension.extension:manufacturer.extension:role
                                                                      Slice Namerole
                                                                      Definition

                                                                      The way in which this manufacturer is associated with the ingredient. For example whether it is a possible one (others allowed), or an exclusive authorized one for this ingredient. Note that this is not the manufacturing process role.

                                                                      Shortallowed | possible | actual
                                                                      Control0..1
                                                                      TypeExtension
                                                                      Is Modifierfalse
                                                                      Summaryfalse
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                      84. Extension.extension:manufacturer.extension:role.id
                                                                      Definition

                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                      ShortUnique id for inter-element referencing
                                                                      Control0..1
                                                                      Typestring
                                                                      Is Modifierfalse
                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                      Summaryfalse
                                                                      86. Extension.extension:manufacturer.extension:role.extension
                                                                      Definition

                                                                      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.

                                                                      ShortAdditional content defined by implementations
                                                                      Comments

                                                                      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.

                                                                      Control0..*
                                                                      TypeExtension
                                                                      Is Modifierfalse
                                                                      Summaryfalse
                                                                      Alternate Namesextensions, user content
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                      SlicingThis element introduces a set of slices on Extension.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                      • value @ url
                                                                      • 88. Extension.extension:manufacturer.extension:role.url
                                                                        Definition

                                                                        Source of the definition for the extension code - a logical name or a URL.

                                                                        Shortidentifies the meaning of the extension
                                                                        Comments

                                                                        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.

                                                                        Control1..1
                                                                        Typeuri
                                                                        Is Modifierfalse
                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                        Summaryfalse
                                                                        Fixed Valuerole
                                                                        90. Extension.extension:manufacturer.extension:role.value[x]
                                                                        Definition

                                                                        The way in which this manufacturer is associated with the ingredient. For example whether it is a possible one (others allowed), or an exclusive authorized one for this ingredient. Note that this is not the manufacturing process role.

                                                                        Shortallowed | possible | actual
                                                                        Control0..1
                                                                        BindingThe codes SHALL be taken from R5_ingredient_manufacturer_role_for_R4 (0.0.1-snapshot-2)
                                                                        (required to http://hl7.org/fhir/5.0/ValueSet/R5-ingredient-manufacturer-role-for-R4|0.0.1-snapshot-2)

                                                                        The way in which this manufacturer is associated with the ingredient.

                                                                        Typecode
                                                                        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                        Is Modifierfalse
                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                        Summaryfalse
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        92. Extension.extension:manufacturer.extension:manufacturer
                                                                        Slice Namemanufacturer
                                                                        Definition

                                                                        This cross-version extension represents Ingredient.manufacturer.manufacturer from http://hl7.org/fhir/StructureDefinition/Ingredient|5.0.0 for use in FHIR R4.

                                                                        ShortAn organization that manufactures this ingredient
                                                                        Control1..1
                                                                        TypeExtension
                                                                        Is Modifierfalse
                                                                        Summaryfalse
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                        94. Extension.extension:manufacturer.extension:manufacturer.id
                                                                        Definition

                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                        ShortUnique id for inter-element referencing
                                                                        Control0..1
                                                                        Typestring
                                                                        Is Modifierfalse
                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                        Summaryfalse
                                                                        96. Extension.extension:manufacturer.extension:manufacturer.extension
                                                                        Definition

                                                                        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.

                                                                        ShortAdditional content defined by implementations
                                                                        Comments

                                                                        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.

                                                                        Control0..*
                                                                        TypeExtension
                                                                        Is Modifierfalse
                                                                        Summaryfalse
                                                                        Alternate Namesextensions, user content
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                        SlicingThis element introduces a set of slices on Extension.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                        • value @ url
                                                                        • 98. Extension.extension:manufacturer.extension:manufacturer.url
                                                                          Definition

                                                                          Source of the definition for the extension code - a logical name or a URL.

                                                                          Shortidentifies the meaning of the extension
                                                                          Comments

                                                                          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.

                                                                          Control1..1
                                                                          Typeuri
                                                                          Is Modifierfalse
                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                          Summaryfalse
                                                                          Fixed Valuemanufacturer
                                                                          100. Extension.extension:manufacturer.extension:manufacturer.value[x]
                                                                          Definition

                                                                          This cross-version extension represents Ingredient.manufacturer.manufacturer from http://hl7.org/fhir/StructureDefinition/Ingredient|5.0.0 for use in FHIR R4.

                                                                          ShortAn organization that manufactures this ingredient
                                                                          Control0..1
                                                                          TypeReference
                                                                          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                          Is Modifierfalse
                                                                          Summaryfalse
                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          102. Extension.extension:manufacturer.url
                                                                          Definition

                                                                          Source of the definition for the extension code - a logical name or a URL.

                                                                          Shortidentifies the meaning of the extension
                                                                          Comments

                                                                          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.

                                                                          Control1..1
                                                                          Typeuri
                                                                          Is Modifierfalse
                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                          Summaryfalse
                                                                          Fixed Valuemanufacturer
                                                                          104. Extension.extension:manufacturer.value[x]
                                                                          Definition

                                                                          Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                                                          ShortValue of extension
                                                                          Control0..1
                                                                          TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
                                                                          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                          Is Modifierfalse
                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                          Summaryfalse
                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          106. Extension.extension:substance
                                                                          Slice Namesubstance
                                                                          Definition

                                                                          This cross-version extension represents Ingredient.substance from http://hl7.org/fhir/StructureDefinition/Ingredient|5.0.0 for use in FHIR R4.

                                                                          ShortThe substance that comprises this ingredient
                                                                          Control1..1
                                                                          TypeExtension
                                                                          Is Modifierfalse
                                                                          Summaryfalse
                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                          108. Extension.extension:substance.id
                                                                          Definition

                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                          ShortUnique id for inter-element referencing
                                                                          Control0..1
                                                                          Typestring
                                                                          Is Modifierfalse
                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                          Summaryfalse
                                                                          110. Extension.extension:substance.extension
                                                                          Definition

                                                                          An Extension

                                                                          ShortExtension
                                                                          Control1..*
                                                                          TypeExtension
                                                                          Is Modifierfalse
                                                                          Summaryfalse
                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                          SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                          • value @ url
                                                                          • 112. Extension.extension:substance.extension:code
                                                                            Slice Namecode
                                                                            Definition

                                                                            A code or full resource that represents the ingredient's substance.

                                                                            ShortA code or full resource that represents the ingredient substance
                                                                            Control1..1
                                                                            TypeExtension
                                                                            Is Modifierfalse
                                                                            Summaryfalse
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                            114. Extension.extension:substance.extension:code.id
                                                                            Definition

                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                            ShortUnique id for inter-element referencing
                                                                            Control0..1
                                                                            Typestring
                                                                            Is Modifierfalse
                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                            Summaryfalse
                                                                            116. Extension.extension:substance.extension:code.extension
                                                                            Definition

                                                                            An Extension

                                                                            ShortExtension
                                                                            Control0..*
                                                                            TypeExtension
                                                                            Is Modifierfalse
                                                                            Summaryfalse
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                            SlicingThis element introduces a set of slices on Extension.extension.extension.extension. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                            • value @ url
                                                                            • 118. Extension.extension:substance.extension:code.extension:concept
                                                                              Slice Nameconcept
                                                                              Definition

                                                                              A reference to a concept - e.g. the information is identified by its general class to the degree of precision found in the terminology.

                                                                              ShortReference to a concept (by class)
                                                                              Control0..1
                                                                              TypeExtension
                                                                              Is Modifierfalse
                                                                              Summaryfalse
                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                              120. Extension.extension:substance.extension:code.extension:concept.id
                                                                              Definition

                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                              ShortUnique id for inter-element referencing
                                                                              Control0..1
                                                                              Typestring
                                                                              Is Modifierfalse
                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                              Summaryfalse
                                                                              122. Extension.extension:substance.extension:code.extension:concept.extension
                                                                              Definition

                                                                              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.

                                                                              ShortAdditional content defined by implementations
                                                                              Comments

                                                                              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.

                                                                              Control0..*
                                                                              TypeExtension
                                                                              Is Modifierfalse
                                                                              Summaryfalse
                                                                              Alternate Namesextensions, user content
                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                              SlicingThis element introduces a set of slices on Extension.extension.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                              • value @ url
                                                                              • 124. Extension.extension:substance.extension:code.extension:concept.url
                                                                                Definition

                                                                                Source of the definition for the extension code - a logical name or a URL.

                                                                                Shortidentifies the meaning of the extension
                                                                                Comments

                                                                                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.

                                                                                Control1..1
                                                                                Typeuri
                                                                                Is Modifierfalse
                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                Summaryfalse
                                                                                Fixed Valueconcept
                                                                                126. Extension.extension:substance.extension:code.extension:concept.value[x]
                                                                                Definition

                                                                                A reference to a concept - e.g. the information is identified by its general class to the degree of precision found in the terminology.

                                                                                ShortReference to a concept (by class)
                                                                                Control0..1
                                                                                TypeCodeableConcept
                                                                                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                Is Modifierfalse
                                                                                Summaryfalse
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                128. Extension.extension:substance.extension:code.extension:reference
                                                                                Slice Namereference
                                                                                Definition

                                                                                A reference to a resource the provides exact details about the information being referenced.

                                                                                ShortReference to a resource (by instance)
                                                                                Control0..1
                                                                                TypeExtension
                                                                                Is Modifierfalse
                                                                                Summaryfalse
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                130. Extension.extension:substance.extension:code.extension:reference.id
                                                                                Definition

                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                ShortUnique id for inter-element referencing
                                                                                Control0..1
                                                                                Typestring
                                                                                Is Modifierfalse
                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                Summaryfalse
                                                                                132. Extension.extension:substance.extension:code.extension:reference.extension
                                                                                Definition

                                                                                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.

                                                                                ShortAdditional content defined by implementations
                                                                                Comments

                                                                                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.

