Extensions for Using Data Elements from FHIR R5 in FHIR R4
0.1.0 - STU International flag

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

Extension: ExtensionClinicalUseDefinition_Interaction - Detailed Descriptions

Page standards status: Trial-use Maturity Level: 0

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

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

0. Extension
Definition

R5: ClinicalUseDefinition.interaction (new:BackboneElement)


Optional Extension Element - found in all resources.

ShortR5: Specifics for when this is an interaction (new)Optional Extensions Element
Comments

Element ClinicalUseDefinition.interaction is not mapped to FHIR R4, since FHIR R5 ClinicalUseDefinition is not mapped. Element ClinicalUseDefinition.interaction has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

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

An Extension


May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortExtensionAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

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

    R5: ClinicalUseDefinition.interaction.interactant (new:BackboneElement)

    ShortR5: The specific medication, product, food etc. or laboratory test that interacts (new)Additional content defined by implementations
    Comments

    Element ClinicalUseDefinition.interaction.interactant is part of an existing definition because parent element ClinicalUseDefinition.interaction requires a cross-version extension. Element ClinicalUseDefinition.interaction.interactant is not mapped to FHIR R4, since FHIR R5 ClinicalUseDefinition is not mapped. Element ClinicalUseDefinition.interaction.interactant has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

    Control0..*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Requirements

    Element ClinicalUseDefinition.interaction.interactant is part of an existing definition because parent element ClinicalUseDefinition.interaction requires a cross-version extension. Element ClinicalUseDefinition.interaction.interactant is not mapped to FHIR R4, since FHIR R5 ClinicalUseDefinition is not mapped. Element ClinicalUseDefinition.interaction.interactant has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    6. Extension.extension:interactant.extension
    Definition

    An Extension


    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

    ShortExtensionAdditional content defined by implementations
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

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

      R5: ClinicalUseDefinition.interaction.interactant.item[x] (new:CodeableConcept, Reference(MedicinalProductDefinition,Medication,Substance,NutritionProduct,BiologicallyDerivedProduct,ObservationDefinition))

      ShortR5: The specific medication, product, food etc. or laboratory test that interacts (new)Additional content defined by implementations
      Comments

      Element ClinicalUseDefinition.interaction.interactant.item[x] is part of an existing definition because parent element ClinicalUseDefinition.interaction.interactant requires a cross-version extension. Element ClinicalUseDefinition.interaction.interactant.item[x] is not mapped to FHIR R4, since FHIR R5 ClinicalUseDefinition is not mapped. Element ClinicalUseDefinition.interaction.interactant.item[x] has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

      Control10..1*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Requirements

      Element ClinicalUseDefinition.interaction.interactant.item[x] is part of an existing definition because parent element ClinicalUseDefinition.interaction.interactant requires a cross-version extension. Element ClinicalUseDefinition.interaction.interactant.item[x] is not mapped to FHIR R4, since FHIR R5 ClinicalUseDefinition is not mapped. Element ClinicalUseDefinition.interaction.interactant.item[x] has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      10. Extension.extension:interactant.extension:item.url
      Definition

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

      Shortidentifies the meaning of the extension
      Comments

      The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

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

      The specific medication, product, food, substance etc. or laboratory test that interacts.


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

      ShortThe specific medication, product, food etc. or laboratory test that interactsValue of extension
      Control10..1
      TypeChoice of: 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.NutritionProduct for use in FHIR R4, Basic, Cross-version Profile for R5.BiologicallyDerivedProduct for use in FHIR R4, BiologicallyDerivedProduct, Cross-version Profile for R5.ObservationDefinition for use in FHIR R4, ObservationDefinition), 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, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      14. Extension.extension:interactant.url
      Definition

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

      Shortidentifies the meaning of the extension
      Comments

      The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

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

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

      ShortValue of extension
      Control0..01
      TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      18. Extension.extension:type
      Slice Nametype
      Definition

      R5: ClinicalUseDefinition.interaction.type (new:CodeableConcept)

      ShortR5: The type of the interaction e.g. drug-drug interaction, drug-lab test interaction (new)Additional content defined by implementations
      Comments

      Element ClinicalUseDefinition.interaction.type is part of an existing definition because parent element ClinicalUseDefinition.interaction requires a cross-version extension. Element ClinicalUseDefinition.interaction.type is not mapped to FHIR R4, since FHIR R5 ClinicalUseDefinition is not mapped. Element ClinicalUseDefinition.interaction.type has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

      Control0..1*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Requirements

      Element ClinicalUseDefinition.interaction.type is part of an existing definition because parent element ClinicalUseDefinition.interaction requires a cross-version extension. Element ClinicalUseDefinition.interaction.type is not mapped to FHIR R4, since FHIR R5 ClinicalUseDefinition is not mapped. Element ClinicalUseDefinition.interaction.type has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      20. Extension.extension:type.url
      Definition

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

      Shortidentifies the meaning of the extension
      Comments

      The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

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

      The type of the interaction e.g. drug-drug interaction, drug-food interaction, drug-lab test interaction.


