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

Extension: ExtensionMedicinalProductDefinition_Operation - Detailed Descriptions

Page standards status: Trial-use Maturity Level: 0

Definitions for the ext-R5-MedicinalProductDefinition.operation extension.

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

0. Extension
Definition

R5: MedicinalProductDefinition.operation (new:BackboneElement)


Optional Extension Element - found in all resources.

ShortR5: A manufacturing or administrative process for the medicinal product (new)Optional Extensions Element
Comments

Element MedicinalProductDefinition.operation has a context of MedicinalProduct based on following the parent source element upwards and mapping to MedicinalProduct. Element MedicinalProductDefinition.operation has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

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

An Extension


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

ShortExtensionAdditional content defined by implementations
Comments

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

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:type
    Slice Nametype
    Definition

    R5: MedicinalProductDefinition.operation.type (new:CodeableReference(ActivityDefinition,PlanDefinition))

    ShortR5: The type of manufacturing operation e.g. manufacturing itself, re-packaging (new)Additional content defined by implementations
    Comments

    Element MedicinalProductDefinition.operation.type is part of an existing definition because parent element MedicinalProductDefinition.operation requires a cross-version extension. Element MedicinalProductDefinition.operation.type has a context of MedicinalProduct based on following the parent source element upwards and mapping to MedicinalProduct. Element MedicinalProductDefinition.operation.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 MedicinalProductDefinition.operation.type is part of an existing definition because parent element MedicinalProductDefinition.operation requires a cross-version extension. Element MedicinalProductDefinition.operation.type has a context of MedicinalProduct based on following the parent source element upwards and mapping to MedicinalProduct. Element MedicinalProductDefinition.operation.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())
    6. Extension.extension:type.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
    • 8. Extension.extension:type.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())
      10. Extension.extension:type.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
      12. Extension.extension:type.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()))
      14. Extension.extension:type.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())
      16. Extension.extension:type.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
      18. Extension.extension:type.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()))
      20. Extension.extension:type.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())
      22. Extension.extension:type.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
      24. Extension.extension:type.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.ActivityDefinition for use in FHIR R4, ActivityDefinition, Cross-version Profile for R5.PlanDefinition for use in FHIR R4, PlanDefinition), 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()))
      26. 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
      28. Extension.extension:type.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()))
      30. Extension.extension:effectiveDate
      Slice NameeffectiveDate
      Definition

      R5: MedicinalProductDefinition.operation.effectiveDate (new:Period)

      ShortR5: Date range of applicability (new)Additional content defined by implementations
      Comments

      Element MedicinalProductDefinition.operation.effectiveDate is part of an existing definition because parent element MedicinalProductDefinition.operation requires a cross-version extension. Element MedicinalProductDefinition.operation.effectiveDate has a context of MedicinalProduct based on following the parent source element upwards and mapping to MedicinalProduct. Element MedicinalProductDefinition.operation.effectiveDate 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 MedicinalProductDefinition.operation.effectiveDate is part of an existing definition because parent element MedicinalProductDefinition.operation requires a cross-version extension. Element MedicinalProductDefinition.operation.effectiveDate has a context of MedicinalProduct based on following the parent source element upwards and mapping to MedicinalProduct. Element MedicinalProductDefinition.operation.effectiveDate 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())
      32. Extension.extension:effectiveDate.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 ValueeffectiveDate
      34. Extension.extension:effectiveDate.value[x]
      Definition

      Date range of applicability.


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

      ShortDate range of applicabilityValue of extension
      Control0..1
      TypePeriod, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, 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()))
      36. Extension.extension:organization
      Slice Nameorganization
      Definition

      R5: MedicinalProductDefinition.operation.organization (new:Reference(Organization))

      ShortR5: The organization responsible for the particular process, e.g. the manufacturer or importer (new)Additional content defined by implementations
      Comments

      Element MedicinalProductDefinition.operation.organization is part of an existing definition because parent element MedicinalProductDefinition.operation requires a cross-version extension. Element MedicinalProductDefinition.operation.organization has a context of MedicinalProduct based on following the parent source element upwards and mapping to MedicinalProduct. Element MedicinalProductDefinition.operation.organization 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 MedicinalProductDefinition.operation.organization is part of an existing definition because parent element MedicinalProductDefinition.operation requires a cross-version extension. Element MedicinalProductDefinition.operation.organization has a context of MedicinalProduct based on following the parent source element upwards and mapping to MedicinalProduct. Element MedicinalProductDefinition.operation.organization 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())
      38. Extension.extension:organization.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 Valueorganization
      40. Extension.extension:organization.value[x]
      Definition

      The organization or establishment responsible for (or associated with) the particular process or step, examples include the manufacturer, importer, agent.