                                                                                Control0..*
                                                                                TypeExtension
                                                                                Is Modifierfalse
                                                                                Summaryfalse
                                                                                Alternate Namesextensions, user content
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                SlicingThis element introduces a set of slices on Extension.extension.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                • value @ url
                                                                                • 134. Extension.extension:substance.extension:code.extension:reference.url
                                                                                  Definition

                                                                                  Source of the definition for the extension code - a logical name or a URL.

                                                                                  Shortidentifies the meaning of the extension
                                                                                  Comments

                                                                                  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.

                                                                                  Control1..1
                                                                                  Typeuri
                                                                                  Is Modifierfalse
                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                  Summaryfalse
                                                                                  Fixed Valuereference
                                                                                  136. Extension.extension:substance.extension:code.extension:reference.value[x]
                                                                                  Definition

                                                                                  A reference to a resource the provides exact details about the information being referenced.

                                                                                  ShortReference to a resource (by instance)
                                                                                  Control0..1
                                                                                  TypeReference
                                                                                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                  Is Modifierfalse
                                                                                  Summaryfalse
                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                  138. Extension.extension:substance.extension:code.extension:_datatype
                                                                                  Slice Name_datatype
                                                                                  Definition

                                                                                  Data type name for Ingredient.substance.code from FHIR R5

                                                                                  ShortData type name for Ingredient.substance.code from FHIR R5
                                                                                  Control0..1
                                                                                  TypeExtension(Datatype) (Extension Type: string)
                                                                                  Is Modifierfalse
                                                                                  Summaryfalse
                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                  140. Extension.extension:substance.extension:code.extension:_datatype.id
                                                                                  Definition

                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                  ShortUnique id for inter-element referencing
                                                                                  Control0..1
                                                                                  This element is affected by the following invariants: ele-1
                                                                                  Typeid
                                                                                  Is Modifierfalse
                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                  Summaryfalse
                                                                                  142. Extension.extension:substance.extension:code.extension:_datatype.extension
                                                                                  Definition

                                                                                  An Extension

                                                                                  ShortExtension
                                                                                  Control0..0
                                                                                  TypeExtension
                                                                                  Is Modifierfalse
                                                                                  Summaryfalse
                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                  SlicingThis element introduces a set of slices on Extension.extension.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                  • value @ url
                                                                                  • 144. Extension.extension:substance.extension:code.extension:_datatype.url
                                                                                    Definition

                                                                                    Source of the definition for the extension code - a logical name or a URL.

                                                                                    Shortidentifies the meaning of the extension
                                                                                    Comments

                                                                                    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.

                                                                                    Control1..1
                                                                                    Typeuri
                                                                                    Is Modifierfalse
                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                    Summaryfalse
                                                                                    Fixed Valuehttp://hl7.org/fhir/StructureDefinition/_datatype
                                                                                    146. Extension.extension:substance.extension:code.extension:_datatype.value[x]
                                                                                    Definition

                                                                                    Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                                                                    ShortValue of extension
                                                                                    Comments

                                                                                    Must be: CodeableReference

                                                                                    Control1..1
                                                                                    This element is affected by the following invariants: ext-1
                                                                                    Typestring
                                                                                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                    Is Modifierfalse
                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                    Summaryfalse
                                                                                    Fixed ValueCodeableReference
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    148. Extension.extension:substance.extension:code.url
                                                                                    Definition

                                                                                    Source of the definition for the extension code - a logical name or a URL.

                                                                                    Shortidentifies the meaning of the extension
                                                                                    Comments

                                                                                    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.

                                                                                    Control1..1
                                                                                    Typeuri
                                                                                    Is Modifierfalse
                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                    Summaryfalse
                                                                                    Fixed Valuecode
                                                                                    150. Extension.extension:substance.extension:code.value[x]
                                                                                    Definition

                                                                                    Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                                                                    ShortValue of extension
                                                                                    Control0..1
                                                                                    TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
                                                                                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                    Is Modifierfalse
                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                    Summaryfalse
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    152. Extension.extension:substance.extension:strength
                                                                                    Slice Namestrength
                                                                                    Definition

                                                                                    The quantity of substance in the unit of presentation, or in the volume (or mass) of the single pharmaceutical product or manufactured item. The allowed repetitions do not represent different strengths, but are different representations - mathematically equivalent - of a single strength.

                                                                                    ShortThe quantity of substance, per presentation, or per volume or mass, and type of quantity
                                                                                    Control0..*
                                                                                    TypeExtension
                                                                                    Is Modifierfalse
                                                                                    Summaryfalse
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                    154. Extension.extension:substance.extension:strength.id
                                                                                    Definition

                                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                    ShortUnique id for inter-element referencing
                                                                                    Control0..1
                                                                                    Typestring
                                                                                    Is Modifierfalse
                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                    Summaryfalse
                                                                                    156. Extension.extension:substance.extension:strength.extension
                                                                                    Definition

                                                                                    An Extension

                                                                                    ShortExtension
                                                                                    Control0..*
                                                                                    TypeExtension
                                                                                    Is Modifierfalse
                                                                                    Summaryfalse
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                    SlicingThis element introduces a set of slices on Extension.extension.extension.extension. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                    • value @ url
                                                                                    • 158. Extension.extension:substance.extension:strength.extension:presentation[x]
                                                                                      Slice Namepresentation[x]
                                                                                      Definition

                                                                                      The quantity of substance in the unit of presentation, or in the volume (or mass) of the single pharmaceutical product or manufactured item. Unit of presentation refers to the quantity that the item occurs in e.g. a strength per tablet size, perhaps 'per 20mg' (the size of the tablet). It is not generally normalized as a unitary unit, which would be 'per mg').

                                                                                      ShortThe quantity of substance in the unit of presentation
                                                                                      Control0..1
                                                                                      TypeExtension
                                                                                      Is Modifierfalse
                                                                                      Summaryfalse
                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                      160. Extension.extension:substance.extension:strength.extension:presentation[x].id
                                                                                      Definition

                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                      ShortUnique id for inter-element referencing
                                                                                      Control0..1
                                                                                      Typestring
                                                                                      Is Modifierfalse
                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                      Summaryfalse
                                                                                      162. Extension.extension:substance.extension:strength.extension:presentation[x].extension
                                                                                      Definition

                                                                                      An Extension

                                                                                      ShortExtension
                                                                                      Control0..*
                                                                                      TypeExtension
                                                                                      Is Modifierfalse
                                                                                      Summaryfalse
                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                      SlicingThis element introduces a set of slices on Extension.extension.extension.extension.extension. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                      • value @ url
                                                                                      • 164. Extension.extension:substance.extension:strength.extension:presentation[x].extension:lowNumerator
                                                                                        Slice NamelowNumerator
                                                                                        Definition

                                                                                        The value of the low limit numerator.

                                                                                        ShortLow Numerator limit
                                                                                        Control0..1
                                                                                        TypeExtension
                                                                                        Is Modifierfalse
                                                                                        Summaryfalse
                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                        166. Extension.extension:substance.extension:strength.extension:presentation[x].extension:lowNumerator.id
                                                                                        Definition

                                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                        ShortUnique id for inter-element referencing
                                                                                        Control0..1
                                                                                        Typestring
                                                                                        Is Modifierfalse
                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                        Summaryfalse
                                                                                        168. Extension.extension:substance.extension:strength.extension:presentation[x].extension:lowNumerator.extension
                                                                                        Definition

                                                                                        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.

                                                                                        ShortAdditional content defined by implementations
                                                                                        Comments

                                                                                        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.

                                                                                        Control0..*
                                                                                        TypeExtension
                                                                                        Is Modifierfalse
                                                                                        Summaryfalse
                                                                                        Alternate Namesextensions, user content
                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                        SlicingThis element introduces a set of slices on Extension.extension.extension.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                        • value @ url
                                                                                        • 170. Extension.extension:substance.extension:strength.extension:presentation[x].extension:lowNumerator.url
                                                                                          Definition

                                                                                          Source of the definition for the extension code - a logical name or a URL.

                                                                                          Shortidentifies the meaning of the extension
                                                                                          Comments

                                                                                          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.

                                                                                          Control1..1
                                                                                          Typeuri
                                                                                          Is Modifierfalse
                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                          Summaryfalse
                                                                                          Fixed ValuelowNumerator
                                                                                          172. Extension.extension:substance.extension:strength.extension:presentation[x].extension:lowNumerator.value[x]
                                                                                          Definition

                                                                                          The value of the low limit numerator.

                                                                                          ShortLow Numerator limit
                                                                                          Control0..1
                                                                                          TypeQuantity(SimpleQuantity)
                                                                                          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                          Is Modifierfalse
                                                                                          Summaryfalse
                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                          174. Extension.extension:substance.extension:strength.extension:presentation[x].extension:highNumerator
                                                                                          Slice NamehighNumerator
                                                                                          Definition

                                                                                          The value of the high limit numerator.

                                                                                          ShortHigh Numerator limit
                                                                                          Control0..1
                                                                                          TypeExtension
                                                                                          Is Modifierfalse
                                                                                          Summaryfalse
                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                          176. Extension.extension:substance.extension:strength.extension:presentation[x].extension:highNumerator.id
                                                                                          Definition

                                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                          ShortUnique id for inter-element referencing
                                                                                          Control0..1
                                                                                          Typestring
                                                                                          Is Modifierfalse
                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                          Summaryfalse
                                                                                          178. Extension.extension:substance.extension:strength.extension:presentation[x].extension:highNumerator.extension
                                                                                          Definition

                                                                                          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.

                                                                                          ShortAdditional content defined by implementations
                                                                                          Comments

                                                                                          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.

                                                                                          Control0..*
                                                                                          TypeExtension
                                                                                          Is Modifierfalse
                                                                                          Summaryfalse
                                                                                          Alternate Namesextensions, user content
                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                          SlicingThis element introduces a set of slices on Extension.extension.extension.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                          • value @ url
                                                                                          • 180. Extension.extension:substance.extension:strength.extension:presentation[x].extension:highNumerator.url
                                                                                            Definition

                                                                                            Source of the definition for the extension code - a logical name or a URL.