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

      ShortThe type of the interaction e.g. drug-drug interaction, drug-lab test interactionValue of extension
      Control0..1
      BindingFor example codes, see For codes, see R5InteractionTypeForR4 (0.1.0)
      (example to http://hl7.org/fhir/uv/xver/ValueSet/R5-interaction-type-for-R4|0.1.0)

      A categorisation for an interaction between two substances.

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

      R5: ClinicalUseDefinition.interaction.effect (new:CodeableReference(ObservationDefinition))

      ShortR5: The effect of the interaction, for example "reduced gastric absorption of primary medication" (new)Additional content defined by implementations
      Comments

      Element ClinicalUseDefinition.interaction.effect is part of an existing definition because parent element ClinicalUseDefinition.interaction requires a cross-version extension. Element ClinicalUseDefinition.interaction.effect is not mapped to FHIR R4, since FHIR R5 ClinicalUseDefinition is not mapped. Element ClinicalUseDefinition.interaction.effect has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

      Control0..1*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Requirements

      Element ClinicalUseDefinition.interaction.effect is part of an existing definition because parent element ClinicalUseDefinition.interaction requires a cross-version extension. Element ClinicalUseDefinition.interaction.effect is not mapped to FHIR R4, since FHIR R5 ClinicalUseDefinition is not mapped. Element ClinicalUseDefinition.interaction.effect has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      26. Extension.extension:effect.extension
      Definition

      An Extension


      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

      ShortExtensionAdditional content defined by implementations
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

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

        Slice to indicate the presence of a R5 CodeableReference in FHIR R4

        ShortDataType slice for a FHIR R5 `CodeableReference` valueAdditional content defined by implementations
        Control10..1*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        30. Extension.extension:effect.extension:_datatype.url
        Definition

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

        Shortidentifies the meaning of the extension
        Comments

        The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

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

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

        ShortValue of extension
        Comments

        Must be: CodeableReference

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

        R5: CodeableReference.concept

        ShortR5: Reference to a concept (by class)Additional content defined by implementations
        Comments

        Element CodeableReference.concept is mapped to FHIR R4 element CodeableConcept as Equivalent.

        Control0..1*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Requirements

        Element CodeableReference.concept is mapped to FHIR R4 element CodeableConcept as Equivalent.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        36. Extension.extension:effect.extension:concept.url
        Definition

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

        Shortidentifies the meaning of the extension
        Comments

        The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

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

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


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

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

        R5: CodeableReference.reference

        ShortR5: Reference to a resource (by instance)Additional content defined by implementations
        Comments

        Element CodeableReference.reference is mapped to FHIR R4 element Reference as Equivalent.

        Control0..1*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Requirements

        Element CodeableReference.reference is mapped to FHIR R4 element Reference as Equivalent.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        42. Extension.extension:effect.extension:reference.url
        Definition

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

        Shortidentifies the meaning of the extension
        Comments

        The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

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

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


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

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

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

        Shortidentifies the meaning of the extension
        Comments

        The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

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

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

        ShortValue of extension
        Control0..01
        TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        50. Extension.extension:incidence
        Slice Nameincidence
        Definition

        R5: ClinicalUseDefinition.interaction.incidence (new:CodeableConcept)

        ShortR5: The incidence of the interaction, e.g. theoretical, observed (new)Additional content defined by implementations
        Comments

        Element ClinicalUseDefinition.interaction.incidence is part of an existing definition because parent element ClinicalUseDefinition.interaction requires a cross-version extension. Element ClinicalUseDefinition.interaction.incidence is not mapped to FHIR R4, since FHIR R5 ClinicalUseDefinition is not mapped. Element ClinicalUseDefinition.interaction.incidence has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

        Control0..1*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Requirements

        Element ClinicalUseDefinition.interaction.incidence is part of an existing definition because parent element ClinicalUseDefinition.interaction requires a cross-version extension. Element ClinicalUseDefinition.interaction.incidence is not mapped to FHIR R4, since FHIR R5 ClinicalUseDefinition is not mapped. Element ClinicalUseDefinition.interaction.incidence has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        52. Extension.extension:incidence.url
        Definition

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

        Shortidentifies the meaning of the extension
        Comments

        The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

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

        The incidence of the interaction, e.g. theoretical, observed.


