ExtensionClinicalUseDefinition_Contraindication - Definitions - Extensions for Using Data Elements from FHIR R5 in FHIR R4 v0.1.0

Extensions for Using Data Elements from FHIR R5 in FHIR R4 - Downloaded Version null See the Directory of published versions

Extension: ExtensionClinicalUseDefinition_Contraindication - Detailed Descriptions

Page standards status: Trial-use

Maturity Level: 0

Definitions for the ext-R5-ClinicalUseDefinition.contraindication extension.

Key Elements Table
Differential Elements Table
Snapshot Elements Table

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

0. Extension
Definition	R5: `ClinicalUseDefinition.contraindication` (new:BackboneElement) Optional Extension Element - found in all resources.
Short	R5: Specifics for when this is a contraindication (new)Optional Extensions Element
Comments	Element `ClinicalUseDefinition.contraindication` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Control	0..1* This element is affected by the following invariants: ele-1
Is Modifier	false
Invariants	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()`) 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.
Short	ExtensionAdditional 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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	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()`) 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())
Slicing	This element introduces a set of slices on `Extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
4. Extension.extension:diseaseSymptomProcedure
Slice Name	diseaseSymptomProcedure
Definition	R5: `ClinicalUseDefinition.contraindication.diseaseSymptomProcedure` (new:CodeableReference(ObservationDefinition))
Short	R5: The situation that is being documented as contraindicating against this item (new)Additional content defined by implementations
Comments	Element `ClinicalUseDefinition.contraindication.diseaseSymptomProcedure` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication` requires a cross-version extension. Element `ClinicalUseDefinition.contraindication.diseaseSymptomProcedure` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication.diseaseSymptomProcedure` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Control	0..1*
Type	Extension
Is Modifier	false
Summary	false
Requirements	Element `ClinicalUseDefinition.contraindication.diseaseSymptomProcedure` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication` requires a cross-version extension. Element `ClinicalUseDefinition.contraindication.diseaseSymptomProcedure` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication.diseaseSymptomProcedure` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Invariants	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()`) 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:diseaseSymptomProcedure.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.
Short	ExtensionAdditional 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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	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()`) 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())
Slicing	This 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
8. Extension.extension:diseaseSymptomProcedure.extension:_datatype
Slice Name	_datatype
Definition	Slice to indicate the presence of a R5 `CodeableReference` in FHIR R4
Short	DataType slice for a FHIR R5 `CodeableReference` valueAdditional content defined by implementations
Control	10..1*
Type	Extension
Is Modifier	false
Summary	false
Invariants	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()`) 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())
10. Extension.extension:diseaseSymptomProcedure.extension:_datatype.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Short	identifies 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.
Control	1..1
Type	uri
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
Fixed Value	`http://hl7.org/fhir/StructureDefinition/_datatype`
12. Extension.extension:diseaseSymptomProcedure.extension:_datatype.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short	Value of extension
Comments	Must be: CodeableReference
Control	10..1
Type	string, 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] Note	SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Summary	false
Fixed Value	`CodeableReference`
Invariants	ele-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()))
14. Extension.extension:diseaseSymptomProcedure.extension:concept
Slice Name	concept
Definition	R5: `CodeableReference.concept`
Short	R5: Reference to a concept (by class)Additional content defined by implementations
Comments	Element `CodeableReference.concept` is mapped to FHIR R4 element `CodeableConcept` as `Equivalent`.
Control	0..1*
Type	Extension
Is Modifier	false
Summary	false
Requirements	Element `CodeableReference.concept` is mapped to FHIR R4 element `CodeableConcept` as `Equivalent`.
Invariants	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()`) 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())
16. Extension.extension:diseaseSymptomProcedure.extension:concept.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Short	identifies 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.
Control	1..1
Type	uri
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
Fixed Value	`concept`
18. Extension.extension:diseaseSymptomProcedure.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).
Short	Reference to a concept (by class)Value of extension
Control	0..1
Type	CodeableConcept, 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] Note	SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier	false
Summary	false
Invariants	ele-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()))
20. Extension.extension:diseaseSymptomProcedure.extension:reference
Slice Name	reference
Definition	R5: `CodeableReference.reference`
Short	R5: Reference to a resource (by instance)Additional content defined by implementations
Comments	Element `CodeableReference.reference` is mapped to FHIR R4 element `Reference` as `Equivalent`.
Control	0..1*
Type	Extension
Is Modifier	false
Summary	false
Requirements	Element `CodeableReference.reference` is mapped to FHIR R4 element `Reference` as `Equivalent`.
Invariants	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()`) 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())
22. Extension.extension:diseaseSymptomProcedure.extension:reference.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Short	identifies 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.
Control	1..1
Type	uri
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
Fixed Value	`reference`
24. Extension.extension:diseaseSymptomProcedure.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).
Short	Reference to a resource (by instance)Value of extension
Control	0..1
Type	Reference(Cross-version Profile for R5.ObservationDefinition for use in FHIR R4, ObservationDefinition), 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] Note	SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier	false
Summary	false
Invariants	ele-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()))
26. Extension.extension:diseaseSymptomProcedure.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Short	identifies 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.
Control	1..1
Type	uri
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
Fixed Value	`diseaseSymptomProcedure`
28. Extension.extension:diseaseSymptomProcedure.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short	Value of extension
Control	0..01
Type	Choice 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
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Summary	false
Invariants	ele-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()))
30. Extension.extension:diseaseStatus
Slice Name	diseaseStatus
Definition	R5: `ClinicalUseDefinition.contraindication.diseaseStatus` (new:CodeableReference(ObservationDefinition))
Short	R5: The status of the disease or symptom for the contraindication (new)Additional content defined by implementations
Comments	Element `ClinicalUseDefinition.contraindication.diseaseStatus` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication` requires a cross-version extension. Element `ClinicalUseDefinition.contraindication.diseaseStatus` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication.diseaseStatus` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Control	0..1*
Type	Extension
Is Modifier	false
Summary	false
Requirements	Element `ClinicalUseDefinition.contraindication.diseaseStatus` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication` requires a cross-version extension. Element `ClinicalUseDefinition.contraindication.diseaseStatus` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication.diseaseStatus` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Invariants	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()`) 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())
32. Extension.extension:diseaseStatus.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.
Short	ExtensionAdditional 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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	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()`) 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())
Slicing	This 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
34. Extension.extension:diseaseStatus.extension:_datatype
Slice Name	_datatype
Definition	Slice to indicate the presence of a R5 `CodeableReference` in FHIR R4
Short	DataType slice for a FHIR R5 `CodeableReference` valueAdditional content defined by implementations
Control	10..1*
Type	Extension
Is Modifier	false
Summary	false
Invariants	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()`) 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:diseaseStatus.extension:_datatype.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Short	identifies 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.
Control	1..1
Type	uri
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
Fixed Value	`http://hl7.org/fhir/StructureDefinition/_datatype`
38. Extension.extension:diseaseStatus.extension:_datatype.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short	Value of extension
Comments	Must be: CodeableReference
Control	10..1
Type	string, 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] Note	SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Summary	false
Fixed Value	`CodeableReference`
Invariants	ele-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:diseaseStatus.extension:concept
Slice Name	concept
Definition	R5: `CodeableReference.concept`
Short	R5: Reference to a concept (by class)Additional content defined by implementations
Comments	Element `CodeableReference.concept` is mapped to FHIR R4 element `CodeableConcept` as `Equivalent`.
Control	0..1*
Type	Extension
Is Modifier	false
Summary	false
Requirements	Element `CodeableReference.concept` is mapped to FHIR R4 element `CodeableConcept` as `Equivalent`.
Invariants	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()`) 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:diseaseStatus.extension:concept.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Short	identifies 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.
Control	1..1
Type	uri
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
Fixed Value	`concept`
44. Extension.extension:diseaseStatus.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).
Short	Reference to a concept (by class)Value of extension
Control	0..1
Type	CodeableConcept, 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] Note	SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier	false
Summary	false
Invariants	ele-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:diseaseStatus.extension:reference
Slice Name	reference
Definition	R5: `CodeableReference.reference`
Short	R5: Reference to a resource (by instance)Additional content defined by implementations
Comments	Element `CodeableReference.reference` is mapped to FHIR R4 element `Reference` as `Equivalent`.
Control	0..1*
Type	Extension
Is Modifier	false
Summary	false
Requirements	Element `CodeableReference.reference` is mapped to FHIR R4 element `Reference` as `Equivalent`.
Invariants	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()`) 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:diseaseStatus.extension:reference.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Short	identifies 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.