                                                                                            Shortidentifies the meaning of the extension
                                                                                            Comments

                                                                                            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.

                                                                                            Control1..1
                                                                                            Typeuri
                                                                                            Is Modifierfalse
                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                            Summaryfalse
                                                                                            Fixed ValuehighNumerator
                                                                                            182. Extension.extension:substance.extension:strength.extension:presentation[x].extension:highNumerator.value[x]
                                                                                            Definition

                                                                                            The value of the high limit numerator.

                                                                                            ShortHigh Numerator limit
                                                                                            Control0..1
                                                                                            TypeQuantity(SimpleQuantity)
                                                                                            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                            Is Modifierfalse
                                                                                            Summaryfalse
                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                            184. Extension.extension:substance.extension:strength.extension:presentation[x].extension:denominator
                                                                                            Slice Namedenominator
                                                                                            Definition

                                                                                            The value of the denominator.

                                                                                            ShortDenominator value
                                                                                            Control0..1
                                                                                            TypeExtension
                                                                                            Is Modifierfalse
                                                                                            Summaryfalse
                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                            186. Extension.extension:substance.extension:strength.extension:presentation[x].extension:denominator.id
                                                                                            Definition

                                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                            ShortUnique id for inter-element referencing
                                                                                            Control0..1
                                                                                            Typestring
                                                                                            Is Modifierfalse
                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                            Summaryfalse
                                                                                            188. Extension.extension:substance.extension:strength.extension:presentation[x].extension:denominator.extension
                                                                                            Definition

                                                                                            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.

                                                                                            ShortAdditional content defined by implementations
                                                                                            Comments

                                                                                            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.

                                                                                            Control0..*
                                                                                            TypeExtension
                                                                                            Is Modifierfalse
                                                                                            Summaryfalse
                                                                                            Alternate Namesextensions, user content
                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                            SlicingThis element introduces a set of slices on Extension.extension.extension.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                            • value @ url
                                                                                            • 190. Extension.extension:substance.extension:strength.extension:presentation[x].extension:denominator.url
                                                                                              Definition

                                                                                              Source of the definition for the extension code - a logical name or a URL.

                                                                                              Shortidentifies the meaning of the extension
                                                                                              Comments

                                                                                              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.

                                                                                              Control1..1
                                                                                              Typeuri
                                                                                              Is Modifierfalse
                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                              Summaryfalse
                                                                                              Fixed Valuedenominator
                                                                                              192. Extension.extension:substance.extension:strength.extension:presentation[x].extension:denominator.value[x]
                                                                                              Definition

                                                                                              The value of the denominator.

                                                                                              ShortDenominator value
                                                                                              Control0..1
                                                                                              TypeQuantity(SimpleQuantity)
                                                                                              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                              Is Modifierfalse
                                                                                              Summaryfalse
                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                              194. Extension.extension:substance.extension:strength.extension:presentation[x].extension:_datatype
                                                                                              Slice Name_datatype
                                                                                              Definition

                                                                                              Data type name for Ingredient.substance.strength.presentation[x] from FHIR R5

                                                                                              ShortData type name for Ingredient.substance.strength.presentation[x] from FHIR R5
                                                                                              Control0..1
                                                                                              TypeExtension(Datatype) (Extension Type: string)
                                                                                              Is Modifierfalse
                                                                                              Summaryfalse
                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                              196. Extension.extension:substance.extension:strength.extension:presentation[x].extension:_datatype.id
                                                                                              Definition

                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                              ShortUnique id for inter-element referencing
                                                                                              Control0..1
                                                                                              This element is affected by the following invariants: ele-1
                                                                                              Typeid
                                                                                              Is Modifierfalse
                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                              Summaryfalse
                                                                                              198. Extension.extension:substance.extension:strength.extension:presentation[x].extension:_datatype.extension
                                                                                              Definition

                                                                                              An Extension

                                                                                              ShortExtension
                                                                                              Control0..0
                                                                                              TypeExtension
                                                                                              Is Modifierfalse
                                                                                              Summaryfalse
                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                              SlicingThis element introduces a set of slices on Extension.extension.extension.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                              • value @ url
                                                                                              • 200. Extension.extension:substance.extension:strength.extension:presentation[x].extension:_datatype.url
                                                                                                Definition

                                                                                                Source of the definition for the extension code - a logical name or a URL.

                                                                                                Shortidentifies the meaning of the extension
                                                                                                Comments

                                                                                                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.

                                                                                                Control1..1
                                                                                                Typeuri
                                                                                                Is Modifierfalse
                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                Summaryfalse
                                                                                                Fixed Valuehttp://hl7.org/fhir/StructureDefinition/_datatype
                                                                                                202. Extension.extension:substance.extension:strength.extension:presentation[x].extension:_datatype.value[x]
                                                                                                Definition

                                                                                                Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                                                                                ShortValue of extension
                                                                                                Comments

                                                                                                Must be: RatioRange

                                                                                                Control1..1
                                                                                                This element is affected by the following invariants: ext-1
                                                                                                Typestring
                                                                                                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                Is Modifierfalse
                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                Summaryfalse
                                                                                                Fixed ValueRatioRange
                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                204. Extension.extension:substance.extension:strength.extension:presentation[x].url
                                                                                                Definition

                                                                                                Source of the definition for the extension code - a logical name or a URL.

                                                                                                Shortidentifies the meaning of the extension
                                                                                                Comments

                                                                                                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.

                                                                                                Control1..1
                                                                                                Typeuri
                                                                                                Is Modifierfalse
                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                Summaryfalse
                                                                                                Fixed Valuepresentation[x]
                                                                                                206. Extension.extension:substance.extension:strength.extension:presentation[x].value[x]
                                                                                                Definition

                                                                                                The quantity of substance in the unit of presentation, or in the volume (or mass) of the single pharmaceutical product or manufactured item. Unit of presentation refers to the quantity that the item occurs in e.g. a strength per tablet size, perhaps 'per 20mg' (the size of the tablet). It is not generally normalized as a unitary unit, which would be 'per mg').

                                                                                                ShortThe quantity of substance in the unit of presentation
                                                                                                Control0..1
                                                                                                TypeChoice of: Ratio, CodeableConcept, Quantity
                                                                                                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                Is Modifierfalse
                                                                                                Summaryfalse
                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                208. Extension.extension:substance.extension:strength.extension:textPresentation
                                                                                                Slice NametextPresentation
                                                                                                Definition

                                                                                                A textual represention of either the whole of the presentation strength or a part of it - with the rest being in Strength.presentation as a ratio.

                                                                                                ShortText of either the whole presentation strength or a part of it (rest being in Strength.presentation as a ratio)
                                                                                                Control0..1
                                                                                                TypeExtension
                                                                                                Is Modifierfalse
                                                                                                Summaryfalse
                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                210. Extension.extension:substance.extension:strength.extension:textPresentation.id
                                                                                                Definition

                                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                ShortUnique id for inter-element referencing
                                                                                                Control0..1
                                                                                                Typestring
                                                                                                Is Modifierfalse
                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                Summaryfalse
                                                                                                212. Extension.extension:substance.extension:strength.extension:textPresentation.extension
                                                                                                Definition

                                                                                                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.

                                                                                                ShortAdditional content defined by implementations
                                                                                                Comments

                                                                                                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.

                                                                                                Control0..*
                                                                                                TypeExtension
                                                                                                Is Modifierfalse
                                                                                                Summaryfalse
                                                                                                Alternate Namesextensions, user content
                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                SlicingThis element introduces a set of slices on Extension.extension.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                • value @ url
                                                                                                • 214. Extension.extension:substance.extension:strength.extension:textPresentation.url
                                                                                                  Definition

                                                                                                  Source of the definition for the extension code - a logical name or a URL.

                                                                                                  Shortidentifies the meaning of the extension
                                                                                                  Comments

                                                                                                  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.

                                                                                                  Control1..1
                                                                                                  Typeuri
                                                                                                  Is Modifierfalse
                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                  Summaryfalse
                                                                                                  Fixed ValuetextPresentation
                                                                                                  216. Extension.extension:substance.extension:strength.extension:textPresentation.value[x]
                                                                                                  Definition

                                                                                                  A textual represention of either the whole of the presentation strength or a part of it - with the rest being in Strength.presentation as a ratio.

                                                                                                  ShortText of either the whole presentation strength or a part of it (rest being in Strength.presentation as a ratio)
                                                                                                  Control0..1
                                                                                                  Typestring
                                                                                                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                  Is Modifierfalse
                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                  Summaryfalse
                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  218. Extension.extension:substance.extension:strength.extension:concentration[x]
                                                                                                  Slice Nameconcentration[x]
                                                                                                  Definition

                                                                                                  This cross-version extension represents Ingredient.substance.strength.concentration[x] from http://hl7.org/fhir/StructureDefinition/Ingredient|5.0.0 for use in FHIR R4.

                                                                                                  ShortThe strength per unitary volume (or mass)
                                                                                                  Control0..1
                                                                                                  TypeExtension
                                                                                                  Is Modifierfalse
                                                                                                  Summaryfalse
                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                  220. Extension.extension:substance.extension:strength.extension:concentration[x].id
                                                                                                  Definition

                                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                  ShortUnique id for inter-element referencing
                                                                                                  Control0..1
                                                                                                  Typestring
                                                                                                  Is Modifierfalse
                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                  Summaryfalse
                                                                                                  222. Extension.extension:substance.extension:strength.extension:concentration[x].extension
                                                                                                  Definition

                                                                                                  An Extension

                                                                                                  ShortExtension
                                                                                                  Control0..*
                                                                                                  TypeExtension
                                                                                                  Is Modifierfalse
                                                                                                  Summaryfalse
                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                  SlicingThis element introduces a set of slices on Extension.extension.extension.extension.extension. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                  • value @ url
                                                                                                  • 224. Extension.extension:substance.extension:strength.extension:concentration[x].extension:lowNumerator
                                                                                                    Slice NamelowNumerator
                                                                                                    Definition

                                                                                                    The value of the low limit numerator.