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

        ShortThe incidence of the interaction, e.g. theoretical, observedValue of extension
        Control0..1
        BindingFor example codes, see For codes, see R5InteractionIncidenceForR4 (0.1.0)
        (example to http://hl7.org/fhir/uv/xver/ValueSet/R5-interaction-incidence-for-R4|0.1.0)

        A categorisation for incidence of occurence of an interaction.

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

        R5: ClinicalUseDefinition.interaction.management (new:CodeableConcept)

        ShortR5: Actions for managing the interaction (new)Additional content defined by implementations
        Comments

        Element ClinicalUseDefinition.interaction.management is part of an existing definition because parent element ClinicalUseDefinition.interaction requires a cross-version extension. Element ClinicalUseDefinition.interaction.management is not mapped to FHIR R4, since FHIR R5 ClinicalUseDefinition is not mapped. Element ClinicalUseDefinition.interaction.management has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Requirements

        Element ClinicalUseDefinition.interaction.management is part of an existing definition because parent element ClinicalUseDefinition.interaction requires a cross-version extension. Element ClinicalUseDefinition.interaction.management is not mapped to FHIR R4, since FHIR R5 ClinicalUseDefinition is not mapped. Element ClinicalUseDefinition.interaction.management has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        58. Extension.extension:management.url
        Definition

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

        Shortidentifies the meaning of the extension
        Comments

        The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

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

        Actions for managing the interaction.


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

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

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

        Shortidentifies the meaning of the extension
        Comments

        The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

        Control1..1
        Typeuri
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        Fixed Valuehttp://hl7.org/fhir/5.0/StructureDefinition/extension-ClinicalUseDefinition.interaction
        64. Extension.value[x]
        Definition

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

        ShortValue of extension
        Control0..01
        TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

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

        0. Extension
        Definition

        R5: ClinicalUseDefinition.interaction (new:BackboneElement)

        ShortR5: Specifics for when this is an interaction (new)
        Comments

        Element ClinicalUseDefinition.interaction is not mapped to FHIR R4, since FHIR R5 ClinicalUseDefinition is not mapped. Element ClinicalUseDefinition.interaction has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

        Control0..1
        Is Modifierfalse
        2. Extension.extension
        Control0..*
        SlicingThis 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:interactant
          Slice Nameinteractant
          Definition

          R5: ClinicalUseDefinition.interaction.interactant (new:BackboneElement)

          ShortR5: The specific medication, product, food etc. or laboratory test that interacts (new)
          Comments

          Element ClinicalUseDefinition.interaction.interactant is part of an existing definition because parent element ClinicalUseDefinition.interaction requires a cross-version extension. Element ClinicalUseDefinition.interaction.interactant is not mapped to FHIR R4, since FHIR R5 ClinicalUseDefinition is not mapped. Element ClinicalUseDefinition.interaction.interactant has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

          Control0..*
          Requirements

          Element ClinicalUseDefinition.interaction.interactant is part of an existing definition because parent element ClinicalUseDefinition.interaction requires a cross-version extension. Element ClinicalUseDefinition.interaction.interactant is not mapped to FHIR R4, since FHIR R5 ClinicalUseDefinition is not mapped. Element ClinicalUseDefinition.interaction.interactant has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

          6. Extension.extension:interactant.extension
          Control1..*
          SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 8. Extension.extension:interactant.extension:item
            Slice Nameitem
            Definition

            R5: ClinicalUseDefinition.interaction.interactant.item[x] (new:CodeableConcept, Reference(MedicinalProductDefinition,Medication,Substance,NutritionProduct,BiologicallyDerivedProduct,ObservationDefinition))

            ShortR5: The specific medication, product, food etc. or laboratory test that interacts (new)
            Comments