Control	1..1
Type	uri
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
Fixed Value	`reference`
50. Extension.extension:diseaseStatus.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).
Short	Reference to a resource (by instance)Value of extension
Control	0..1
Type	Reference(Cross-version Profile for R5.ObservationDefinition for use in FHIR R4, ObservationDefinition), 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] Note	SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier	false
Summary	false
Invariants	ele-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()))
52. Extension.extension:diseaseStatus.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Short	identifies 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.
Control	1..1
Type	uri
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
Fixed Value	`diseaseStatus`
54. Extension.extension:diseaseStatus.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short	Value of extension
Control	0..01
Type	Choice 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
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Summary	false
Invariants	ele-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:comorbidity
Slice Name	comorbidity
Definition	R5: `ClinicalUseDefinition.contraindication.comorbidity` (new:CodeableReference(ObservationDefinition))
Short	R5: A comorbidity (concurrent condition) or coinfection (new)Additional content defined by implementations
Comments	Element `ClinicalUseDefinition.contraindication.comorbidity` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication` requires a cross-version extension. Element `ClinicalUseDefinition.contraindication.comorbidity` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication.comorbidity` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Requirements	Element `ClinicalUseDefinition.contraindication.comorbidity` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication` requires a cross-version extension. Element `ClinicalUseDefinition.contraindication.comorbidity` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication.comorbidity` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Invariants	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()`) 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:comorbidity.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.
Short	ExtensionAdditional 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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	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()`) 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())
Slicing	This 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
60. Extension.extension:comorbidity.extension:_datatype
Slice Name	_datatype
Definition	Slice to indicate the presence of a R5 `CodeableReference` in FHIR R4
Short	DataType slice for a FHIR R5 `CodeableReference` valueAdditional content defined by implementations
Control	10..1*
Type	Extension
Is Modifier	false
Summary	false
Invariants	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()`) 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())
62. Extension.extension:comorbidity.extension:_datatype.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Short	identifies 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.
Control	1..1
Type	uri
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
Fixed Value	`http://hl7.org/fhir/StructureDefinition/_datatype`
64. Extension.extension:comorbidity.extension:_datatype.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short	Value of extension
Comments	Must be: CodeableReference
Control	10..1
Type	string, 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] Note	SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Summary	false
Fixed Value	`CodeableReference`
Invariants	ele-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()))
66. Extension.extension:comorbidity.extension:concept
Slice Name	concept
Definition	R5: `CodeableReference.concept`
Short	R5: Reference to a concept (by class)Additional content defined by implementations
Comments	Element `CodeableReference.concept` is mapped to FHIR R4 element `CodeableConcept` as `Equivalent`.
Control	0..1*
Type	Extension
Is Modifier	false
Summary	false
Requirements	Element `CodeableReference.concept` is mapped to FHIR R4 element `CodeableConcept` as `Equivalent`.
Invariants	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()`) 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())
68. Extension.extension:comorbidity.extension:concept.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Short	identifies 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.
Control	1..1
Type	uri
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
Fixed Value	`concept`
70. Extension.extension:comorbidity.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).
Short	Reference to a concept (by class)Value of extension
Control	0..1
Type	CodeableConcept, 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] Note	SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier	false
Summary	false
Invariants	ele-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()))
72. Extension.extension:comorbidity.extension:reference
Slice Name	reference
Definition	R5: `CodeableReference.reference`
Short	R5: Reference to a resource (by instance)Additional content defined by implementations
Comments	Element `CodeableReference.reference` is mapped to FHIR R4 element `Reference` as `Equivalent`.
Control	0..1*
Type	Extension
Is Modifier	false
Summary	false
Requirements	Element `CodeableReference.reference` is mapped to FHIR R4 element `Reference` as `Equivalent`.
Invariants	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()`) 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:comorbidity.extension:reference.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Short	identifies 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.
Control	1..1
Type	uri
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
Fixed Value	`reference`
76. Extension.extension:comorbidity.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).
Short	Reference to a resource (by instance)Value of extension
Control	0..1
Type	Reference(Cross-version Profile for R5.ObservationDefinition for use in FHIR R4, ObservationDefinition), 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] Note	SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier	false
Summary	false
Invariants	ele-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:comorbidity.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Short	identifies 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.
Control	1..1
Type	uri
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
Fixed Value	`comorbidity`
80. Extension.extension:comorbidity.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short	Value of extension
Control	0..01
Type	Choice 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
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Summary	false
Invariants	ele-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()))
82. Extension.extension:indication
Slice Name	indication
Definition	R5: `ClinicalUseDefinition.contraindication.indication` (new:Reference(ClinicalUseDefinition))
Short	R5: The indication which this is a contraidication for (new)Additional content defined by implementations
Comments	Element `ClinicalUseDefinition.contraindication.indication` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication` requires a cross-version extension. Element `ClinicalUseDefinition.contraindication.indication` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication.indication` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Requirements	Element `ClinicalUseDefinition.contraindication.indication` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication` requires a cross-version extension. Element `ClinicalUseDefinition.contraindication.indication` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication.indication` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Invariants	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()`) 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())
84. Extension.extension:indication.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Short	identifies 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.
Control	1..1
Type	uri
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
Fixed Value	`indication`
86. Extension.extension:indication.value[x]
Definition	The indication which this is a contraidication for. Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short	The indication which this is a contraidication forValue of extension
Control	0..1
Type	Reference(Cross-version Profile for R5.ClinicalUseDefinition for use in FHIR R4, Basic), 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] Note	SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier	false
Summary	false
Invariants	ele-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()))
88. Extension.extension:applicability
Slice Name	applicability
Definition	R5: `ClinicalUseDefinition.contraindication.applicability` (new:Expression)
Short	R5: An expression that returns true or false, indicating whether the indication is applicable or not, after having applied its other elements (new)Additional content defined by implementations
Comments	Element `ClinicalUseDefinition.contraindication.applicability` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication` requires a cross-version extension. Element `ClinicalUseDefinition.contraindication.applicability` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication.applicability` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). The expression may be inlined or may be a reference to a named expression within a logic library referenced by the library element.
Control	0..1*
Type	Extension
Is Modifier	false
Summary	false
Requirements	Element `ClinicalUseDefinition.contraindication.applicability` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication` requires a cross-version extension. Element `ClinicalUseDefinition.contraindication.applicability` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication.applicability` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Invariants	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()`) 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())
90. Extension.extension:applicability.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Short	identifies 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.
Control	1..1
Type	uri
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
Fixed Value	`applicability`
92. Extension.extension:applicability.value[x]
Definition	An expression that returns true or false, indicating whether the indication is applicable or not, after having applied its other elements. Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short	An expression that returns true or false, indicating whether the indication is applicable or not, after having applied its other elementsValue of extension
Comments	The expression may be inlined or may be a reference to a named expression within a logic library referenced by the library element.
Control	0..1
Type	Expression, 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, boolean, Signature, unsignedInt, time
[x] Note	SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier	false
Summary	false
Invariants	ele-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()))
94. Extension.extension:otherTherapy
Slice Name	otherTherapy
Definition	R5: `ClinicalUseDefinition.contraindication.otherTherapy` (new:BackboneElement)
Short	R5: Information about use of the product in relation to other therapies described as part of the contraindication (new)Additional content defined by implementations
Comments	Element `ClinicalUseDefinition.contraindication.otherTherapy` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication` requires a cross-version extension. Element `ClinicalUseDefinition.contraindication.otherTherapy` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication.otherTherapy` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Requirements	Element `ClinicalUseDefinition.contraindication.otherTherapy` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication` requires a cross-version extension. Element `ClinicalUseDefinition.contraindication.otherTherapy` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication.otherTherapy` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Creating extension because element `ClinicalUseDefinition.contraindication.otherTherapy` is a content reference and requires an extesion definition.
Invariants	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()`) 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:otherTherapy.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.
Short	ExtensionAdditional 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.
Control	20..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	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()`) 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())
Slicing	This 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
98. Extension.extension:otherTherapy.extension:relationshipType
Slice Name	relationshipType
Definition	R5: `ClinicalUseDefinition.contraindication.otherTherapy.relationshipType` (new:CodeableConcept)
Short	R5: The type of relationship between the product indication/contraindication and another therapy (new)Additional content defined by implementations
Comments	Element `ClinicalUseDefinition.contraindication.otherTherapy.relationshipType` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication.otherTherapy` requires a cross-version extension. Element `ClinicalUseDefinition.contraindication.otherTherapy.relationshipType` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication.otherTherapy.relationshipType` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Control	10..1*
Type	Extension
Is Modifier	false
Summary	false
Requirements	Element `ClinicalUseDefinition.contraindication.otherTherapy.relationshipType` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication.otherTherapy` requires a cross-version extension. Element `ClinicalUseDefinition.contraindication.otherTherapy.relationshipType` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication.otherTherapy.relationshipType` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Invariants	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()`) 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:otherTherapy.extension:relationshipType.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Short	identifies 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.