                                                                                                    ShortLow Numerator limit
                                                                                                    Control0..1
                                                                                                    TypeExtension
                                                                                                    Is Modifierfalse
                                                                                                    Summaryfalse
                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                    226. Extension.extension:substance.extension:strength.extension:concentration[x].extension:lowNumerator.id
                                                                                                    Definition

                                                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                    ShortUnique id for inter-element referencing
                                                                                                    Control0..1
                                                                                                    Typestring
                                                                                                    Is Modifierfalse
                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                    Summaryfalse
                                                                                                    228. Extension.extension:substance.extension:strength.extension:concentration[x].extension:lowNumerator.extension
                                                                                                    Definition

                                                                                                    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.

                                                                                                    ShortAdditional content defined by implementations
                                                                                                    Comments

                                                                                                    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.

                                                                                                    Control0..*
                                                                                                    TypeExtension
                                                                                                    Is Modifierfalse
                                                                                                    Summaryfalse
                                                                                                    Alternate Namesextensions, user content
                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                    SlicingThis element introduces a set of slices on Extension.extension.extension.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                    • value @ url
                                                                                                    • 230. Extension.extension:substance.extension:strength.extension:concentration[x].extension:lowNumerator.url
                                                                                                      Definition

                                                                                                      Source of the definition for the extension code - a logical name or a URL.

                                                                                                      Shortidentifies the meaning of the extension
                                                                                                      Comments

                                                                                                      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.

                                                                                                      Control1..1
                                                                                                      Typeuri
                                                                                                      Is Modifierfalse
                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                      Summaryfalse
                                                                                                      Fixed ValuelowNumerator
                                                                                                      232. Extension.extension:substance.extension:strength.extension:concentration[x].extension:lowNumerator.value[x]
                                                                                                      Definition

                                                                                                      The value of the low limit numerator.

                                                                                                      ShortLow Numerator limit
                                                                                                      Control0..1
                                                                                                      TypeQuantity(SimpleQuantity)
                                                                                                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                      Is Modifierfalse
                                                                                                      Summaryfalse
                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                      234. Extension.extension:substance.extension:strength.extension:concentration[x].extension:highNumerator
                                                                                                      Slice NamehighNumerator
                                                                                                      Definition

                                                                                                      The value of the high limit numerator.

                                                                                                      ShortHigh Numerator limit
                                                                                                      Control0..1
                                                                                                      TypeExtension
                                                                                                      Is Modifierfalse
                                                                                                      Summaryfalse
                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                      236. Extension.extension:substance.extension:strength.extension:concentration[x].extension:highNumerator.id
                                                                                                      Definition

                                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                      ShortUnique id for inter-element referencing
                                                                                                      Control0..1
                                                                                                      Typestring
                                                                                                      Is Modifierfalse
                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                      Summaryfalse
                                                                                                      238. Extension.extension:substance.extension:strength.extension:concentration[x].extension:highNumerator.extension
                                                                                                      Definition

                                                                                                      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.

                                                                                                      ShortAdditional content defined by implementations
                                                                                                      Comments

                                                                                                      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.

                                                                                                      Control0..*
                                                                                                      TypeExtension
                                                                                                      Is Modifierfalse
                                                                                                      Summaryfalse
                                                                                                      Alternate Namesextensions, user content
                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                      SlicingThis element introduces a set of slices on Extension.extension.extension.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                      • value @ url
                                                                                                      • 240. Extension.extension:substance.extension:strength.extension:concentration[x].extension:highNumerator.url
                                                                                                        Definition

                                                                                                        Source of the definition for the extension code - a logical name or a URL.

                                                                                                        Shortidentifies the meaning of the extension
                                                                                                        Comments

                                                                                                        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.

                                                                                                        Control1..1
                                                                                                        Typeuri
                                                                                                        Is Modifierfalse
                                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                        Summaryfalse
                                                                                                        Fixed ValuehighNumerator
                                                                                                        242. Extension.extension:substance.extension:strength.extension:concentration[x].extension:highNumerator.value[x]
                                                                                                        Definition

                                                                                                        The value of the high limit numerator.

                                                                                                        ShortHigh Numerator limit
                                                                                                        Control0..1
                                                                                                        TypeQuantity(SimpleQuantity)
                                                                                                        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                        Is Modifierfalse
                                                                                                        Summaryfalse
                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        244. Extension.extension:substance.extension:strength.extension:concentration[x].extension:denominator
                                                                                                        Slice Namedenominator
                                                                                                        Definition

                                                                                                        The value of the denominator.

                                                                                                        ShortDenominator value
                                                                                                        Control0..1
                                                                                                        TypeExtension
                                                                                                        Is Modifierfalse
                                                                                                        Summaryfalse
                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                        246. Extension.extension:substance.extension:strength.extension:concentration[x].extension:denominator.id
                                                                                                        Definition

                                                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                        ShortUnique id for inter-element referencing
                                                                                                        Control0..1
                                                                                                        Typestring
                                                                                                        Is Modifierfalse
                                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                        Summaryfalse
                                                                                                        248. Extension.extension:substance.extension:strength.extension:concentration[x].extension:denominator.extension
                                                                                                        Definition

                                                                                                        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.

                                                                                                        ShortAdditional content defined by implementations
                                                                                                        Comments

                                                                                                        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.

                                                                                                        Control0..*
                                                                                                        TypeExtension
                                                                                                        Is Modifierfalse
                                                                                                        Summaryfalse
                                                                                                        Alternate Namesextensions, user content
                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                        SlicingThis element introduces a set of slices on Extension.extension.extension.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                        • value @ url
                                                                                                        • 250. Extension.extension:substance.extension:strength.extension:concentration[x].extension:denominator.url
                                                                                                          Definition

                                                                                                          Source of the definition for the extension code - a logical name or a URL.

                                                                                                          Shortidentifies the meaning of the extension
                                                                                                          Comments

                                                                                                          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.

                                                                                                          Control1..1
                                                                                                          Typeuri
                                                                                                          Is Modifierfalse
                                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                          Summaryfalse
                                                                                                          Fixed Valuedenominator
                                                                                                          252. Extension.extension:substance.extension:strength.extension:concentration[x].extension:denominator.value[x]
                                                                                                          Definition

                                                                                                          The value of the denominator.

                                                                                                          ShortDenominator value
                                                                                                          Control0..1
                                                                                                          TypeQuantity(SimpleQuantity)
                                                                                                          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                          Is Modifierfalse
                                                                                                          Summaryfalse
                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                          254. Extension.extension:substance.extension:strength.extension:concentration[x].extension:_datatype
                                                                                                          Slice Name_datatype
                                                                                                          Definition

                                                                                                          Data type name for Ingredient.substance.strength.concentration[x] from FHIR R5

                                                                                                          ShortData type name for Ingredient.substance.strength.concentration[x] from FHIR R5
                                                                                                          Control0..1
                                                                                                          TypeExtension(Datatype) (Extension Type: string)
                                                                                                          Is Modifierfalse
                                                                                                          Summaryfalse
                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                          256. Extension.extension:substance.extension:strength.extension:concentration[x].extension:_datatype.id
                                                                                                          Definition

                                                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                          ShortUnique id for inter-element referencing
                                                                                                          Control0..1
                                                                                                          This element is affected by the following invariants: ele-1
                                                                                                          Typeid
                                                                                                          Is Modifierfalse
                                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                          Summaryfalse
                                                                                                          258. Extension.extension:substance.extension:strength.extension:concentration[x].extension:_datatype.extension
                                                                                                          Definition

                                                                                                          An Extension

                                                                                                          ShortExtension
                                                                                                          Control0..0
                                                                                                          TypeExtension
                                                                                                          Is Modifierfalse
                                                                                                          Summaryfalse
                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                          SlicingThis element introduces a set of slices on Extension.extension.extension.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                          • value @ url
                                                                                                          • 260. Extension.extension:substance.extension:strength.extension:concentration[x].extension:_datatype.url
                                                                                                            Definition

                                                                                                            Source of the definition for the extension code - a logical name or a URL.

                                                                                                            Shortidentifies the meaning of the extension
                                                                                                            Comments

                                                                                                            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.

                                                                                                            Control1..1
                                                                                                            Typeuri
                                                                                                            Is Modifierfalse
                                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                            Summaryfalse
                                                                                                            Fixed Valuehttp://hl7.org/fhir/StructureDefinition/_datatype
                                                                                                            262. Extension.extension:substance.extension:strength.extension:concentration[x].extension:_datatype.value[x]
                                                                                                            Definition

                                                                                                            Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                                                                                            ShortValue of extension
                                                                                                            Comments

                                                                                                            Must be: RatioRange

                                                                                                            Control1..1
                                                                                                            This element is affected by the following invariants: ext-1
                                                                                                            Typestring
                                                                                                            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                            Is Modifierfalse
                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                            Summaryfalse
                                                                                                            Fixed ValueRatioRange
                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                            264. Extension.extension:substance.extension:strength.extension:concentration[x].url
                                                                                                            Definition

                                                                                                            Source of the definition for the extension code - a logical name or a URL.

                                                                                                            Shortidentifies the meaning of the extension
                                                                                                            Comments

                                                                                                            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.

                                                                                                            Control1..1
                                                                                                            Typeuri
                                                                                                            Is Modifierfalse
                                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                            Summaryfalse
                                                                                                            Fixed Valueconcentration[x]
                                                                                                            266. Extension.extension:substance.extension:strength.extension:concentration[x].value[x]
                                                                                                            Definition

                                                                                                            This cross-version extension represents Ingredient.substance.strength.concentration[x] from http://hl7.org/fhir/StructureDefinition/Ingredient|5.0.0 for use in FHIR R4.