            Element ClinicalUseDefinition.interaction.interactant.item[x] is part of an existing definition because parent element ClinicalUseDefinition.interaction.interactant requires a cross-version extension. Element ClinicalUseDefinition.interaction.interactant.item[x] is not mapped to FHIR R4, since FHIR R5 ClinicalUseDefinition is not mapped. Element ClinicalUseDefinition.interaction.interactant.item[x] has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

            Control1..1
            Requirements

            Element ClinicalUseDefinition.interaction.interactant.item[x] is part of an existing definition because parent element ClinicalUseDefinition.interaction.interactant requires a cross-version extension. Element ClinicalUseDefinition.interaction.interactant.item[x] is not mapped to FHIR R4, since FHIR R5 ClinicalUseDefinition is not mapped. Element ClinicalUseDefinition.interaction.interactant.item[x] has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

            10. Extension.extension:interactant.extension:item.url
            Control1..1
            Fixed Valueitem
            12. Extension.extension:interactant.extension:item.value[x]
            Definition

            The specific medication, product, food, substance etc. or laboratory test that interacts.

            ShortThe specific medication, product, food etc. or laboratory test that interacts
            Control1..1
            TypeChoice of: 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.NutritionProduct for use in FHIR R4, Basic, Cross-version Profile for R5.BiologicallyDerivedProduct for use in FHIR R4, BiologicallyDerivedProduct, Cross-version Profile for R5.ObservationDefinition for use in FHIR R4, ObservationDefinition), CodeableConcept
            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
            14. Extension.extension:interactant.url
            Control1..1
            Fixed Valueinteractant
            16. Extension.extension:interactant.value[x]
            Control0..0
            18. Extension.extension:type
            Slice Nametype
            Definition

            R5: ClinicalUseDefinition.interaction.type (new:CodeableConcept)

            ShortR5: The type of the interaction e.g. drug-drug interaction, drug-lab test interaction (new)
            Comments

            Element ClinicalUseDefinition.interaction.type is part of an existing definition because parent element ClinicalUseDefinition.interaction requires a cross-version extension. Element ClinicalUseDefinition.interaction.type is not mapped to FHIR R4, since FHIR R5 ClinicalUseDefinition is not mapped. Element ClinicalUseDefinition.interaction.type has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

            Control0..1
            Requirements

            Element ClinicalUseDefinition.interaction.type is part of an existing definition because parent element ClinicalUseDefinition.interaction requires a cross-version extension. Element ClinicalUseDefinition.interaction.type is not mapped to FHIR R4, since FHIR R5 ClinicalUseDefinition is not mapped. Element ClinicalUseDefinition.interaction.type has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

            20. Extension.extension:type.url
            Control1..1
            Fixed Valuetype
            22. Extension.extension:type.value[x]
            Definition

            The type of the interaction e.g. drug-drug interaction, drug-food interaction, drug-lab test interaction.

            ShortThe type of the interaction e.g. drug-drug interaction, drug-lab test interaction
            Control0..1
            BindingFor example codes, see R5InteractionTypeForR4 (0.1.0)
            (example to http://hl7.org/fhir/uv/xver/ValueSet/R5-interaction-type-for-R4|0.1.0)

            A categorisation for an interaction between two substances.

            TypeCodeableConcept
            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
            24. Extension.extension:effect
            Slice Nameeffect
            Definition

            R5: ClinicalUseDefinition.interaction.effect (new:CodeableReference(ObservationDefinition))

            ShortR5: The effect of the interaction, for example "reduced gastric absorption of primary medication" (new)
            Comments

            Element ClinicalUseDefinition.interaction.effect is part of an existing definition because parent element ClinicalUseDefinition.interaction requires a cross-version extension. Element ClinicalUseDefinition.interaction.effect is not mapped to FHIR R4, since FHIR R5 ClinicalUseDefinition is not mapped. Element ClinicalUseDefinition.interaction.effect has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

            Control0..1
            Requirements

            Element ClinicalUseDefinition.interaction.effect is part of an existing definition because parent element ClinicalUseDefinition.interaction requires a cross-version extension. Element ClinicalUseDefinition.interaction.effect is not mapped to FHIR R4, since FHIR R5 ClinicalUseDefinition is not mapped. Element ClinicalUseDefinition.interaction.effect has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

            26. Extension.extension:effect.extension
            Control0..*
            SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 28. Extension.extension:effect.extension:_datatype
              Slice Name_datatype
              Definition

              Slice to indicate the presence of a R5 CodeableReference in FHIR R4

              ShortDataType slice for a FHIR R5 `CodeableReference` value
              Control1..1
              30. Extension.extension:effect.extension:_datatype.url
              Control1..1
              Fixed Valuehttp://hl7.org/fhir/StructureDefinition/_datatype
              32. Extension.extension:effect.extension:_datatype.value[x]
              Comments

              Must be: CodeableReference

              Control1..1
              Typestring
              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Fixed ValueCodeableReference
              34. Extension.extension:effect.extension:concept
              Slice Nameconcept
              Definition

              R5: CodeableReference.concept

              ShortR5: Reference to a concept (by class)
              Comments

              Element CodeableReference.concept is mapped to FHIR R4 element CodeableConcept as Equivalent.