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

      ShortThe organization responsible for the particular process, e.g. the manufacturer or importerValue of extension
      Control0..1
      TypeReference(Cross-version Profile for R5.Organization for use in FHIR R4, Organization), 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()))
      42. Extension.extension:confidentialityIndicator
      Slice NameconfidentialityIndicator
      Definition

      R5: MedicinalProductDefinition.operation.confidentialityIndicator (new:CodeableConcept)

      ShortR5: Specifies whether this process is considered proprietary or confidential (new)Additional content defined by implementations
      Comments

      Element MedicinalProductDefinition.operation.confidentialityIndicator is part of an existing definition because parent element MedicinalProductDefinition.operation requires a cross-version extension. Element MedicinalProductDefinition.operation.confidentialityIndicator has a context of MedicinalProduct based on following the parent source element upwards and mapping to MedicinalProduct. Element MedicinalProductDefinition.operation.confidentialityIndicator 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 MedicinalProductDefinition.operation.confidentialityIndicator is part of an existing definition because parent element MedicinalProductDefinition.operation requires a cross-version extension. Element MedicinalProductDefinition.operation.confidentialityIndicator has a context of MedicinalProduct based on following the parent source element upwards and mapping to MedicinalProduct. Element MedicinalProductDefinition.operation.confidentialityIndicator 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())
      44. Extension.extension:confidentialityIndicator.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 ValueconfidentialityIndicator
      46. Extension.extension:confidentialityIndicator.value[x]
      Definition

      Specifies whether this particular business or manufacturing process is considered proprietary or confidential.


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

      ShortSpecifies whether this process is considered proprietary or confidentialValue of extension
      Control0..1
      BindingFor example codes, see For codes, see R5MedicinalProductConfidentialityForR4 (0.1.0)
      (example to http://hl7.org/fhir/uv/xver/ValueSet/R5-medicinal-product-confidentiality-for-R4|0.1.0)

      Confidentiality rating, e.g. commercial sensitivity for a Medicinal Product.

      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()))
      48. 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-MedicinalProductDefinition.operation
      50. 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: MedicinalProductDefinition.operation (new:BackboneElement)

      ShortR5: A manufacturing or administrative process for the medicinal product (new)
      Comments

      Element MedicinalProductDefinition.operation has a context of MedicinalProduct based on following the parent source element upwards and mapping to MedicinalProduct. Element MedicinalProductDefinition.operation has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

      Control0..*
      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:type
        Slice Nametype
        Definition

        R5: MedicinalProductDefinition.operation.type (new:CodeableReference(ActivityDefinition,PlanDefinition))

        ShortR5: The type of manufacturing operation e.g. manufacturing itself, re-packaging (new)
        Comments

        Element MedicinalProductDefinition.operation.type is part of an existing definition because parent element MedicinalProductDefinition.operation requires a cross-version extension. Element MedicinalProductDefinition.operation.type has a context of MedicinalProduct based on following the parent source element upwards and mapping to MedicinalProduct. Element MedicinalProductDefinition.operation.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 MedicinalProductDefinition.operation.type is part of an existing definition because parent element MedicinalProductDefinition.operation requires a cross-version extension. Element MedicinalProductDefinition.operation.type has a context of MedicinalProduct based on following the parent source element upwards and mapping to MedicinalProduct. Element MedicinalProductDefinition.operation.type has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

        6. Extension.extension:type.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
        • 8. Extension.extension:type.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
          10. Extension.extension:type.extension:_datatype.url
          Control1..1
          Fixed Valuehttp://hl7.org/fhir/StructureDefinition/_datatype
          12. Extension.extension:type.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
          14. Extension.extension:type.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.

          16. Extension.extension:type.extension:concept.url
          Control1..1
          Fixed Valueconcept
          18. Extension.extension:type.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]
          20. Extension.extension:type.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.