                                                                                                            ShortThe strength per unitary volume (or mass)
                                                                                                            Control0..1
                                                                                                            TypeChoice of: Ratio, CodeableConcept, Quantity
                                                                                                            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                            Is Modifierfalse
                                                                                                            Summaryfalse
                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                            268. Extension.extension:substance.extension:strength.extension:textConcentration
                                                                                                            Slice NametextConcentration
                                                                                                            Definition

                                                                                                            A textual represention of either the whole of the concentration strength or a part of it - with the rest being in Strength.concentration as a ratio.

                                                                                                            ShortText of either the whole concentration strength or a part of it (rest being in Strength.concentration as a ratio)
                                                                                                            Control0..1
                                                                                                            TypeExtension
                                                                                                            Is Modifierfalse
                                                                                                            Summaryfalse
                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                            270. Extension.extension:substance.extension:strength.extension:textConcentration.id
                                                                                                            Definition

                                                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                            ShortUnique id for inter-element referencing
                                                                                                            Control0..1
                                                                                                            Typestring
                                                                                                            Is Modifierfalse
                                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                            Summaryfalse
                                                                                                            272. Extension.extension:substance.extension:strength.extension:textConcentration.extension
                                                                                                            Definition

                                                                                                            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.

                                                                                                            ShortAdditional content defined by implementations
                                                                                                            Comments

                                                                                                            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.

                                                                                                            Control0..*
                                                                                                            TypeExtension
                                                                                                            Is Modifierfalse
                                                                                                            Summaryfalse
                                                                                                            Alternate Namesextensions, user content
                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                            SlicingThis element introduces a set of slices on Extension.extension.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                            • value @ url
                                                                                                            • 274. Extension.extension:substance.extension:strength.extension:textConcentration.url
                                                                                                              Definition

                                                                                                              Source of the definition for the extension code - a logical name or a URL.

                                                                                                              Shortidentifies the meaning of the extension
                                                                                                              Comments

                                                                                                              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.

                                                                                                              Control1..1
                                                                                                              Typeuri
                                                                                                              Is Modifierfalse
                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                              Summaryfalse
                                                                                                              Fixed ValuetextConcentration
                                                                                                              276. Extension.extension:substance.extension:strength.extension:textConcentration.value[x]
                                                                                                              Definition

                                                                                                              A textual represention of either the whole of the concentration strength or a part of it - with the rest being in Strength.concentration as a ratio.

                                                                                                              ShortText of either the whole concentration strength or a part of it (rest being in Strength.concentration as a ratio)
                                                                                                              Control0..1
                                                                                                              Typestring
                                                                                                              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                              Is Modifierfalse
                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                              Summaryfalse
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              278. Extension.extension:substance.extension:strength.extension:basis
                                                                                                              Slice Namebasis
                                                                                                              Definition

                                                                                                              This cross-version extension represents Ingredient.substance.strength.basis from http://hl7.org/fhir/StructureDefinition/Ingredient|5.0.0 for use in FHIR R4.

                                                                                                              ShortA code that indicates if the strength is, for example, based on the ingredient substance as stated or on the substance base (when the ingredient is a salt)
                                                                                                              Control0..1
                                                                                                              TypeExtension
                                                                                                              Is Modifierfalse
                                                                                                              Summaryfalse
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                              280. Extension.extension:substance.extension:strength.extension:basis.id
                                                                                                              Definition

                                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                              ShortUnique id for inter-element referencing
                                                                                                              Control0..1
                                                                                                              Typestring
                                                                                                              Is Modifierfalse
                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                              Summaryfalse
                                                                                                              282. Extension.extension:substance.extension:strength.extension:basis.extension
                                                                                                              Definition

                                                                                                              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.

                                                                                                              ShortAdditional content defined by implementations
                                                                                                              Comments

                                                                                                              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.

                                                                                                              Control0..*
                                                                                                              TypeExtension
                                                                                                              Is Modifierfalse
                                                                                                              Summaryfalse
                                                                                                              Alternate Namesextensions, user content
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                              SlicingThis element introduces a set of slices on Extension.extension.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                              • value @ url
                                                                                                              • 284. Extension.extension:substance.extension:strength.extension:basis.url
                                                                                                                Definition

                                                                                                                Source of the definition for the extension code - a logical name or a URL.

                                                                                                                Shortidentifies the meaning of the extension
                                                                                                                Comments

                                                                                                                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.

                                                                                                                Control1..1
                                                                                                                Typeuri
                                                                                                                Is Modifierfalse
                                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                Summaryfalse
                                                                                                                Fixed Valuebasis
                                                                                                                286. Extension.extension:substance.extension:strength.extension:basis.value[x]
                                                                                                                Definition

                                                                                                                This cross-version extension represents Ingredient.substance.strength.basis from http://hl7.org/fhir/StructureDefinition/Ingredient|5.0.0 for use in FHIR R4.

                                                                                                                ShortA code that indicates if the strength is, for example, based on the ingredient substance as stated or on the substance base (when the ingredient is a salt)
                                                                                                                Control0..1
                                                                                                                TypeCodeableConcept
                                                                                                                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                                Is Modifierfalse
                                                                                                                Summaryfalse
                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                288. Extension.extension:substance.extension:strength.extension:measurementPoint
                                                                                                                Slice NamemeasurementPoint
                                                                                                                Definition

                                                                                                                For when strength is measured at a particular point or distance. There are products where strength is measured at a particular point. For example, the strength of the ingredient in some inhalers is measured at a particular position relative to the point of aerosolization.

                                                                                                                ShortWhen strength is measured at a particular point or distance
                                                                                                                Control0..1
                                                                                                                TypeExtension
                                                                                                                Is Modifierfalse
                                                                                                                Summaryfalse
                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                290. Extension.extension:substance.extension:strength.extension:measurementPoint.id
                                                                                                                Definition

                                                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                ShortUnique id for inter-element referencing
                                                                                                                Control0..1
                                                                                                                Typestring
                                                                                                                Is Modifierfalse
                                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                Summaryfalse
                                                                                                                292. Extension.extension:substance.extension:strength.extension:measurementPoint.extension
                                                                                                                Definition

                                                                                                                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.

                                                                                                                ShortAdditional content defined by implementations
                                                                                                                Comments

                                                                                                                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.

                                                                                                                Control0..*
                                                                                                                TypeExtension
                                                                                                                Is Modifierfalse
                                                                                                                Summaryfalse
                                                                                                                Alternate Namesextensions, user content
                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                SlicingThis element introduces a set of slices on Extension.extension.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                • value @ url
                                                                                                                • 294. Extension.extension:substance.extension:strength.extension:measurementPoint.url
                                                                                                                  Definition

                                                                                                                  Source of the definition for the extension code - a logical name or a URL.

                                                                                                                  Shortidentifies the meaning of the extension
                                                                                                                  Comments

                                                                                                                  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.

                                                                                                                  Control1..1
                                                                                                                  Typeuri
                                                                                                                  Is Modifierfalse
                                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                  Summaryfalse
                                                                                                                  Fixed ValuemeasurementPoint
                                                                                                                  296. Extension.extension:substance.extension:strength.extension:measurementPoint.value[x]
                                                                                                                  Definition

                                                                                                                  For when strength is measured at a particular point or distance. There are products where strength is measured at a particular point. For example, the strength of the ingredient in some inhalers is measured at a particular position relative to the point of aerosolization.

                                                                                                                  ShortWhen strength is measured at a particular point or distance
                                                                                                                  Control0..1
                                                                                                                  Typestring
                                                                                                                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                                  Is Modifierfalse
                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                  Summaryfalse
                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  298. Extension.extension:substance.extension:strength.extension:country
                                                                                                                  Slice Namecountry
                                                                                                                  Definition

                                                                                                                  The country or countries for which the strength range applies.

                                                                                                                  ShortWhere the strength range applies
                                                                                                                  Control0..*
                                                                                                                  TypeExtension
                                                                                                                  Is Modifierfalse
                                                                                                                  Summaryfalse
                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                  300. Extension.extension:substance.extension:strength.extension:country.id
                                                                                                                  Definition

                                                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                  ShortUnique id for inter-element referencing
                                                                                                                  Control0..1
                                                                                                                  Typestring
                                                                                                                  Is Modifierfalse
                                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                  Summaryfalse
                                                                                                                  302. Extension.extension:substance.extension:strength.extension:country.extension
                                                                                                                  Definition

                                                                                                                  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.

                                                                                                                  ShortAdditional content defined by implementations
                                                                                                                  Comments

                                                                                                                  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.

                                                                                                                  Control0..*
                                                                                                                  TypeExtension
                                                                                                                  Is Modifierfalse
                                                                                                                  Summaryfalse
                                                                                                                  Alternate Namesextensions, user content
                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                  SlicingThis element introduces a set of slices on Extension.extension.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                  • value @ url
                                                                                                                  • 304. Extension.extension:substance.extension:strength.extension:country.url
                                                                                                                    Definition

                                                                                                                    Source of the definition for the extension code - a logical name or a URL.

                                                                                                                    Shortidentifies the meaning of the extension
                                                                                                                    Comments

                                                                                                                    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.

                                                                                                                    Control1..1
                                                                                                                    Typeuri
                                                                                                                    Is Modifierfalse
                                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                    Summaryfalse
                                                                                                                    Fixed Valuecountry
                                                                                                                    306. Extension.extension:substance.extension:strength.extension:country.value[x]
                                                                                                                    Definition

                                                                                                                    The country or countries for which the strength range applies.