              Control0..1
              Requirements

              Element CodeableReference.concept is mapped to FHIR R4 element CodeableConcept as Equivalent.

              36. Extension.extension:effect.extension:concept.url
              Control1..1
              Fixed Valueconcept
              38. Extension.extension:effect.extension:concept.value[x]
              Definition

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

              ShortReference to a concept (by class)
              Control0..1
              TypeCodeableConcept
              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
              40. Extension.extension:effect.extension:reference
              Slice Namereference
              Definition

              R5: CodeableReference.reference

              ShortR5: Reference to a resource (by instance)
              Comments

              Element CodeableReference.reference is mapped to FHIR R4 element Reference as Equivalent.

              Control0..1
              Requirements

              Element CodeableReference.reference is mapped to FHIR R4 element Reference as Equivalent.

              42. Extension.extension:effect.extension:reference.url
              Control1..1
              Fixed Valuereference
              44. Extension.extension:effect.extension:reference.value[x]
              Definition

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

              ShortReference to a resource (by instance)
              Control0..1
              TypeReference(Cross-version Profile for R5.ObservationDefinition for use in FHIR R4, ObservationDefinition)
              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
              46. Extension.extension:effect.url
              Control1..1
              Fixed Valueeffect
              48. Extension.extension:effect.value[x]
              Control0..0
              50. Extension.extension:incidence
              Slice Nameincidence
              Definition

              R5: ClinicalUseDefinition.interaction.incidence (new:CodeableConcept)

              ShortR5: The incidence of the interaction, e.g. theoretical, observed (new)
              Comments

              Element ClinicalUseDefinition.interaction.incidence is part of an existing definition because parent element ClinicalUseDefinition.interaction requires a cross-version extension. Element ClinicalUseDefinition.interaction.incidence is not mapped to FHIR R4, since FHIR R5 ClinicalUseDefinition is not mapped. Element ClinicalUseDefinition.interaction.incidence has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

              Control0..1
              Requirements

              Element ClinicalUseDefinition.interaction.incidence is part of an existing definition because parent element ClinicalUseDefinition.interaction requires a cross-version extension. Element ClinicalUseDefinition.interaction.incidence is not mapped to FHIR R4, since FHIR R5 ClinicalUseDefinition is not mapped. Element ClinicalUseDefinition.interaction.incidence has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

              52. Extension.extension:incidence.url
              Control1..1
              Fixed Valueincidence
              54. Extension.extension:incidence.value[x]
              Definition

              The incidence of the interaction, e.g. theoretical, observed.

              ShortThe incidence of the interaction, e.g. theoretical, observed
              Control0..1
              BindingFor example codes, see R5InteractionIncidenceForR4 (0.1.0)
              (example to http://hl7.org/fhir/uv/xver/ValueSet/R5-interaction-incidence-for-R4|0.1.0)

              A categorisation for incidence of occurence of an interaction.

              TypeCodeableConcept
              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
              56. Extension.extension:management
              Slice Namemanagement
              Definition

              R5: ClinicalUseDefinition.interaction.management (new:CodeableConcept)

              ShortR5: Actions for managing the interaction (new)
              Comments

              Element ClinicalUseDefinition.interaction.management is part of an existing definition because parent element ClinicalUseDefinition.interaction requires a cross-version extension. Element ClinicalUseDefinition.interaction.management is not mapped to FHIR R4, since FHIR R5 ClinicalUseDefinition is not mapped. Element ClinicalUseDefinition.interaction.management has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

              Control0..*
              Requirements

              Element ClinicalUseDefinition.interaction.management is part of an existing definition because parent element ClinicalUseDefinition.interaction requires a cross-version extension. Element ClinicalUseDefinition.interaction.management is not mapped to FHIR R4, since FHIR R5 ClinicalUseDefinition is not mapped. Element ClinicalUseDefinition.interaction.management has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

              58. Extension.extension:management.url
              Control1..1
              Fixed Valuemanagement
              60. Extension.extension:management.value[x]
              Definition

              Actions for managing the interaction.