          22. Extension.extension:type.extension:reference.url
          Control1..1
          Fixed Valuereference
          24. Extension.extension:type.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.ActivityDefinition for use in FHIR R4, ActivityDefinition, Cross-version Profile for R5.PlanDefinition for use in FHIR R4, PlanDefinition)
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          26. Extension.extension:type.url
          Control1..1
          Fixed Valuetype
          28. Extension.extension:type.value[x]
          Control0..0
          30. Extension.extension:effectiveDate
          Slice NameeffectiveDate
          Definition

          R5: MedicinalProductDefinition.operation.effectiveDate (new:Period)

          ShortR5: Date range of applicability (new)
          Comments

          Element MedicinalProductDefinition.operation.effectiveDate is part of an existing definition because parent element MedicinalProductDefinition.operation requires a cross-version extension. Element MedicinalProductDefinition.operation.effectiveDate has a context of MedicinalProduct based on following the parent source element upwards and mapping to MedicinalProduct. Element MedicinalProductDefinition.operation.effectiveDate has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

          Control0..1
          Requirements

          Element MedicinalProductDefinition.operation.effectiveDate is part of an existing definition because parent element MedicinalProductDefinition.operation requires a cross-version extension. Element MedicinalProductDefinition.operation.effectiveDate has a context of MedicinalProduct based on following the parent source element upwards and mapping to MedicinalProduct. Element MedicinalProductDefinition.operation.effectiveDate has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

          32. Extension.extension:effectiveDate.url
          Control1..1
          Fixed ValueeffectiveDate
          34. Extension.extension:effectiveDate.value[x]
          Definition

          Date range of applicability.

          ShortDate range of applicability
          Control0..1
          TypePeriod
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          36. Extension.extension:organization
          Slice Nameorganization
          Definition

          R5: MedicinalProductDefinition.operation.organization (new:Reference(Organization))

          ShortR5: The organization responsible for the particular process, e.g. the manufacturer or importer (new)
          Comments

          Element MedicinalProductDefinition.operation.organization is part of an existing definition because parent element MedicinalProductDefinition.operation requires a cross-version extension. Element MedicinalProductDefinition.operation.organization has a context of MedicinalProduct based on following the parent source element upwards and mapping to MedicinalProduct. Element MedicinalProductDefinition.operation.organization has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

          Control0..*
          Requirements

          Element MedicinalProductDefinition.operation.organization is part of an existing definition because parent element MedicinalProductDefinition.operation requires a cross-version extension. Element MedicinalProductDefinition.operation.organization has a context of MedicinalProduct based on following the parent source element upwards and mapping to MedicinalProduct. Element MedicinalProductDefinition.operation.organization has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

          38. Extension.extension:organization.url
          Control1..1
          Fixed Valueorganization
          40. Extension.extension:organization.value[x]
          Definition

          The organization or establishment responsible for (or associated with) the particular process or step, examples include the manufacturer, importer, agent.

          ShortThe organization responsible for the particular process, e.g. the manufacturer or importer
          Control0..1
          TypeReference(Cross-version Profile for R5.Organization for use in FHIR R4, Organization)
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          42. Extension.extension:confidentialityIndicator
          Slice NameconfidentialityIndicator
          Definition

          R5: MedicinalProductDefinition.operation.confidentialityIndicator (new:CodeableConcept)

          ShortR5: Specifies whether this process is considered proprietary or confidential (new)
          Comments

          Element MedicinalProductDefinition.operation.confidentialityIndicator is part of an existing definition because parent element MedicinalProductDefinition.operation requires a cross-version extension. Element MedicinalProductDefinition.operation.confidentialityIndicator has a context of MedicinalProduct based on following the parent source element upwards and mapping to MedicinalProduct. Element MedicinalProductDefinition.operation.confidentialityIndicator has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

          Control0..1
          Requirements

          Element MedicinalProductDefinition.operation.confidentialityIndicator is part of an existing definition because parent element MedicinalProductDefinition.operation requires a cross-version extension. Element MedicinalProductDefinition.operation.confidentialityIndicator has a context of MedicinalProduct based on following the parent source element upwards and mapping to MedicinalProduct. Element MedicinalProductDefinition.operation.confidentialityIndicator has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

          44. Extension.extension:confidentialityIndicator.url
          Control1..1
          Fixed ValueconfidentialityIndicator
          46. Extension.extension:confidentialityIndicator.value[x]
          Definition

          Specifies whether this particular business or manufacturing process is considered proprietary or confidential.