                                                                                                                    ShortWhere the strength range applies
                                                                                                                    Control0..1
                                                                                                                    BindingFor example codes, see R5_country_for_R4 (0.0.1-snapshot-2)
                                                                                                                    (example to http://hl7.org/fhir/5.0/ValueSet/R5-country-for-R4|0.0.1-snapshot-2)

                                                                                                                    Jurisdiction codes

                                                                                                                    TypeCodeableConcept
                                                                                                                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                                    Is Modifierfalse
                                                                                                                    Summaryfalse
                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    308. Extension.extension:substance.extension:strength.extension:referenceStrength
                                                                                                                    Slice NamereferenceStrength
                                                                                                                    Definition

                                                                                                                    Strength expressed in terms of a reference substance. For when the ingredient strength is additionally expressed as equivalent to the strength of some other closely related substance (e.g. salt vs. base). Reference strength represents the strength (quantitative composition) of the active moiety of the active substance. There are situations when the active substance and active moiety are different, therefore both a strength and a reference strength are needed.

                                                                                                                    ShortStrength expressed in terms of a reference substance
                                                                                                                    Control0..*
                                                                                                                    TypeExtension
                                                                                                                    Is Modifierfalse
                                                                                                                    Summaryfalse
                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                    310. Extension.extension:substance.extension:strength.extension:referenceStrength.id
                                                                                                                    Definition

                                                                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                    ShortUnique id for inter-element referencing
                                                                                                                    Control0..1
                                                                                                                    Typestring
                                                                                                                    Is Modifierfalse
                                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                    Summaryfalse
                                                                                                                    312. Extension.extension:substance.extension:strength.extension:referenceStrength.extension
                                                                                                                    Definition

                                                                                                                    An Extension

                                                                                                                    ShortExtension
                                                                                                                    Control2..*
                                                                                                                    TypeExtension
                                                                                                                    Is Modifierfalse
                                                                                                                    Summaryfalse
                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                    SlicingThis element introduces a set of slices on Extension.extension.extension.extension.extension. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                    • value @ url
                                                                                                                    • 314. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:substance
                                                                                                                      Slice Namesubstance
                                                                                                                      Definition

                                                                                                                      This cross-version extension represents Ingredient.substance.strength.referenceStrength.substance from http://hl7.org/fhir/StructureDefinition/Ingredient|5.0.0 for use in FHIR R4.

                                                                                                                      ShortRelevant reference substance
                                                                                                                      Control1..1
                                                                                                                      TypeExtension
                                                                                                                      Is Modifierfalse
                                                                                                                      Summaryfalse
                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                      316. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:substance.id
                                                                                                                      Definition

                                                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                      ShortUnique id for inter-element referencing
                                                                                                                      Control0..1
                                                                                                                      Typestring
                                                                                                                      Is Modifierfalse
                                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                      Summaryfalse
                                                                                                                      318. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:substance.extension
                                                                                                                      Definition

                                                                                                                      An Extension

                                                                                                                      ShortExtension
                                                                                                                      Control0..*
                                                                                                                      TypeExtension
                                                                                                                      Is Modifierfalse
                                                                                                                      Summaryfalse
                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                      SlicingThis element introduces a set of slices on Extension.extension.extension.extension.extension.extension. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                      • value @ url
                                                                                                                      • 320. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:substance.extension:concept
                                                                                                                        Slice Nameconcept
                                                                                                                        Definition

                                                                                                                        A reference to a concept - e.g. the information is identified by its general class to the degree of precision found in the terminology.

                                                                                                                        ShortReference to a concept (by class)
                                                                                                                        Control0..1
                                                                                                                        TypeExtension
                                                                                                                        Is Modifierfalse
                                                                                                                        Summaryfalse
                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                        322. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:substance.extension:concept.id
                                                                                                                        Definition

                                                                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                        ShortUnique id for inter-element referencing
                                                                                                                        Control0..1
                                                                                                                        Typestring
                                                                                                                        Is Modifierfalse
                                                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                        Summaryfalse
                                                                                                                        324. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:substance.extension:concept.extension
                                                                                                                        Definition

                                                                                                                        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.

                                                                                                                        ShortAdditional content defined by implementations
                                                                                                                        Comments

                                                                                                                        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.

                                                                                                                        Control0..*
                                                                                                                        TypeExtension
                                                                                                                        Is Modifierfalse
                                                                                                                        Summaryfalse
                                                                                                                        Alternate Namesextensions, user content
                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                        SlicingThis element introduces a set of slices on Extension.extension.extension.extension.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                        • value @ url
                                                                                                                        • 326. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:substance.extension:concept.url
                                                                                                                          Definition

                                                                                                                          Source of the definition for the extension code - a logical name or a URL.

                                                                                                                          Shortidentifies the meaning of the extension
                                                                                                                          Comments

                                                                                                                          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.

                                                                                                                          Control1..1
                                                                                                                          Typeuri
                                                                                                                          Is Modifierfalse
                                                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                          Summaryfalse
                                                                                                                          Fixed Valueconcept
                                                                                                                          328. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:substance.extension:concept.value[x]
                                                                                                                          Definition

                                                                                                                          A reference to a concept - e.g. the information is identified by its general class to the degree of precision found in the terminology.

                                                                                                                          ShortReference to a concept (by class)
                                                                                                                          Control0..1
                                                                                                                          TypeCodeableConcept
                                                                                                                          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                                          Is Modifierfalse
                                                                                                                          Summaryfalse
                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                          330. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:substance.extension:reference
                                                                                                                          Slice Namereference
                                                                                                                          Definition

                                                                                                                          A reference to a resource the provides exact details about the information being referenced.

                                                                                                                          ShortReference to a resource (by instance)
                                                                                                                          Control0..1
                                                                                                                          TypeExtension
                                                                                                                          Is Modifierfalse
                                                                                                                          Summaryfalse
                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                          332. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:substance.extension:reference.id
                                                                                                                          Definition

                                                                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                          ShortUnique id for inter-element referencing
                                                                                                                          Control0..1
                                                                                                                          Typestring
                                                                                                                          Is Modifierfalse
                                                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                          Summaryfalse
                                                                                                                          334. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:substance.extension:reference.extension
                                                                                                                          Definition

                                                                                                                          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.

                                                                                                                          ShortAdditional content defined by implementations
                                                                                                                          Comments

                                                                                                                          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.

                                                                                                                          Control0..*
                                                                                                                          TypeExtension
                                                                                                                          Is Modifierfalse
                                                                                                                          Summaryfalse
                                                                                                                          Alternate Namesextensions, user content
                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                          SlicingThis element introduces a set of slices on Extension.extension.extension.extension.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                          • value @ url
                                                                                                                          • 336. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:substance.extension:reference.url
                                                                                                                            Definition

                                                                                                                            Source of the definition for the extension code - a logical name or a URL.

                                                                                                                            Shortidentifies the meaning of the extension
                                                                                                                            Comments

                                                                                                                            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.

                                                                                                                            Control1..1
                                                                                                                            Typeuri
                                                                                                                            Is Modifierfalse
                                                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                            Summaryfalse
                                                                                                                            Fixed Valuereference
                                                                                                                            338. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:substance.extension:reference.value[x]
                                                                                                                            Definition

                                                                                                                            A reference to a resource the provides exact details about the information being referenced.

                                                                                                                            ShortReference to a resource (by instance)
                                                                                                                            Control0..1
                                                                                                                            TypeReference
                                                                                                                            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                                            Is Modifierfalse
                                                                                                                            Summaryfalse
                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                            340. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:substance.extension:_datatype
                                                                                                                            Slice Name_datatype
                                                                                                                            Definition

                                                                                                                            Data type name for Ingredient.substance.strength.referenceStrength.substance from FHIR R5

                                                                                                                            ShortData type name for Ingredient.substance.strength.referenceStrength.substance from FHIR R5
                                                                                                                            Control0..1
                                                                                                                            TypeExtension(Datatype) (Extension Type: string)
                                                                                                                            Is Modifierfalse
                                                                                                                            Summaryfalse
                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                            342. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:substance.extension:_datatype.id
                                                                                                                            Definition

                                                                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                            ShortUnique id for inter-element referencing
                                                                                                                            Control0..1
                                                                                                                            This element is affected by the following invariants: ele-1
                                                                                                                            Typeid
                                                                                                                            Is Modifierfalse
                                                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                            Summaryfalse
                                                                                                                            344. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:substance.extension:_datatype.extension
                                                                                                                            Definition

                                                                                                                            An Extension

                                                                                                                            ShortExtension
                                                                                                                            Control0..0
                                                                                                                            TypeExtension
                                                                                                                            Is Modifierfalse
                                                                                                                            Summaryfalse
                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                            SlicingThis element introduces a set of slices on Extension.extension.extension.extension.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                            • value @ url
                                                                                                                            • 346. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:substance.extension:_datatype.url
                                                                                                                              Definition

                                                                                                                              Source of the definition for the extension code - a logical name or a URL.

                                                                                                                              Shortidentifies the meaning of the extension
                                                                                                                              Comments

                                                                                                                              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.

                                                                                                                              Control1..1
                                                                                                                              Typeuri
                                                                                                                              Is Modifierfalse
                                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                              Summaryfalse
                                                                                                                              Fixed Valuehttp://hl7.org/fhir/StructureDefinition/_datatype
                                                                                                                              348. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:substance.extension:_datatype.value[x]
                                                                                                                              Definition

                                                                                                                              Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                                                                                                              ShortValue of extension
                                                                                                                              Comments

                                                                                                                              Must be: CodeableReference

                                                                                                                              Control1..1
                                                                                                                              This element is affected by the following invariants: ext-1
                                                                                                                              Typestring
                                                                                                                              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                                              Is Modifierfalse
                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                              Summaryfalse
                                                                                                                              Fixed ValueCodeableReference
                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              350. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:substance.url
                                                                                                                              Definition

                                                                                                                              Source of the definition for the extension code - a logical name or a URL.

                                                                                                                              Shortidentifies the meaning of the extension
                                                                                                                              Comments

                                                                                                                              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.