Control	1..1
Type	uri
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
Fixed Value	`relationshipType`
102. Extension.extension:otherTherapy.extension:relationshipType.value[x]
Definition	The type of relationship between the medicinal product indication or contraindication and another therapy. Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short	The type of relationship between the product indication/contraindication and another therapyValue of extension
Control	10..1
Binding	The codes SHOULD be taken from For codes, see R5TherapyRelationshipTypeForR4 (0.1.0) (preferred to `http://hl7.org/fhir/uv/xver/ValueSet/R5-therapy-relationship-type-for-R4\|0.1.0`) Classification of relationship between a therapy and a contraindication or an indication.
Type	CodeableConcept, 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] Note	SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier	false
Summary	false
Invariants	ele-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()))
104. Extension.extension:otherTherapy.extension:treatment
Slice Name	treatment
Definition	R5: `ClinicalUseDefinition.contraindication.otherTherapy.treatment` (new:CodeableReference(MedicinalProductDefinition,Medication,Substance,SubstanceDefinition,NutritionProduct,BiologicallyDerivedProduct,ActivityDefinition))
Short	R5: Reference to a specific medication, substance etc. as part of an indication or contraindication (new)Additional content defined by implementations
Comments	Element `ClinicalUseDefinition.contraindication.otherTherapy.treatment` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication.otherTherapy` requires a cross-version extension. Element `ClinicalUseDefinition.contraindication.otherTherapy.treatment` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication.otherTherapy.treatment` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Control	10..1*
Type	Extension
Is Modifier	false
Summary	false
Requirements	Element `ClinicalUseDefinition.contraindication.otherTherapy.treatment` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication.otherTherapy` requires a cross-version extension. Element `ClinicalUseDefinition.contraindication.otherTherapy.treatment` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication.otherTherapy.treatment` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Invariants	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()`) 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())
106. Extension.extension:otherTherapy.extension:treatment.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.
Short	ExtensionAdditional 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.
Control	10..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	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()`) 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())
Slicing	This 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
108. Extension.extension:otherTherapy.extension:treatment.extension:_datatype
Slice Name	_datatype
Definition	Slice to indicate the presence of a R5 `CodeableReference` in FHIR R4
Short	DataType slice for a FHIR R5 `CodeableReference` valueAdditional content defined by implementations
Control	10..1*
Type	Extension
Is Modifier	false
Summary	false
Invariants	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()`) 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:otherTherapy.extension:treatment.extension:_datatype.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Short	identifies 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.
Control	1..1
Type	uri
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
Fixed Value	`http://hl7.org/fhir/StructureDefinition/_datatype`
112. Extension.extension:otherTherapy.extension:treatment.extension:_datatype.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short	Value of extension
Comments	Must be: CodeableReference
Control	10..1
Type	string, 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] Note	SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Summary	false
Fixed Value	`CodeableReference`
Invariants	ele-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:otherTherapy.extension:treatment.extension:concept
Slice Name	concept
Definition	R5: `CodeableReference.concept`
Short	R5: Reference to a concept (by class)Additional content defined by implementations
Comments	Element `CodeableReference.concept` is mapped to FHIR R4 element `CodeableConcept` as `Equivalent`.
Control	0..1*
Type	Extension
Is Modifier	false
Summary	false
Requirements	Element `CodeableReference.concept` is mapped to FHIR R4 element `CodeableConcept` as `Equivalent`.
Invariants	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()`) 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:otherTherapy.extension:treatment.extension:concept.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Short	identifies 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.
Control	1..1
Type	uri
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
Fixed Value	`concept`
118. Extension.extension:otherTherapy.extension:treatment.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).
Short	Reference to a concept (by class)Value of extension
Control	0..1
Type	CodeableConcept, 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] Note	SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier	false
Summary	false
Invariants	ele-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:otherTherapy.extension:treatment.extension:reference
Slice Name	reference
Definition	R5: `CodeableReference.reference`
Short	R5: Reference to a resource (by instance)Additional content defined by implementations
Comments	Element `CodeableReference.reference` is mapped to FHIR R4 element `Reference` as `Equivalent`.
Control	0..1*
Type	Extension
Is Modifier	false
Summary	false
Requirements	Element `CodeableReference.reference` is mapped to FHIR R4 element `Reference` as `Equivalent`.
Invariants	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()`) 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:otherTherapy.extension:treatment.extension:reference.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Short	identifies 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.
Control	1..1
Type	uri
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
Fixed Value	`reference`
124. Extension.extension:otherTherapy.extension:treatment.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).
Short	Reference to a resource (by instance)Value of extension
Control	0..1
Type	Reference(Cross-version Profile for R5.MedicinalProductDefinition for use in FHIR R4, MedicinalProduct, Cross-version Profile for R5.Medication for use in FHIR R4, Medication, Cross-version Profile for R5.Substance for use in FHIR R4, Substance, Cross-version Profile for R5.SubstanceDefinition for use in FHIR R4, SubstanceSpecification, Cross-version Profile for R5.NutritionProduct for use in FHIR R4, Basic, Cross-version Profile for R5.BiologicallyDerivedProduct for use in FHIR R4, BiologicallyDerivedProduct, Cross-version Profile for R5.ActivityDefinition for use in FHIR R4, ActivityDefinition), 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] Note	SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier	false
Summary	false
Invariants	ele-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()))
126. Extension.extension:otherTherapy.extension:treatment.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Short	identifies 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.
Control	1..1
Type	uri
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
Fixed Value	`treatment`
128. Extension.extension:otherTherapy.extension:treatment.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short	Value of extension
Control	0..01
Type	Choice 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
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Summary	false
Invariants	ele-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()))
130. Extension.extension:otherTherapy.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Short	identifies 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.
Control	1..1
Type	uri
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
Fixed Value	`otherTherapy`
132. Extension.extension:otherTherapy.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short	Value of extension
Control	0..01
Type	Choice 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
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Summary	false
Invariants	ele-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()))
134. Extension.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Short	identifies 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.
Control	1..1
Type	uri
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
Fixed Value	`http://hl7.org/fhir/5.0/StructureDefinition/extension-ClinicalUseDefinition.contraindication`
136. Extension.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short	Value of extension
Control	0..01
Type	Choice 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
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Summary	false
Invariants	ele-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()))

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

0. Extension
Definition	R5: `ClinicalUseDefinition.contraindication` (new:BackboneElement)
Short	R5: Specifics for when this is a contraindication (new)
Comments	Element `ClinicalUseDefinition.contraindication` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Control	0..1
Is Modifier	false
2. Extension.extension
Control	0..*
Slicing	This element introduces a set of slices on `Extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
4. Extension.extension:diseaseSymptomProcedure
Slice Name	diseaseSymptomProcedure
Definition	R5: `ClinicalUseDefinition.contraindication.diseaseSymptomProcedure` (new:CodeableReference(ObservationDefinition))
Short	R5: The situation that is being documented as contraindicating against this item (new)
Comments	Element `ClinicalUseDefinition.contraindication.diseaseSymptomProcedure` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication` requires a cross-version extension. Element `ClinicalUseDefinition.contraindication.diseaseSymptomProcedure` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication.diseaseSymptomProcedure` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Control	0..1
Requirements	Element `ClinicalUseDefinition.contraindication.diseaseSymptomProcedure` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication` requires a cross-version extension. Element `ClinicalUseDefinition.contraindication.diseaseSymptomProcedure` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication.diseaseSymptomProcedure` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
6. Extension.extension:diseaseSymptomProcedure.extension
Control	0..*
Slicing	This 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
8. Extension.extension:diseaseSymptomProcedure.extension:_datatype
Slice Name	_datatype
Definition	Slice to indicate the presence of a R5 `CodeableReference` in FHIR R4
Short	DataType slice for a FHIR R5 `CodeableReference` value
Control	1..1
10. Extension.extension:diseaseSymptomProcedure.extension:_datatype.url
Control	1..1
Fixed Value	`http://hl7.org/fhir/StructureDefinition/_datatype`
12. Extension.extension:diseaseSymptomProcedure.extension:_datatype.value[x]
Comments	Must be: CodeableReference
Control	1..1
Type	string
[x] Note	SeeChoice of Data Typesfor further information about how to use [x]
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Fixed Value	`CodeableReference`
14. Extension.extension:diseaseSymptomProcedure.extension:concept
Slice Name	concept
Definition	R5: `CodeableReference.concept`
Short	R5: Reference to a concept (by class)
Comments	Element `CodeableReference.concept` is mapped to FHIR R4 element `CodeableConcept` as `Equivalent`.