              ShortActions for managing the interaction
              Control0..1
              TypeCodeableConcept
              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
              62. Extension.url
              Control1..1
              Fixed Valuehttp://hl7.org/fhir/5.0/StructureDefinition/extension-ClinicalUseDefinition.interaction
              64. Extension.value[x]
              Control0..0

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

              0. Extension
              Definition

              R5: ClinicalUseDefinition.interaction (new:BackboneElement)

              ShortR5: Specifics for when this is an interaction (new)
              Comments

              Element ClinicalUseDefinition.interaction is not mapped to FHIR R4, since FHIR R5 ClinicalUseDefinition is not mapped. Element ClinicalUseDefinition.interaction has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

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

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

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

              An Extension

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

                R5: ClinicalUseDefinition.interaction.interactant (new:BackboneElement)

                ShortR5: The specific medication, product, food etc. or laboratory test that interacts (new)
                Comments

                Element ClinicalUseDefinition.interaction.interactant is part of an existing definition because parent element ClinicalUseDefinition.interaction requires a cross-version extension. Element ClinicalUseDefinition.interaction.interactant is not mapped to FHIR R4, since FHIR R5 ClinicalUseDefinition is not mapped. Element ClinicalUseDefinition.interaction.interactant has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

                Control0..*
                TypeExtension
                Is Modifierfalse
                Summaryfalse
                Requirements

                Element ClinicalUseDefinition.interaction.interactant is part of an existing definition because parent element ClinicalUseDefinition.interaction requires a cross-version extension. Element ClinicalUseDefinition.interaction.interactant is not mapped to FHIR R4, since FHIR R5 ClinicalUseDefinition is not mapped. Element ClinicalUseDefinition.interaction.interactant has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                8. Extension.extension:interactant.id
                Definition

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

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

                An Extension

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

                  R5: ClinicalUseDefinition.interaction.interactant.item[x] (new:CodeableConcept, Reference(MedicinalProductDefinition,Medication,Substance,NutritionProduct,BiologicallyDerivedProduct,ObservationDefinition))

                  ShortR5: The specific medication, product, food etc. or laboratory test that interacts (new)
                  Comments

                  Element ClinicalUseDefinition.interaction.interactant.item[x] is part of an existing definition because parent element ClinicalUseDefinition.interaction.interactant requires a cross-version extension. Element ClinicalUseDefinition.interaction.interactant.item[x] is not mapped to FHIR R4, since FHIR R5 ClinicalUseDefinition is not mapped. Element ClinicalUseDefinition.interaction.interactant.item[x] has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

                  Control1..1
                  TypeExtension
                  Is Modifierfalse
                  Summaryfalse
                  Requirements

                  Element ClinicalUseDefinition.interaction.interactant.item[x] is part of an existing definition because parent element ClinicalUseDefinition.interaction.interactant requires a cross-version extension. Element ClinicalUseDefinition.interaction.interactant.item[x] is not mapped to FHIR R4, since FHIR R5 ClinicalUseDefinition is not mapped. Element ClinicalUseDefinition.interaction.interactant.item[x] has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  14. Extension.extension:interactant.extension:item.id
                  Definition

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

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

                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                  ShortAdditional content defined by implementations
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

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

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

                    Shortidentifies the meaning of the extension
                    Comments

                    The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

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

                    The specific medication, product, food, substance etc. or laboratory test that interacts.

                    ShortThe specific medication, product, food etc. or laboratory test that interacts
                    Control1..1
                    TypeChoice of: 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.NutritionProduct for use in FHIR R4, Basic, Cross-version Profile for R5.BiologicallyDerivedProduct for use in FHIR R4, BiologicallyDerivedProduct, Cross-version Profile for R5.ObservationDefinition for use in FHIR R4, ObservationDefinition), CodeableConcept
                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                    Is Modifierfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    22. Extension.extension:interactant.url
                    Definition

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

                    Shortidentifies the meaning of the extension
                    Comments

                    The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

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

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

                    ShortValue of extension
                    Control0..0
                    TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    26. Extension.extension:type
                    Slice Nametype
                    Definition

                    R5: ClinicalUseDefinition.interaction.type (new:CodeableConcept)