                                                                                                                              Control1..1
                                                                                                                              Typeuri
                                                                                                                              Is Modifierfalse
                                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                              Summaryfalse
                                                                                                                              Fixed Valuesubstance
                                                                                                                              352. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:substance.value[x]
                                                                                                                              Definition

                                                                                                                              Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                                                                                                              ShortValue of extension
                                                                                                                              Control0..1
                                                                                                                              TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
                                                                                                                              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                                              Is Modifierfalse
                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                              Summaryfalse
                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              354. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:strength[x]
                                                                                                                              Slice Namestrength[x]
                                                                                                                              Definition

                                                                                                                              This cross-version extension represents Ingredient.substance.strength.referenceStrength.strength[x] from http://hl7.org/fhir/StructureDefinition/Ingredient|5.0.0 for use in FHIR R4.

                                                                                                                              ShortStrength expressed in terms of a reference substance
                                                                                                                              Control1..1
                                                                                                                              TypeExtension
                                                                                                                              Is Modifierfalse
                                                                                                                              Summaryfalse
                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                              356. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:strength[x].id
                                                                                                                              Definition

                                                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                              ShortUnique id for inter-element referencing
                                                                                                                              Control0..1
                                                                                                                              Typestring
                                                                                                                              Is Modifierfalse
                                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                              Summaryfalse
                                                                                                                              358. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:strength[x].extension
                                                                                                                              Definition

                                                                                                                              An Extension

                                                                                                                              ShortExtension
                                                                                                                              Control0..*
                                                                                                                              TypeExtension
                                                                                                                              Is Modifierfalse
                                                                                                                              Summaryfalse
                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                              SlicingThis element introduces a set of slices on Extension.extension.extension.extension.extension.extension. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                              • value @ url
                                                                                                                              • 360. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:strength[x].extension:lowNumerator
                                                                                                                                Slice NamelowNumerator
                                                                                                                                Definition

                                                                                                                                The value of the low limit numerator.

                                                                                                                                ShortLow Numerator limit
                                                                                                                                Control0..1
                                                                                                                                TypeExtension
                                                                                                                                Is Modifierfalse
                                                                                                                                Summaryfalse
                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                362. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:strength[x].extension:lowNumerator.id
                                                                                                                                Definition

                                                                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                ShortUnique id for inter-element referencing
                                                                                                                                Control0..1
                                                                                                                                Typestring
                                                                                                                                Is Modifierfalse
                                                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                Summaryfalse
                                                                                                                                364. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:strength[x].extension:lowNumerator.extension
                                                                                                                                Definition

                                                                                                                                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.

                                                                                                                                ShortAdditional content defined by implementations
                                                                                                                                Comments

                                                                                                                                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.

                                                                                                                                Control0..*
                                                                                                                                TypeExtension
                                                                                                                                Is Modifierfalse
                                                                                                                                Summaryfalse
                                                                                                                                Alternate Namesextensions, user content
                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                SlicingThis element introduces a set of slices on Extension.extension.extension.extension.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                • value @ url
                                                                                                                                • 366. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:strength[x].extension:lowNumerator.url
                                                                                                                                  Definition

                                                                                                                                  Source of the definition for the extension code - a logical name or a URL.

                                                                                                                                  Shortidentifies the meaning of the extension
                                                                                                                                  Comments

                                                                                                                                  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.

                                                                                                                                  Control1..1
                                                                                                                                  Typeuri
                                                                                                                                  Is Modifierfalse
                                                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                  Summaryfalse
                                                                                                                                  Fixed ValuelowNumerator
                                                                                                                                  368. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:strength[x].extension:lowNumerator.value[x]
                                                                                                                                  Definition

                                                                                                                                  The value of the low limit numerator.

                                                                                                                                  ShortLow Numerator limit
                                                                                                                                  Control0..1
                                                                                                                                  TypeQuantity(SimpleQuantity)
                                                                                                                                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                                                  Is Modifierfalse
                                                                                                                                  Summaryfalse
                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                  370. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:strength[x].extension:highNumerator
                                                                                                                                  Slice NamehighNumerator
                                                                                                                                  Definition

                                                                                                                                  The value of the high limit numerator.

                                                                                                                                  ShortHigh Numerator limit
                                                                                                                                  Control0..1
                                                                                                                                  TypeExtension
                                                                                                                                  Is Modifierfalse
                                                                                                                                  Summaryfalse
                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                  372. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:strength[x].extension:highNumerator.id
                                                                                                                                  Definition

                                                                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                  ShortUnique id for inter-element referencing
                                                                                                                                  Control0..1
                                                                                                                                  Typestring
                                                                                                                                  Is Modifierfalse
                                                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                  Summaryfalse
                                                                                                                                  374. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:strength[x].extension:highNumerator.extension
                                                                                                                                  Definition

                                                                                                                                  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.

                                                                                                                                  ShortAdditional content defined by implementations
                                                                                                                                  Comments

                                                                                                                                  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.

                                                                                                                                  Control0..*
                                                                                                                                  TypeExtension
                                                                                                                                  Is Modifierfalse
                                                                                                                                  Summaryfalse
                                                                                                                                  Alternate Namesextensions, user content
                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                  SlicingThis element introduces a set of slices on Extension.extension.extension.extension.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                  • value @ url
                                                                                                                                  • 376. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:strength[x].extension:highNumerator.url
                                                                                                                                    Definition

                                                                                                                                    Source of the definition for the extension code - a logical name or a URL.

                                                                                                                                    Shortidentifies the meaning of the extension
                                                                                                                                    Comments

                                                                                                                                    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.

                                                                                                                                    Control1..1
                                                                                                                                    Typeuri
                                                                                                                                    Is Modifierfalse
                                                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                    Summaryfalse
                                                                                                                                    Fixed ValuehighNumerator
                                                                                                                                    378. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:strength[x].extension:highNumerator.value[x]
                                                                                                                                    Definition

                                                                                                                                    The value of the high limit numerator.

                                                                                                                                    ShortHigh Numerator limit
                                                                                                                                    Control0..1
                                                                                                                                    TypeQuantity(SimpleQuantity)
                                                                                                                                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                                                    Is Modifierfalse
                                                                                                                                    Summaryfalse
                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                    380. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:strength[x].extension:denominator
                                                                                                                                    Slice Namedenominator
                                                                                                                                    Definition

                                                                                                                                    The value of the denominator.

                                                                                                                                    ShortDenominator value
                                                                                                                                    Control0..1
                                                                                                                                    TypeExtension
                                                                                                                                    Is Modifierfalse
                                                                                                                                    Summaryfalse
                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                    382. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:strength[x].extension:denominator.id
                                                                                                                                    Definition

                                                                                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                    ShortUnique id for inter-element referencing
                                                                                                                                    Control0..1
                                                                                                                                    Typestring
                                                                                                                                    Is Modifierfalse
                                                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                    Summaryfalse
                                                                                                                                    384. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:strength[x].extension:denominator.extension
                                                                                                                                    Definition

                                                                                                                                    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.

                                                                                                                                    ShortAdditional content defined by implementations
                                                                                                                                    Comments

                                                                                                                                    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.

                                                                                                                                    Control0..*
                                                                                                                                    TypeExtension
                                                                                                                                    Is Modifierfalse
                                                                                                                                    Summaryfalse
                                                                                                                                    Alternate Namesextensions, user content
                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                    SlicingThis element introduces a set of slices on Extension.extension.extension.extension.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                    • value @ url
                                                                                                                                    • 386. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:strength[x].extension:denominator.url
                                                                                                                                      Definition

                                                                                                                                      Source of the definition for the extension code - a logical name or a URL.

                                                                                                                                      Shortidentifies the meaning of the extension
                                                                                                                                      Comments

                                                                                                                                      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.

                                                                                                                                      Control1..1
                                                                                                                                      Typeuri
                                                                                                                                      Is Modifierfalse
                                                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                      Summaryfalse
                                                                                                                                      Fixed Valuedenominator
                                                                                                                                      388. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:strength[x].extension:denominator.value[x]
                                                                                                                                      Definition

                                                                                                                                      The value of the denominator.

                                                                                                                                      ShortDenominator value
                                                                                                                                      Control0..1
                                                                                                                                      TypeQuantity(SimpleQuantity)
                                                                                                                                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                                                      Is Modifierfalse
                                                                                                                                      Summaryfalse
                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                      390. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:strength[x].extension:_datatype
                                                                                                                                      Slice Name_datatype
                                                                                                                                      Definition

                                                                                                                                      Data type name for Ingredient.substance.strength.referenceStrength.strength[x] from FHIR R5

                                                                                                                                      ShortData type name for Ingredient.substance.strength.referenceStrength.strength[x] from FHIR R5
                                                                                                                                      Control0..1
                                                                                                                                      TypeExtension(Datatype) (Extension Type: string)
                                                                                                                                      Is Modifierfalse
                                                                                                                                      Summaryfalse
                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                      392. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:strength[x].extension:_datatype.id
                                                                                                                                      Definition

                                                                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                      ShortUnique id for inter-element referencing
                                                                                                                                      Control0..1
                                                                                                                                      This element is affected by the following invariants: ele-1
                                                                                                                                      Typeid
                                                                                                                                      Is Modifierfalse
                                                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                      Summaryfalse
                                                                                                                                      394. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:strength[x].extension:_datatype.extension
                                                                                                                                      Definition

                                                                                                                                      An Extension

                                                                                                                                      ShortExtension
                                                                                                                                      Control0..0
                                                                                                                                      TypeExtension
                                                                                                                                      Is Modifierfalse
                                                                                                                                      Summaryfalse
                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                      SlicingThis element introduces a set of slices on Extension.extension.extension.extension.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                      • value @ url
                                                                                                                                      • 396. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:strength[x].extension:_datatype.url
                                                                                                                                        Definition

                                                                                                                                        Source of the definition for the extension code - a logical name or a URL.

                                                                                                                                        Shortidentifies the meaning of the extension
                                                                                                                                        Comments

                                                                                                                                        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.