Control	0..1
Requirements	Element `CodeableReference.concept` is mapped to FHIR R4 element `CodeableConcept` as `Equivalent`.
16. Extension.extension:diseaseSymptomProcedure.extension:concept.url
Control	1..1
Fixed Value	`concept`
18. Extension.extension:diseaseSymptomProcedure.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.
Short	Reference to a concept (by class)
Control	0..1
Type	CodeableConcept
[x] Note	SeeChoice of Data Typesfor further information about how to use [x]
20. Extension.extension:diseaseSymptomProcedure.extension:reference
Slice Name	reference
Definition	R5: `CodeableReference.reference`
Short	R5: Reference to a resource (by instance)
Comments	Element `CodeableReference.reference` is mapped to FHIR R4 element `Reference` as `Equivalent`.
Control	0..1
Requirements	Element `CodeableReference.reference` is mapped to FHIR R4 element `Reference` as `Equivalent`.
22. Extension.extension:diseaseSymptomProcedure.extension:reference.url
Control	1..1
Fixed Value	`reference`
24. Extension.extension:diseaseSymptomProcedure.extension:reference.value[x]
Definition	A reference to a resource the provides exact details about the information being referenced.
Short	Reference to a resource (by instance)
Control	0..1
Type	Reference(Cross-version Profile for R5.ObservationDefinition for use in FHIR R4, ObservationDefinition)
[x] Note	SeeChoice of Data Typesfor further information about how to use [x]
26. Extension.extension:diseaseSymptomProcedure.url
Control	1..1
Fixed Value	`diseaseSymptomProcedure`
28. Extension.extension:diseaseSymptomProcedure.value[x]
Control	0..0
30. Extension.extension:diseaseStatus
Slice Name	diseaseStatus
Definition	R5: `ClinicalUseDefinition.contraindication.diseaseStatus` (new:CodeableReference(ObservationDefinition))
Short	R5: The status of the disease or symptom for the contraindication (new)
Comments	Element `ClinicalUseDefinition.contraindication.diseaseStatus` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication` requires a cross-version extension. Element `ClinicalUseDefinition.contraindication.diseaseStatus` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication.diseaseStatus` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Control	0..1
Requirements	Element `ClinicalUseDefinition.contraindication.diseaseStatus` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication` requires a cross-version extension. Element `ClinicalUseDefinition.contraindication.diseaseStatus` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication.diseaseStatus` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
32. Extension.extension:diseaseStatus.extension
Control	0..*
Slicing	This 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
34. Extension.extension:diseaseStatus.extension:_datatype
Slice Name	_datatype
Definition	Slice to indicate the presence of a R5 `CodeableReference` in FHIR R4
Short	DataType slice for a FHIR R5 `CodeableReference` value
Control	1..1
36. Extension.extension:diseaseStatus.extension:_datatype.url
Control	1..1
Fixed Value	`http://hl7.org/fhir/StructureDefinition/_datatype`
38. Extension.extension:diseaseStatus.extension:_datatype.value[x]
Comments	Must be: CodeableReference
Control	1..1
Type	string
[x] Note	SeeChoice of Data Typesfor further information about how to use [x]
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Fixed Value	`CodeableReference`
40. Extension.extension:diseaseStatus.extension:concept
Slice Name	concept
Definition	R5: `CodeableReference.concept`
Short	R5: Reference to a concept (by class)
Comments	Element `CodeableReference.concept` is mapped to FHIR R4 element `CodeableConcept` as `Equivalent`.
Control	0..1
Requirements	Element `CodeableReference.concept` is mapped to FHIR R4 element `CodeableConcept` as `Equivalent`.
42. Extension.extension:diseaseStatus.extension:concept.url
Control	1..1
Fixed Value	`concept`
44. Extension.extension:diseaseStatus.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.
Short	Reference to a concept (by class)
Control	0..1
Type	CodeableConcept
[x] Note	SeeChoice of Data Typesfor further information about how to use [x]
46. Extension.extension:diseaseStatus.extension:reference
Slice Name	reference
Definition	R5: `CodeableReference.reference`
Short	R5: Reference to a resource (by instance)
Comments	Element `CodeableReference.reference` is mapped to FHIR R4 element `Reference` as `Equivalent`.
Control	0..1
Requirements	Element `CodeableReference.reference` is mapped to FHIR R4 element `Reference` as `Equivalent`.
48. Extension.extension:diseaseStatus.extension:reference.url
Control	1..1
Fixed Value	`reference`
50. Extension.extension:diseaseStatus.extension:reference.value[x]
Definition	A reference to a resource the provides exact details about the information being referenced.
Short	Reference to a resource (by instance)
Control	0..1
Type	Reference(Cross-version Profile for R5.ObservationDefinition for use in FHIR R4, ObservationDefinition)
[x] Note	SeeChoice of Data Typesfor further information about how to use [x]
52. Extension.extension:diseaseStatus.url
Control	1..1
Fixed Value	`diseaseStatus`
54. Extension.extension:diseaseStatus.value[x]
Control	0..0
56. Extension.extension:comorbidity
Slice Name	comorbidity
Definition	R5: `ClinicalUseDefinition.contraindication.comorbidity` (new:CodeableReference(ObservationDefinition))
Short	R5: A comorbidity (concurrent condition) or coinfection (new)
Comments	Element `ClinicalUseDefinition.contraindication.comorbidity` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication` requires a cross-version extension. Element `ClinicalUseDefinition.contraindication.comorbidity` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication.comorbidity` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Control	0..*
Requirements	Element `ClinicalUseDefinition.contraindication.comorbidity` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication` requires a cross-version extension. Element `ClinicalUseDefinition.contraindication.comorbidity` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication.comorbidity` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
58. Extension.extension:comorbidity.extension
Control	0..*
Slicing	This 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
60. Extension.extension:comorbidity.extension:_datatype
Slice Name	_datatype
Definition	Slice to indicate the presence of a R5 `CodeableReference` in FHIR R4
Short	DataType slice for a FHIR R5 `CodeableReference` value
Control	1..1
62. Extension.extension:comorbidity.extension:_datatype.url
Control	1..1
Fixed Value	`http://hl7.org/fhir/StructureDefinition/_datatype`
64. Extension.extension:comorbidity.extension:_datatype.value[x]
Comments	Must be: CodeableReference
Control	1..1
Type	string
[x] Note	SeeChoice of Data Typesfor further information about how to use [x]
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Fixed Value	`CodeableReference`
66. Extension.extension:comorbidity.extension:concept
Slice Name	concept
Definition	R5: `CodeableReference.concept`
Short	R5: Reference to a concept (by class)
Comments	Element `CodeableReference.concept` is mapped to FHIR R4 element `CodeableConcept` as `Equivalent`.
Control	0..1
Requirements	Element `CodeableReference.concept` is mapped to FHIR R4 element `CodeableConcept` as `Equivalent`.
68. Extension.extension:comorbidity.extension:concept.url
Control	1..1
Fixed Value	`concept`
70. Extension.extension:comorbidity.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.
Short	Reference to a concept (by class)
Control	0..1
Type	CodeableConcept
[x] Note	SeeChoice of Data Typesfor further information about how to use [x]
72. Extension.extension:comorbidity.extension:reference
Slice Name	reference
Definition	R5: `CodeableReference.reference`
Short	R5: Reference to a resource (by instance)
Comments	Element `CodeableReference.reference` is mapped to FHIR R4 element `Reference` as `Equivalent`.
Control	0..1
Requirements	Element `CodeableReference.reference` is mapped to FHIR R4 element `Reference` as `Equivalent`.
74. Extension.extension:comorbidity.extension:reference.url
Control	1..1
Fixed Value	`reference`
76. Extension.extension:comorbidity.extension:reference.value[x]
Definition	A reference to a resource the provides exact details about the information being referenced.
Short	Reference to a resource (by instance)
Control	0..1
Type	Reference(Cross-version Profile for R5.ObservationDefinition for use in FHIR R4, ObservationDefinition)
[x] Note	SeeChoice of Data Typesfor further information about how to use [x]
78. Extension.extension:comorbidity.url
Control	1..1
Fixed Value	`comorbidity`
80. Extension.extension:comorbidity.value[x]
Control	0..0
82. Extension.extension:indication
Slice Name	indication
Definition	R5: `ClinicalUseDefinition.contraindication.indication` (new:Reference(ClinicalUseDefinition))
Short	R5: The indication which this is a contraidication for (new)
Comments	Element `ClinicalUseDefinition.contraindication.indication` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication` requires a cross-version extension. Element `ClinicalUseDefinition.contraindication.indication` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication.indication` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Control	0..*
Requirements	Element `ClinicalUseDefinition.contraindication.indication` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication` requires a cross-version extension. Element `ClinicalUseDefinition.contraindication.indication` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication.indication` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
84. Extension.extension:indication.url
Control	1..1
Fixed Value	`indication`
86. Extension.extension:indication.value[x]
Definition	The indication which this is a contraidication for.