                    ShortR5: The type of the interaction e.g. drug-drug interaction, drug-lab test interaction (new)
                    Comments

                    Element ClinicalUseDefinition.interaction.type is part of an existing definition because parent element ClinicalUseDefinition.interaction requires a cross-version extension. Element ClinicalUseDefinition.interaction.type is not mapped to FHIR R4, since FHIR R5 ClinicalUseDefinition is not mapped. Element ClinicalUseDefinition.interaction.type has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

                    Control0..1
                    TypeExtension
                    Is Modifierfalse
                    Summaryfalse
                    Requirements

                    Element ClinicalUseDefinition.interaction.type is part of an existing definition because parent element ClinicalUseDefinition.interaction requires a cross-version extension. Element ClinicalUseDefinition.interaction.type is not mapped to FHIR R4, since FHIR R5 ClinicalUseDefinition is not mapped. Element ClinicalUseDefinition.interaction.type has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    28. Extension.extension:type.id
                    Definition

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

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

                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                    ShortAdditional content defined by implementations
                    Comments

                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

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

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

                      Shortidentifies the meaning of the extension
                      Comments

                      The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

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

                      The type of the interaction e.g. drug-drug interaction, drug-food interaction, drug-lab test interaction.

                      ShortThe type of the interaction e.g. drug-drug interaction, drug-lab test interaction
                      Control0..1
                      BindingFor example codes, see R5InteractionTypeForR4 (0.1.0)
                      (example to http://hl7.org/fhir/uv/xver/ValueSet/R5-interaction-type-for-R4|0.1.0)

                      A categorisation for an interaction between two substances.

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

                      R5: ClinicalUseDefinition.interaction.effect (new:CodeableReference(ObservationDefinition))

                      ShortR5: The effect of the interaction, for example "reduced gastric absorption of primary medication" (new)
                      Comments

                      Element ClinicalUseDefinition.interaction.effect is part of an existing definition because parent element ClinicalUseDefinition.interaction requires a cross-version extension. Element ClinicalUseDefinition.interaction.effect is not mapped to FHIR R4, since FHIR R5 ClinicalUseDefinition is not mapped. Element ClinicalUseDefinition.interaction.effect has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

                      Control0..1
                      TypeExtension
                      Is Modifierfalse
                      Summaryfalse
                      Requirements

                      Element ClinicalUseDefinition.interaction.effect is part of an existing definition because parent element ClinicalUseDefinition.interaction requires a cross-version extension. Element ClinicalUseDefinition.interaction.effect is not mapped to FHIR R4, since FHIR R5 ClinicalUseDefinition is not mapped. Element ClinicalUseDefinition.interaction.effect has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      38. Extension.extension:effect.id
                      Definition

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

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

                      An Extension

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

                        Slice to indicate the presence of a R5 CodeableReference in FHIR R4

                        ShortDataType slice for a FHIR R5 `CodeableReference` value
                        Control1..1
                        TypeExtension
                        Is Modifierfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        44. Extension.extension:effect.extension:_datatype.id
                        Definition

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

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

                        ShortAdditional content defined by implementations
                        Comments

                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

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

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

                          Shortidentifies the meaning of the extension
                          Comments

                          The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

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

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

                          ShortValue of extension
                          Comments

                          Must be: CodeableReference

                          Control1..1
                          Typestring
                          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summaryfalse
                          Fixed ValueCodeableReference
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          52. Extension.extension:effect.extension:concept
                          Slice Nameconcept
                          Definition

                          R5: CodeableReference.concept

                          ShortR5: Reference to a concept (by class)
                          Comments

                          Element CodeableReference.concept is mapped to FHIR R4 element CodeableConcept as Equivalent.

                          Control0..1
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Requirements

                          Element CodeableReference.concept is mapped to FHIR R4 element CodeableConcept as Equivalent.

                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          54. Extension.extension:effect.extension:concept.id
                          Definition

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

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

                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                          ShortAdditional content defined by implementations
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

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

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

                            Shortidentifies the meaning of the extension
                            Comments

                            The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

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

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

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

                            R5: CodeableReference.reference

                            ShortR5: Reference to a resource (by instance)
                            Comments

                            Element CodeableReference.reference is mapped to FHIR R4 element Reference as Equivalent.

                            Control0..1
                            TypeExtension
                            Is Modifierfalse
                            Summaryfalse
                            Requirements

                            Element CodeableReference.reference is mapped to FHIR R4 element Reference as Equivalent.