                                                                                                                                        Control1..1
                                                                                                                                        Typeuri
                                                                                                                                        Is Modifierfalse
                                                                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                        Summaryfalse
                                                                                                                                        Fixed Valuehttp://hl7.org/fhir/StructureDefinition/_datatype
                                                                                                                                        398. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:strength[x].extension:_datatype.value[x]
                                                                                                                                        Definition

                                                                                                                                        Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                                                                                                                        ShortValue of extension
                                                                                                                                        Comments

                                                                                                                                        Must be: RatioRange

                                                                                                                                        Control1..1
                                                                                                                                        This element is affected by the following invariants: ext-1
                                                                                                                                        Typestring
                                                                                                                                        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                                                        Is Modifierfalse
                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                        Summaryfalse
                                                                                                                                        Fixed ValueRatioRange
                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                        400. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:strength[x].url
                                                                                                                                        Definition

                                                                                                                                        Source of the definition for the extension code - a logical name or a URL.

                                                                                                                                        Shortidentifies the meaning of the extension
                                                                                                                                        Comments

                                                                                                                                        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.

                                                                                                                                        Control1..1
                                                                                                                                        Typeuri
                                                                                                                                        Is Modifierfalse
                                                                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                        Summaryfalse
                                                                                                                                        Fixed Valuestrength[x]
                                                                                                                                        402. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:strength[x].value[x]
                                                                                                                                        Definition

                                                                                                                                        This cross-version extension represents Ingredient.substance.strength.referenceStrength.strength[x] from http://hl7.org/fhir/StructureDefinition/Ingredient|5.0.0 for use in FHIR R4.

                                                                                                                                        ShortStrength expressed in terms of a reference substance
                                                                                                                                        Control0..1
                                                                                                                                        TypeChoice of: Ratio, Quantity
                                                                                                                                        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                                                        Is Modifierfalse
                                                                                                                                        Summaryfalse
                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                        404. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:measurementPoint
                                                                                                                                        Slice NamemeasurementPoint
                                                                                                                                        Definition

                                                                                                                                        For when strength is measured at a particular point or distance.

                                                                                                                                        ShortWhen strength is measured at a particular point or distance
                                                                                                                                        Control0..1
                                                                                                                                        TypeExtension
                                                                                                                                        Is Modifierfalse
                                                                                                                                        Summaryfalse
                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                        406. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:measurementPoint.id
                                                                                                                                        Definition

                                                                                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                        ShortUnique id for inter-element referencing
                                                                                                                                        Control0..1
                                                                                                                                        Typestring
                                                                                                                                        Is Modifierfalse
                                                                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                        Summaryfalse
                                                                                                                                        408. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:measurementPoint.extension
                                                                                                                                        Definition

                                                                                                                                        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.

                                                                                                                                        ShortAdditional content defined by implementations
                                                                                                                                        Comments

                                                                                                                                        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.

                                                                                                                                        Control0..*
                                                                                                                                        TypeExtension
                                                                                                                                        Is Modifierfalse
                                                                                                                                        Summaryfalse
                                                                                                                                        Alternate Namesextensions, user content
                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                        SlicingThis element introduces a set of slices on Extension.extension.extension.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                        • value @ url
                                                                                                                                        • 410. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:measurementPoint.url
                                                                                                                                          Definition

                                                                                                                                          Source of the definition for the extension code - a logical name or a URL.

                                                                                                                                          Shortidentifies the meaning of the extension
                                                                                                                                          Comments

                                                                                                                                          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.

                                                                                                                                          Control1..1
                                                                                                                                          Typeuri
                                                                                                                                          Is Modifierfalse
                                                                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                          Summaryfalse
                                                                                                                                          Fixed ValuemeasurementPoint
                                                                                                                                          412. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:measurementPoint.value[x]
                                                                                                                                          Definition

                                                                                                                                          For when strength is measured at a particular point or distance.

                                                                                                                                          ShortWhen strength is measured at a particular point or distance
                                                                                                                                          Control0..1
                                                                                                                                          Typestring
                                                                                                                                          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                                                          Is Modifierfalse
                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                          Summaryfalse
                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                          414. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:country
                                                                                                                                          Slice Namecountry
                                                                                                                                          Definition

                                                                                                                                          The country or countries for which the strength range applies.

                                                                                                                                          ShortWhere the strength range applies
                                                                                                                                          Control0..*
                                                                                                                                          TypeExtension
                                                                                                                                          Is Modifierfalse
                                                                                                                                          Summaryfalse
                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                          416. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:country.id
                                                                                                                                          Definition

                                                                                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                          ShortUnique id for inter-element referencing
                                                                                                                                          Control0..1
                                                                                                                                          Typestring
                                                                                                                                          Is Modifierfalse
                                                                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                          Summaryfalse
                                                                                                                                          418. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:country.extension
                                                                                                                                          Definition

                                                                                                                                          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.

                                                                                                                                          ShortAdditional content defined by implementations
                                                                                                                                          Comments

                                                                                                                                          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.

                                                                                                                                          Control0..*
                                                                                                                                          TypeExtension
                                                                                                                                          Is Modifierfalse
                                                                                                                                          Summaryfalse
                                                                                                                                          Alternate Namesextensions, user content
                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                          SlicingThis element introduces a set of slices on Extension.extension.extension.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                          • value @ url
                                                                                                                                          • 420. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:country.url
                                                                                                                                            Definition

                                                                                                                                            Source of the definition for the extension code - a logical name or a URL.

                                                                                                                                            Shortidentifies the meaning of the extension
                                                                                                                                            Comments

                                                                                                                                            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.

                                                                                                                                            Control1..1
                                                                                                                                            Typeuri
                                                                                                                                            Is Modifierfalse
                                                                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                            Summaryfalse
                                                                                                                                            Fixed Valuecountry
                                                                                                                                            422. Extension.extension:substance.extension:strength.extension:referenceStrength.extension:country.value[x]
                                                                                                                                            Definition

                                                                                                                                            The country or countries for which the strength range applies.

                                                                                                                                            ShortWhere the strength range applies
                                                                                                                                            Control0..1
                                                                                                                                            BindingFor example codes, see R5_country_for_R4 (0.0.1-snapshot-2)
                                                                                                                                            (example to http://hl7.org/fhir/5.0/ValueSet/R5-country-for-R4|0.0.1-snapshot-2)

                                                                                                                                            Jurisdiction codes

                                                                                                                                            TypeCodeableConcept
                                                                                                                                            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                                                            Is Modifierfalse
                                                                                                                                            Summaryfalse
                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                            424. Extension.extension:substance.extension:strength.extension:referenceStrength.url
                                                                                                                                            Definition

                                                                                                                                            Source of the definition for the extension code - a logical name or a URL.

                                                                                                                                            Shortidentifies the meaning of the extension
                                                                                                                                            Comments

                                                                                                                                            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.

                                                                                                                                            Control1..1
                                                                                                                                            Typeuri
                                                                                                                                            Is Modifierfalse
                                                                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                            Summaryfalse
                                                                                                                                            Fixed ValuereferenceStrength
                                                                                                                                            426. Extension.extension:substance.extension:strength.extension:referenceStrength.value[x]
                                                                                                                                            Definition

                                                                                                                                            Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                                                                                                                            ShortValue of extension
                                                                                                                                            Control0..1
                                                                                                                                            TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
                                                                                                                                            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                                                            Is Modifierfalse
                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                            Summaryfalse
                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                            428. Extension.extension:substance.extension:strength.url
                                                                                                                                            Definition

                                                                                                                                            Source of the definition for the extension code - a logical name or a URL.

                                                                                                                                            Shortidentifies the meaning of the extension
                                                                                                                                            Comments

                                                                                                                                            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.

                                                                                                                                            Control1..1
                                                                                                                                            Typeuri
                                                                                                                                            Is Modifierfalse
                                                                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                            Summaryfalse
                                                                                                                                            Fixed Valuestrength
                                                                                                                                            430. Extension.extension:substance.extension:strength.value[x]
                                                                                                                                            Definition

                                                                                                                                            Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                                                                                                                            ShortValue of extension
                                                                                                                                            Control0..1
                                                                                                                                            TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
                                                                                                                                            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                                                            Is Modifierfalse
                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                            Summaryfalse
                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                            432. Extension.extension:substance.url
                                                                                                                                            Definition

                                                                                                                                            Source of the definition for the extension code - a logical name or a URL.

                                                                                                                                            Shortidentifies the meaning of the extension
                                                                                                                                            Comments

                                                                                                                                            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.

                                                                                                                                            Control1..1
                                                                                                                                            Typeuri
                                                                                                                                            Is Modifierfalse
                                                                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                            Summaryfalse
                                                                                                                                            Fixed Valuesubstance
                                                                                                                                            434. Extension.extension:substance.value[x]
                                                                                                                                            Definition

                                                                                                                                            Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                                                                                                                            ShortValue of extension
                                                                                                                                            Control0..1
                                                                                                                                            TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
                                                                                                                                            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                                                            Is Modifierfalse
                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                            Summaryfalse
                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                            436. Extension.url
                                                                                                                                            Definition

                                                                                                                                            Source of the definition for the extension code - a logical name or a URL.

                                                                                                                                            Shortidentifies the meaning of the extension
                                                                                                                                            Comments

                                                                                                                                            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.

                                                                                                                                            Control1..1
                                                                                                                                            Typeuri
                                                                                                                                            Is Modifierfalse
                                                                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                            Summaryfalse
                                                                                                                                            Fixed Valuehttp://hl7.org/fhir/5.0/StructureDefinition/extension-Ingredient
                                                                                                                                            438. Extension.value[x]
                                                                                                                                            Definition

                                                                                                                                            Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                                                                                                                            ShortValue of extension
                                                                                                                                            Control0..1
                                                                                                                                            TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
                                                                                                                                            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                                                            Is Modifierfalse
                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                            Summaryfalse
                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))