Short	The indication which this is a contraidication for
Control	0..1
Type	Reference(Cross-version Profile for R5.ClinicalUseDefinition for use in FHIR R4, Basic)
[x] Note	SeeChoice of Data Typesfor further information about how to use [x]
88. Extension.extension:applicability
Slice Name	applicability
Definition	R5: `ClinicalUseDefinition.contraindication.applicability` (new:Expression)
Short	R5: An expression that returns true or false, indicating whether the indication is applicable or not, after having applied its other elements (new)
Comments	Element `ClinicalUseDefinition.contraindication.applicability` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication` requires a cross-version extension. Element `ClinicalUseDefinition.contraindication.applicability` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication.applicability` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). The expression may be inlined or may be a reference to a named expression within a logic library referenced by the library element.
Control	0..1
Requirements	Element `ClinicalUseDefinition.contraindication.applicability` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication` requires a cross-version extension. Element `ClinicalUseDefinition.contraindication.applicability` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication.applicability` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
90. Extension.extension:applicability.url
Control	1..1
Fixed Value	`applicability`
92. Extension.extension:applicability.value[x]
Definition	An expression that returns true or false, indicating whether the indication is applicable or not, after having applied its other elements.
Short	An expression that returns true or false, indicating whether the indication is applicable or not, after having applied its other elements
Comments	The expression may be inlined or may be a reference to a named expression within a logic library referenced by the library element.
Control	0..1
Type	Expression
[x] Note	SeeChoice of Data Typesfor further information about how to use [x]
94. Extension.extension:otherTherapy
Slice Name	otherTherapy
Definition	R5: `ClinicalUseDefinition.contraindication.otherTherapy` (new:BackboneElement)
Short	R5: Information about use of the product in relation to other therapies described as part of the contraindication (new)
Comments	Element `ClinicalUseDefinition.contraindication.otherTherapy` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication` requires a cross-version extension. Element `ClinicalUseDefinition.contraindication.otherTherapy` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication.otherTherapy` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Control	0..*
Requirements	Element `ClinicalUseDefinition.contraindication.otherTherapy` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication` requires a cross-version extension. Element `ClinicalUseDefinition.contraindication.otherTherapy` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication.otherTherapy` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Creating extension because element `ClinicalUseDefinition.contraindication.otherTherapy` is a content reference and requires an extesion definition.
96. Extension.extension:otherTherapy.extension
Control	2..*
Slicing	This 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
98. Extension.extension:otherTherapy.extension:relationshipType
Slice Name	relationshipType
Definition	R5: `ClinicalUseDefinition.contraindication.otherTherapy.relationshipType` (new:CodeableConcept)
Short	R5: The type of relationship between the product indication/contraindication and another therapy (new)
Comments	Element `ClinicalUseDefinition.contraindication.otherTherapy.relationshipType` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication.otherTherapy` requires a cross-version extension. Element `ClinicalUseDefinition.contraindication.otherTherapy.relationshipType` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication.otherTherapy.relationshipType` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Control	1..1
Requirements	Element `ClinicalUseDefinition.contraindication.otherTherapy.relationshipType` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication.otherTherapy` requires a cross-version extension. Element `ClinicalUseDefinition.contraindication.otherTherapy.relationshipType` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication.otherTherapy.relationshipType` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
100. Extension.extension:otherTherapy.extension:relationshipType.url
Control	1..1
Fixed Value	`relationshipType`
102. Extension.extension:otherTherapy.extension:relationshipType.value[x]
Definition	The type of relationship between the medicinal product indication or contraindication and another therapy.
Short	The type of relationship between the product indication/contraindication and another therapy
Control	1..1
Binding	The codes SHOULD be taken from R5TherapyRelationshipTypeForR4 (0.1.0) (preferred to `http://hl7.org/fhir/uv/xver/ValueSet/R5-therapy-relationship-type-for-R4\|0.1.0`) Classification of relationship between a therapy and a contraindication or an indication.
Type	CodeableConcept
[x] Note	SeeChoice of Data Typesfor further information about how to use [x]
104. Extension.extension:otherTherapy.extension:treatment
Slice Name	treatment
Definition	R5: `ClinicalUseDefinition.contraindication.otherTherapy.treatment` (new:CodeableReference(MedicinalProductDefinition,Medication,Substance,SubstanceDefinition,NutritionProduct,BiologicallyDerivedProduct,ActivityDefinition))
Short	R5: Reference to a specific medication, substance etc. as part of an indication or contraindication (new)
Comments	Element `ClinicalUseDefinition.contraindication.otherTherapy.treatment` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication.otherTherapy` requires a cross-version extension. Element `ClinicalUseDefinition.contraindication.otherTherapy.treatment` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication.otherTherapy.treatment` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Control	1..1
Requirements	Element `ClinicalUseDefinition.contraindication.otherTherapy.treatment` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication.otherTherapy` requires a cross-version extension. Element `ClinicalUseDefinition.contraindication.otherTherapy.treatment` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication.otherTherapy.treatment` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
106. Extension.extension:otherTherapy.extension:treatment.extension
Control	1..*
Slicing	This 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
108. Extension.extension:otherTherapy.extension:treatment.extension:_datatype
Slice Name	_datatype
Definition	Slice to indicate the presence of a R5 `CodeableReference` in FHIR R4
Short	DataType slice for a FHIR R5 `CodeableReference` value
Control	1..1
110. Extension.extension:otherTherapy.extension:treatment.extension:_datatype.url
Control	1..1
Fixed Value	`http://hl7.org/fhir/StructureDefinition/_datatype`
112. Extension.extension:otherTherapy.extension:treatment.extension:_datatype.value[x]
Comments	Must be: CodeableReference
Control	1..1
Type	string
[x] Note	SeeChoice of Data Typesfor further information about how to use [x]
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Fixed Value	`CodeableReference`
114. Extension.extension:otherTherapy.extension:treatment.extension:concept
Slice Name	concept
Definition	R5: `CodeableReference.concept`
Short	R5: Reference to a concept (by class)
Comments	Element `CodeableReference.concept` is mapped to FHIR R4 element `CodeableConcept` as `Equivalent`.
Control	0..1
Requirements	Element `CodeableReference.concept` is mapped to FHIR R4 element `CodeableConcept` as `Equivalent`.
116. Extension.extension:otherTherapy.extension:treatment.extension:concept.url
Control	1..1
Fixed Value	`concept`
118. Extension.extension:otherTherapy.extension:treatment.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.
Short	Reference to a concept (by class)
Control	0..1
Type	CodeableConcept
[x] Note	SeeChoice of Data Typesfor further information about how to use [x]
120. Extension.extension:otherTherapy.extension:treatment.extension:reference
Slice Name	reference
Definition	R5: `CodeableReference.reference`
Short	R5: Reference to a resource (by instance)
Comments	Element `CodeableReference.reference` is mapped to FHIR R4 element `Reference` as `Equivalent`.
Control	0..1
Requirements	Element `CodeableReference.reference` is mapped to FHIR R4 element `Reference` as `Equivalent`.
122. Extension.extension:otherTherapy.extension:treatment.extension:reference.url
Control	1..1
Fixed Value	`reference`
124. Extension.extension:otherTherapy.extension:treatment.extension:reference.value[x]
Definition	A reference to a resource the provides exact details about the information being referenced.