                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            64. Extension.extension:effect.extension:reference.id
                            Definition

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

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

                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                            ShortAdditional content defined by implementations
                            Comments

                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

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

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

                              Shortidentifies the meaning of the extension
                              Comments

                              The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

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

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

                              ShortReference to a resource (by instance)
                              Control0..1
                              TypeReference(Cross-version Profile for R5.ObservationDefinition for use in FHIR R4, ObservationDefinition)
                              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                              Is Modifierfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              72. Extension.extension:effect.url
                              Definition

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

                              Shortidentifies the meaning of the extension
                              Comments

                              The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

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

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

                              ShortValue of extension
                              Control0..0
                              TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              76. Extension.extension:incidence
                              Slice Nameincidence
                              Definition

                              R5: ClinicalUseDefinition.interaction.incidence (new:CodeableConcept)

                              ShortR5: The incidence of the interaction, e.g. theoretical, observed (new)
                              Comments

                              Element ClinicalUseDefinition.interaction.incidence is part of an existing definition because parent element ClinicalUseDefinition.interaction requires a cross-version extension. Element ClinicalUseDefinition.interaction.incidence is not mapped to FHIR R4, since FHIR R5 ClinicalUseDefinition is not mapped. Element ClinicalUseDefinition.interaction.incidence has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

                              Control0..1
                              TypeExtension
                              Is Modifierfalse
                              Summaryfalse
                              Requirements

                              Element ClinicalUseDefinition.interaction.incidence is part of an existing definition because parent element ClinicalUseDefinition.interaction requires a cross-version extension. Element ClinicalUseDefinition.interaction.incidence is not mapped to FHIR R4, since FHIR R5 ClinicalUseDefinition is not mapped. Element ClinicalUseDefinition.interaction.incidence has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              78. Extension.extension:incidence.id
                              Definition

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

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

                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                              ShortAdditional content defined by implementations
                              Comments

                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

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

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

                                Shortidentifies the meaning of the extension
                                Comments

                                The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

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

                                The incidence of the interaction, e.g. theoretical, observed.

                                ShortThe incidence of the interaction, e.g. theoretical, observed
                                Control0..1
                                BindingFor example codes, see R5InteractionIncidenceForR4 (0.1.0)
                                (example to http://hl7.org/fhir/uv/xver/ValueSet/R5-interaction-incidence-for-R4|0.1.0)

                                A categorisation for incidence of occurence of an interaction.

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

                                R5: ClinicalUseDefinition.interaction.management (new:CodeableConcept)

                                ShortR5: Actions for managing the interaction (new)
                                Comments

                                Element ClinicalUseDefinition.interaction.management is part of an existing definition because parent element ClinicalUseDefinition.interaction requires a cross-version extension. Element ClinicalUseDefinition.interaction.management is not mapped to FHIR R4, since FHIR R5 ClinicalUseDefinition is not mapped. Element ClinicalUseDefinition.interaction.management has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

                                Control0..*
                                TypeExtension
                                Is Modifierfalse
                                Summaryfalse
                                Requirements

                                Element ClinicalUseDefinition.interaction.management is part of an existing definition because parent element ClinicalUseDefinition.interaction requires a cross-version extension. Element ClinicalUseDefinition.interaction.management is not mapped to FHIR R4, since FHIR R5 ClinicalUseDefinition is not mapped. Element ClinicalUseDefinition.interaction.management has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                88. Extension.extension:management.id
                                Definition

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

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

                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                ShortAdditional content defined by implementations
                                Comments

                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

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

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

                                  Shortidentifies the meaning of the extension
                                  Comments

                                  The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

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

                                  Actions for managing the interaction.

                                  ShortActions for managing the interaction
                                  Control0..1
                                  TypeCodeableConcept
                                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                  Is Modifierfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  96. Extension.url
                                  Definition

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

                                  Shortidentifies the meaning of the extension
                                  Comments

                                  The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                                  Control1..1
                                  Typeuri
                                  Is Modifierfalse
                                  XML FormatIn the XML format, this property is represented as an attribute.
                                  Summaryfalse
                                  Fixed Valuehttp://hl7.org/fhir/5.0/StructureDefinition/extension-ClinicalUseDefinition.interaction
                                  98. Extension.value[x]
                                  Definition

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

                                  ShortValue of extension
                                  Control0..0
                                  TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))