Short	Reference to a resource (by instance)
Control	0..1
Type	Reference(Cross-version Profile for R5.MedicinalProductDefinition for use in FHIR R4, MedicinalProduct, Cross-version Profile for R5.Medication for use in FHIR R4, Medication, Cross-version Profile for R5.Substance for use in FHIR R4, Substance, Cross-version Profile for R5.SubstanceDefinition for use in FHIR R4, SubstanceSpecification, Cross-version Profile for R5.NutritionProduct for use in FHIR R4, Basic, Cross-version Profile for R5.BiologicallyDerivedProduct for use in FHIR R4, BiologicallyDerivedProduct, Cross-version Profile for R5.ActivityDefinition for use in FHIR R4, ActivityDefinition)
[x] Note	SeeChoice of Data Typesfor further information about how to use [x]
126. Extension.extension:otherTherapy.extension:treatment.url
Control	1..1
Fixed Value	`treatment`
128. Extension.extension:otherTherapy.extension:treatment.value[x]
Control	0..0
130. Extension.extension:otherTherapy.url
Control	1..1
Fixed Value	`otherTherapy`
132. Extension.extension:otherTherapy.value[x]
Control	0..0
134. Extension.url
Control	1..1
Fixed Value	`http://hl7.org/fhir/5.0/StructureDefinition/extension-ClinicalUseDefinition.contraindication`
136. Extension.value[x]
Control	0..0

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

0. Extension
Definition	R5: `ClinicalUseDefinition.contraindication` (new:BackboneElement)
Short	R5: Specifics for when this is a contraindication (new)
Comments	Element `ClinicalUseDefinition.contraindication` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Control	0..1 This element is affected by the following invariants: ele-1
Is Modifier	false
Invariants	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.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
4. Extension.extension
Definition	An Extension
Short	Extension
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Invariants	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()`)
Slicing	This element introduces a set of slices on `Extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
6. Extension.extension:diseaseSymptomProcedure
Slice Name	diseaseSymptomProcedure
Definition	R5: `ClinicalUseDefinition.contraindication.diseaseSymptomProcedure` (new:CodeableReference(ObservationDefinition))
Short	R5: The situation that is being documented as contraindicating against this item (new)
Comments	Element `ClinicalUseDefinition.contraindication.diseaseSymptomProcedure` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication` requires a cross-version extension. Element `ClinicalUseDefinition.contraindication.diseaseSymptomProcedure` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication.diseaseSymptomProcedure` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Control	0..1
Type	Extension
Is Modifier	false
Summary	false
Requirements	Element `ClinicalUseDefinition.contraindication.diseaseSymptomProcedure` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication` requires a cross-version extension. Element `ClinicalUseDefinition.contraindication.diseaseSymptomProcedure` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication.diseaseSymptomProcedure` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Invariants	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()`)
8. Extension.extension:diseaseSymptomProcedure.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
10. Extension.extension:diseaseSymptomProcedure.extension
Definition	An Extension
Short	Extension
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Invariants	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()`)
Slicing	This 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:diseaseSymptomProcedure.extension:_datatype
Slice Name	_datatype
Definition	Slice to indicate the presence of a R5 `CodeableReference` in FHIR R4
Short	DataType slice for a FHIR R5 `CodeableReference` value
Control	1..1
Type	Extension
Is Modifier	false
Summary	false
Invariants	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()`)
14. Extension.extension:diseaseSymptomProcedure.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.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
16. Extension.extension:diseaseSymptomProcedure.extension:_datatype.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.
Short	Additional 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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	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()`)
Slicing	This 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
18. Extension.extension:diseaseSymptomProcedure.extension:_datatype.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Short	identifies 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.
Control	1..1
Type	uri
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
Fixed Value	`http://hl7.org/fhir/StructureDefinition/_datatype`
20. Extension.extension:diseaseSymptomProcedure.extension:_datatype.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short	Value of extension
Comments	Must be: CodeableReference
Control	1..1
Type	string
[x] Note	SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Summary	false
Fixed Value	`CodeableReference`
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
22. Extension.extension:diseaseSymptomProcedure.extension:concept
Slice Name	concept
Definition	R5: `CodeableReference.concept`
Short	R5: Reference to a concept (by class)
Comments	Element `CodeableReference.concept` is mapped to FHIR R4 element `CodeableConcept` as `Equivalent`.
Control	0..1
Type	Extension
Is Modifier	false
Summary	false
Requirements	Element `CodeableReference.concept` is mapped to FHIR R4 element `CodeableConcept` as `Equivalent`.
Invariants	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:diseaseSymptomProcedure.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.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
26. Extension.extension:diseaseSymptomProcedure.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.
Short	Additional 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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	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()`)
Slicing	This 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
28. Extension.extension:diseaseSymptomProcedure.extension:concept.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Short	identifies 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.
Control	1..1
Type	uri
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
Fixed Value	`concept`
30. Extension.extension:diseaseSymptomProcedure.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.
Short	Reference to a concept (by class)
Control	0..1
Type	CodeableConcept
[x] Note	SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier	false
Summary	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
32. Extension.extension:diseaseSymptomProcedure.extension:reference
Slice Name	reference
Definition	R5: `CodeableReference.reference`
Short	R5: Reference to a resource (by instance)
Comments	Element `CodeableReference.reference` is mapped to FHIR R4 element `Reference` as `Equivalent`.
Control	0..1
Type	Extension
Is Modifier	false
Summary	false
Requirements	Element `CodeableReference.reference` is mapped to FHIR R4 element `Reference` as `Equivalent`.
Invariants	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()`)
34. Extension.extension:diseaseSymptomProcedure.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.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
36. Extension.extension:diseaseSymptomProcedure.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.
Short	Additional 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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	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()`)
Slicing	This 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
38. Extension.extension:diseaseSymptomProcedure.extension:reference.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Short	identifies 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.
Control	1..1
Type	uri
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
Fixed Value	`reference`
40. Extension.extension:diseaseSymptomProcedure.extension:reference.value[x]
Definition	A reference to a resource the provides exact details about the information being referenced.
Short	Reference to a resource (by instance)
Control	0..1
Type	Reference(Cross-version Profile for R5.ObservationDefinition for use in FHIR R4, ObservationDefinition)
[x] Note	SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier	false
Summary	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
42. Extension.extension:diseaseSymptomProcedure.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Short	identifies 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.
Control	1..1
Type	uri
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
Fixed Value	`diseaseSymptomProcedure`
44. Extension.extension:diseaseSymptomProcedure.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short	Value of extension
Control	0..0
Type	Choice 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
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Summary	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
46. Extension.extension:diseaseStatus
Slice Name	diseaseStatus
Definition	R5: `ClinicalUseDefinition.contraindication.diseaseStatus` (new:CodeableReference(ObservationDefinition))
Short	R5: The status of the disease or symptom for the contraindication (new)
Comments	Element `ClinicalUseDefinition.contraindication.diseaseStatus` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication` requires a cross-version extension. Element `ClinicalUseDefinition.contraindication.diseaseStatus` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication.diseaseStatus` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Control	0..1
Type	Extension
Is Modifier	false
Summary	false
Requirements	Element `ClinicalUseDefinition.contraindication.diseaseStatus` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication` requires a cross-version extension. Element `ClinicalUseDefinition.contraindication.diseaseStatus` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication.diseaseStatus` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Invariants	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:diseaseStatus.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
50. Extension.extension:diseaseStatus.extension
Definition	An Extension
Short	Extension
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Invariants	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()`)
Slicing	This 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:diseaseStatus.extension:_datatype
Slice Name	_datatype
Definition	Slice to indicate the presence of a R5 `CodeableReference` in FHIR R4
Short	DataType slice for a FHIR R5 `CodeableReference` value
Control	1..1
Type	Extension
Is Modifier	false
Summary	false
Invariants	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()`)
54. Extension.extension:diseaseStatus.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.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
56. Extension.extension:diseaseStatus.extension:_datatype.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.
Short	Additional 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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	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()`)
Slicing	This 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
58. Extension.extension:diseaseStatus.extension:_datatype.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Short	identifies 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.
Control	1..1
Type	uri
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
Fixed Value	`http://hl7.org/fhir/StructureDefinition/_datatype`
60. Extension.extension:diseaseStatus.extension:_datatype.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short	Value of extension
Comments	Must be: CodeableReference
Control	1..1
Type	string
[x] Note	SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Summary	false
Fixed Value	`CodeableReference`
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
62. Extension.extension:diseaseStatus.extension:concept
Slice Name	concept
Definition	R5: `CodeableReference.concept`
Short	R5: Reference to a concept (by class)
Comments	Element `CodeableReference.concept` is mapped to FHIR R4 element `CodeableConcept` as `Equivalent`.
Control	0..1
Type	Extension
Is Modifier	false
Summary	false
Requirements	Element `CodeableReference.concept` is mapped to FHIR R4 element `CodeableConcept` as `Equivalent`.
Invariants	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()`)
64. Extension.extension:diseaseStatus.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.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
66. Extension.extension:diseaseStatus.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.
Short	Additional 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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	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()`)
Slicing	This 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
68. Extension.extension:diseaseStatus.extension:concept.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Short	identifies 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.
Control	1..1
Type	uri
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
Fixed Value	`concept`
70. Extension.extension:diseaseStatus.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.
Short	Reference to a concept (by class)
Control	0..1
Type	CodeableConcept
[x] Note	SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier	false
Summary	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
72. Extension.extension:diseaseStatus.extension:reference
Slice Name	reference
Definition	R5: `CodeableReference.reference`
Short	R5: Reference to a resource (by instance)
Comments	Element `CodeableReference.reference` is mapped to FHIR R4 element `Reference` as `Equivalent`.
Control	0..1
Type	Extension
Is Modifier	false
Summary	false
Requirements	Element `CodeableReference.reference` is mapped to FHIR R4 element `Reference` as `Equivalent`.
Invariants	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:diseaseStatus.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.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
76. Extension.extension:diseaseStatus.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.
Short	Additional 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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	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()`)
Slicing	This 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
78. Extension.extension:diseaseStatus.extension:reference.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Short	identifies 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.
Control	1..1
Type	uri
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
Fixed Value	`reference`
80. Extension.extension:diseaseStatus.extension:reference.value[x]
Definition	A reference to a resource the provides exact details about the information being referenced.
Short	Reference to a resource (by instance)
Control	0..1
Type	Reference(Cross-version Profile for R5.ObservationDefinition for use in FHIR R4, ObservationDefinition)
[x] Note	SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier	false
Summary	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
82. Extension.extension:diseaseStatus.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Short	identifies 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.
Control	1..1
Type	uri
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
Fixed Value	`diseaseStatus`
84. Extension.extension:diseaseStatus.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short	Value of extension
Control	0..0
Type	Choice 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
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Summary	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
86. Extension.extension:comorbidity
Slice Name	comorbidity
Definition	R5: `ClinicalUseDefinition.contraindication.comorbidity` (new:CodeableReference(ObservationDefinition))
Short	R5: A comorbidity (concurrent condition) or coinfection (new)
Comments	Element `ClinicalUseDefinition.contraindication.comorbidity` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication` requires a cross-version extension. Element `ClinicalUseDefinition.contraindication.comorbidity` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication.comorbidity` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Requirements	Element `ClinicalUseDefinition.contraindication.comorbidity` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication` requires a cross-version extension. Element `ClinicalUseDefinition.contraindication.comorbidity` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication.comorbidity` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Invariants	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()`)
88. Extension.extension:comorbidity.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
90. Extension.extension:comorbidity.extension
Definition	An Extension
Short	Extension
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Invariants	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()`)
Slicing	This 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
92. Extension.extension:comorbidity.extension:_datatype
Slice Name	_datatype
Definition	Slice to indicate the presence of a R5 `CodeableReference` in FHIR R4
Short	DataType slice for a FHIR R5 `CodeableReference` value
Control	1..1
Type	Extension
Is Modifier	false
Summary	false
Invariants	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()`)
94. Extension.extension:comorbidity.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.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
96. Extension.extension:comorbidity.extension:_datatype.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.
Short	Additional 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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	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()`)
Slicing	This 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:comorbidity.extension:_datatype.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Short	identifies 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.
Control	1..1
Type	uri
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
Fixed Value	`http://hl7.org/fhir/StructureDefinition/_datatype`
100. Extension.extension:comorbidity.extension:_datatype.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short	Value of extension
Comments	Must be: CodeableReference
Control	1..1
Type	string
[x] Note	SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Summary	false
Fixed Value	`CodeableReference`
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
102. Extension.extension:comorbidity.extension:concept
Slice Name	concept
Definition	R5: `CodeableReference.concept`
Short	R5: Reference to a concept (by class)
Comments	Element `CodeableReference.concept` is mapped to FHIR R4 element `CodeableConcept` as `Equivalent`.
Control	0..1
Type	Extension
Is Modifier	false
Summary	false
Requirements	Element `CodeableReference.concept` is mapped to FHIR R4 element `CodeableConcept` as `Equivalent`.
Invariants	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:comorbidity.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.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
106. Extension.extension:comorbidity.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.
Short	Additional 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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	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()`)
Slicing	This 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
108. Extension.extension:comorbidity.extension:concept.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Short	identifies 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.
Control	1..1
Type	uri
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
Fixed Value	`concept`
110. Extension.extension:comorbidity.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.
Short	Reference to a concept (by class)
Control	0..1
Type	CodeableConcept
[x] Note	SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier	false
Summary	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
112. Extension.extension:comorbidity.extension:reference
Slice Name	reference
Definition	R5: `CodeableReference.reference`
Short	R5: Reference to a resource (by instance)
Comments	Element `CodeableReference.reference` is mapped to FHIR R4 element `Reference` as `Equivalent`.
Control	0..1
Type	Extension
Is Modifier	false
Summary	false
Requirements	Element `CodeableReference.reference` is mapped to FHIR R4 element `Reference` as `Equivalent`.
Invariants	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()`)
114. Extension.extension:comorbidity.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.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
116. Extension.extension:comorbidity.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.
Short	Additional 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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	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()`)
Slicing	This 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
118. Extension.extension:comorbidity.extension:reference.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Short	identifies 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.
Control	1..1
Type	uri
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
Fixed Value	`reference`
120. Extension.extension:comorbidity.extension:reference.value[x]
Definition	A reference to a resource the provides exact details about the information being referenced.
Short	Reference to a resource (by instance)
Control	0..1
Type	Reference(Cross-version Profile for R5.ObservationDefinition for use in FHIR R4, ObservationDefinition)
[x] Note	SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier	false
Summary	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
122. Extension.extension:comorbidity.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Short	identifies 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.
Control	1..1
Type	uri
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
Fixed Value	`comorbidity`
124. Extension.extension:comorbidity.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short	Value of extension
Control	0..0
Type	Choice 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
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Summary	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
126. Extension.extension:indication
Slice Name	indication
Definition	R5: `ClinicalUseDefinition.contraindication.indication` (new:Reference(ClinicalUseDefinition))
Short	R5: The indication which this is a contraidication for (new)
Comments	Element `ClinicalUseDefinition.contraindication.indication` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication` requires a cross-version extension. Element `ClinicalUseDefinition.contraindication.indication` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication.indication` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Requirements	Element `ClinicalUseDefinition.contraindication.indication` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication` requires a cross-version extension. Element `ClinicalUseDefinition.contraindication.indication` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication.indication` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Invariants	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()`)
128. Extension.extension:indication.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
130. Extension.extension:indication.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.
Short	Additional 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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	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()`)
Slicing	This 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
132. Extension.extension:indication.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Short	identifies 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.
Control	1..1
Type	uri
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
Fixed Value	`indication`
134. Extension.extension:indication.value[x]
Definition	The indication which this is a contraidication for.
Short	The indication which this is a contraidication for
Control	0..1
Type	Reference(Cross-version Profile for R5.ClinicalUseDefinition for use in FHIR R4, Basic)
[x] Note	SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier	false
Summary	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
136. Extension.extension:applicability
Slice Name	applicability
Definition	R5: `ClinicalUseDefinition.contraindication.applicability` (new:Expression)
Short	R5: An expression that returns true or false, indicating whether the indication is applicable or not, after having applied its other elements (new)
Comments	Element `ClinicalUseDefinition.contraindication.applicability` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication` requires a cross-version extension. Element `ClinicalUseDefinition.contraindication.applicability` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication.applicability` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). The expression may be inlined or may be a reference to a named expression within a logic library referenced by the library element.
Control	0..1
Type	Extension
Is Modifier	false
Summary	false
Requirements	Element `ClinicalUseDefinition.contraindication.applicability` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication` requires a cross-version extension. Element `ClinicalUseDefinition.contraindication.applicability` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication.applicability` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Invariants	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()`)
138. Extension.extension:applicability.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
140. Extension.extension:applicability.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.
Short	Additional 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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	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()`)
Slicing	This 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
142. Extension.extension:applicability.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Short	identifies 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.
Control	1..1
Type	uri
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
Fixed Value	`applicability`
144. Extension.extension:applicability.value[x]
Definition	An expression that returns true or false, indicating whether the indication is applicable or not, after having applied its other elements.
Short	An expression that returns true or false, indicating whether the indication is applicable or not, after having applied its other elements
Comments	The expression may be inlined or may be a reference to a named expression within a logic library referenced by the library element.
Control	0..1
Type	Expression
[x] Note	SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier	false
Summary	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
146. Extension.extension:otherTherapy
Slice Name	otherTherapy
Definition	R5: `ClinicalUseDefinition.contraindication.otherTherapy` (new:BackboneElement)
Short	R5: Information about use of the product in relation to other therapies described as part of the contraindication (new)
Comments	Element `ClinicalUseDefinition.contraindication.otherTherapy` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication` requires a cross-version extension. Element `ClinicalUseDefinition.contraindication.otherTherapy` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication.otherTherapy` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Requirements	Element `ClinicalUseDefinition.contraindication.otherTherapy` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication` requires a cross-version extension. Element `ClinicalUseDefinition.contraindication.otherTherapy` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication.otherTherapy` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Creating extension because element `ClinicalUseDefinition.contraindication.otherTherapy` is a content reference and requires an extesion definition.
Invariants	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()`)
148. Extension.extension:otherTherapy.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
150. Extension.extension:otherTherapy.extension
Definition	An Extension
Short	Extension
Control	2..*
Type	Extension
Is Modifier	false
Summary	false
Invariants	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()`)
Slicing	This 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
152. Extension.extension:otherTherapy.extension:relationshipType
Slice Name	relationshipType
Definition	R5: `ClinicalUseDefinition.contraindication.otherTherapy.relationshipType` (new:CodeableConcept)
Short	R5: The type of relationship between the product indication/contraindication and another therapy (new)
Comments	Element `ClinicalUseDefinition.contraindication.otherTherapy.relationshipType` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication.otherTherapy` requires a cross-version extension. Element `ClinicalUseDefinition.contraindication.otherTherapy.relationshipType` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication.otherTherapy.relationshipType` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Control	1..1
Type	Extension
Is Modifier	false
Summary	false
Requirements	Element `ClinicalUseDefinition.contraindication.otherTherapy.relationshipType` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication.otherTherapy` requires a cross-version extension. Element `ClinicalUseDefinition.contraindication.otherTherapy.relationshipType` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication.otherTherapy.relationshipType` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Invariants	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()`)
154. Extension.extension:otherTherapy.extension:relationshipType.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
156. Extension.extension:otherTherapy.extension:relationshipType.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.
Short	Additional 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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	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()`)
Slicing	This 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
158. Extension.extension:otherTherapy.extension:relationshipType.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Short	identifies 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.
Control	1..1
Type	uri
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
Fixed Value	`relationshipType`
160. Extension.extension:otherTherapy.extension:relationshipType.value[x]
Definition	The type of relationship between the medicinal product indication or contraindication and another therapy.
Short	The type of relationship between the product indication/contraindication and another therapy
Control	1..1
Binding	The codes SHOULD be taken from R5TherapyRelationshipTypeForR4 (0.1.0) (preferred to `http://hl7.org/fhir/uv/xver/ValueSet/R5-therapy-relationship-type-for-R4\|0.1.0`) Classification of relationship between a therapy and a contraindication or an indication.
Type	CodeableConcept
[x] Note	SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier	false
Summary	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
162. Extension.extension:otherTherapy.extension:treatment
Slice Name	treatment
Definition	R5: `ClinicalUseDefinition.contraindication.otherTherapy.treatment` (new:CodeableReference(MedicinalProductDefinition,Medication,Substance,SubstanceDefinition,NutritionProduct,BiologicallyDerivedProduct,ActivityDefinition))
Short	R5: Reference to a specific medication, substance etc. as part of an indication or contraindication (new)
Comments	Element `ClinicalUseDefinition.contraindication.otherTherapy.treatment` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication.otherTherapy` requires a cross-version extension. Element `ClinicalUseDefinition.contraindication.otherTherapy.treatment` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication.otherTherapy.treatment` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Control	1..1
Type	Extension
Is Modifier	false
Summary	false
Requirements	Element `ClinicalUseDefinition.contraindication.otherTherapy.treatment` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication.otherTherapy` requires a cross-version extension. Element `ClinicalUseDefinition.contraindication.otherTherapy.treatment` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication.otherTherapy.treatment` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Invariants	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()`)
164. Extension.extension:otherTherapy.extension:treatment.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
166. Extension.extension:otherTherapy.extension:treatment.extension
Definition	An Extension
Short	Extension
Control	1..*
Type	Extension
Is Modifier	false
Summary	false
Invariants	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()`)
Slicing	This 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
168. Extension.extension:otherTherapy.extension:treatment.extension:_datatype
Slice Name	_datatype
Definition	Slice to indicate the presence of a R5 `CodeableReference` in FHIR R4
Short	DataType slice for a FHIR R5 `CodeableReference` value
Control	1..1
Type	Extension
Is Modifier	false
Summary	false
Invariants	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()`)
170. Extension.extension:otherTherapy.extension:treatment.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.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
172. Extension.extension:otherTherapy.extension:treatment.extension:_datatype.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.
Short	Additional 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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	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()`)
Slicing	This 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
174. Extension.extension:otherTherapy.extension:treatment.extension:_datatype.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Short	identifies 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.
Control	1..1
Type	uri
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
Fixed Value	`http://hl7.org/fhir/StructureDefinition/_datatype`
176. Extension.extension:otherTherapy.extension:treatment.extension:_datatype.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short	Value of extension
Comments	Must be: CodeableReference
Control	1..1
Type	string
[x] Note	SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Summary	false
Fixed Value	`CodeableReference`
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
178. Extension.extension:otherTherapy.extension:treatment.extension:concept
Slice Name	concept
Definition	R5: `CodeableReference.concept`
Short	R5: Reference to a concept (by class)
Comments	Element `CodeableReference.concept` is mapped to FHIR R4 element `CodeableConcept` as `Equivalent`.
Control	0..1
Type	Extension
Is Modifier	false
Summary	false
Requirements	Element `CodeableReference.concept` is mapped to FHIR R4 element `CodeableConcept` as `Equivalent`.
Invariants	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:otherTherapy.extension:treatment.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.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
182. Extension.extension:otherTherapy.extension:treatment.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.
Short	Additional 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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	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()`)
Slicing	This 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
184. Extension.extension:otherTherapy.extension:treatment.extension:concept.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Short	identifies 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.
Control	1..1
Type	uri
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
Fixed Value	`concept`
186. Extension.extension:otherTherapy.extension:treatment.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.
Short	Reference to a concept (by class)
Control	0..1
Type	CodeableConcept
[x] Note	SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier	false
Summary	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
188. Extension.extension:otherTherapy.extension:treatment.extension:reference
Slice Name	reference
Definition	R5: `CodeableReference.reference`
Short	R5: Reference to a resource (by instance)
Comments	Element `CodeableReference.reference` is mapped to FHIR R4 element `Reference` as `Equivalent`.
Control	0..1
Type	Extension
Is Modifier	false
Summary	false
Requirements	Element `CodeableReference.reference` is mapped to FHIR R4 element `Reference` as `Equivalent`.
Invariants	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()`)
190. Extension.extension:otherTherapy.extension:treatment.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.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
192. Extension.extension:otherTherapy.extension:treatment.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.
Short	Additional 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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	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()`)
Slicing	This 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
194. Extension.extension:otherTherapy.extension:treatment.extension:reference.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Short	identifies 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.
Control	1..1
Type	uri
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
Fixed Value	`reference`
196. Extension.extension:otherTherapy.extension:treatment.extension:reference.value[x]
Definition	A reference to a resource the provides exact details about the information being referenced.
Short	Reference to a resource (by instance)
Control	0..1
Type	Reference(Cross-version Profile for R5.MedicinalProductDefinition for use in FHIR R4, MedicinalProduct, Cross-version Profile for R5.Medication for use in FHIR R4, Medication, Cross-version Profile for R5.Substance for use in FHIR R4, Substance, Cross-version Profile for R5.SubstanceDefinition for use in FHIR R4, SubstanceSpecification, Cross-version Profile for R5.NutritionProduct for use in FHIR R4, Basic, Cross-version Profile for R5.BiologicallyDerivedProduct for use in FHIR R4, BiologicallyDerivedProduct, Cross-version Profile for R5.ActivityDefinition for use in FHIR R4, ActivityDefinition)
[x] Note	SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier	false
Summary	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
198. Extension.extension:otherTherapy.extension:treatment.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Short	identifies 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.
Control	1..1
Type	uri
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
Fixed Value	`treatment`
200. Extension.extension:otherTherapy.extension:treatment.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short	Value of extension
Control	0..0
Type	Choice 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
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Summary	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
202. Extension.extension:otherTherapy.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Short	identifies 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.
Control	1..1
Type	uri
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
Fixed Value	`otherTherapy`
204. Extension.extension:otherTherapy.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short	Value of extension
Control	0..0
Type	Choice 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
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Summary	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
206. Extension.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Short	identifies 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.
Control	1..1
Type	uri
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
Fixed Value	`http://hl7.org/fhir/5.0/StructureDefinition/extension-ClinicalUseDefinition.contraindication`
208. Extension.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short	Value of extension
Control	0..0
Type	Choice 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
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Summary	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)