          ShortSpecifies whether this process is considered proprietary or confidential
          Control0..1
          BindingFor example codes, see R5MedicinalProductConfidentialityForR4 (0.1.0)
          (example to http://hl7.org/fhir/uv/xver/ValueSet/R5-medicinal-product-confidentiality-for-R4|0.1.0)

          Confidentiality rating, e.g. commercial sensitivity for a Medicinal Product.

          TypeCodeableConcept
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          48. Extension.url
          Control1..1
          Fixed Valuehttp://hl7.org/fhir/5.0/StructureDefinition/extension-MedicinalProductDefinition.operation
          50. Extension.value[x]
          Control0..0

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

          0. Extension
          Definition

          R5: MedicinalProductDefinition.operation (new:BackboneElement)

          ShortR5: A manufacturing or administrative process for the medicinal product (new)
          Comments

          Element MedicinalProductDefinition.operation has a context of MedicinalProduct based on following the parent source element upwards and mapping to MedicinalProduct. Element MedicinalProductDefinition.operation has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

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

            R5: MedicinalProductDefinition.operation.type (new:CodeableReference(ActivityDefinition,PlanDefinition))

            ShortR5: The type of manufacturing operation e.g. manufacturing itself, re-packaging (new)
            Comments

            Element MedicinalProductDefinition.operation.type is part of an existing definition because parent element MedicinalProductDefinition.operation requires a cross-version extension. Element MedicinalProductDefinition.operation.type has a context of MedicinalProduct based on following the parent source element upwards and mapping to MedicinalProduct. Element MedicinalProductDefinition.operation.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 MedicinalProductDefinition.operation.type is part of an existing definition because parent element MedicinalProductDefinition.operation requires a cross-version extension. Element MedicinalProductDefinition.operation.type has a context of MedicinalProduct based on following the parent source element upwards and mapping to MedicinalProduct. Element MedicinalProductDefinition.operation.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())
            8. 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
            10. Extension.extension:type.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
            • 12. Extension.extension:type.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())
              14. Extension.extension:type.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
              16. Extension.extension:type.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
              • 18. Extension.extension:type.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
                20. Extension.extension:type.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()))
                22. Extension.extension:type.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())
                24. Extension.extension:type.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
                26. Extension.extension:type.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
                • 28. Extension.extension:type.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
                  30. Extension.extension:type.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()))
                  32. Extension.extension:type.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())
                  34. Extension.extension:type.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
                  36. Extension.extension:type.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
                  • 38. Extension.extension:type.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
                    40. Extension.extension:type.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.ActivityDefinition for use in FHIR R4, ActivityDefinition, Cross-version Profile for R5.PlanDefinition for use in FHIR R4, PlanDefinition)
                    [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()))
                    42. 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
                    44. Extension.extension:type.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()))
                    46. Extension.extension:effectiveDate
                    Slice NameeffectiveDate
                    Definition

                    R5: MedicinalProductDefinition.operation.effectiveDate (new:Period)

                    ShortR5: Date range of applicability (new)
                    Comments

                    Element MedicinalProductDefinition.operation.effectiveDate is part of an existing definition because parent element MedicinalProductDefinition.operation requires a cross-version extension. Element MedicinalProductDefinition.operation.effectiveDate has a context of MedicinalProduct based on following the parent source element upwards and mapping to MedicinalProduct. Element MedicinalProductDefinition.operation.effectiveDate 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 MedicinalProductDefinition.operation.effectiveDate is part of an existing definition because parent element MedicinalProductDefinition.operation requires a cross-version extension. Element MedicinalProductDefinition.operation.effectiveDate has a context of MedicinalProduct based on following the parent source element upwards and mapping to MedicinalProduct. Element MedicinalProductDefinition.operation.effectiveDate 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())
                    48. Extension.extension:effectiveDate.id
                    Definition

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

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

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

                    ShortAdditional content defined by implementations
                    Comments

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

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

                      Date range of applicability.

                      ShortDate range of applicability
                      Control0..1
                      TypePeriod
                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                      Is Modifierfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      56. Extension.extension:organization
                      Slice Nameorganization
                      Definition

                      R5: MedicinalProductDefinition.operation.organization (new:Reference(Organization))

                      ShortR5: The organization responsible for the particular process, e.g. the manufacturer or importer (new)
                      Comments

                      Element MedicinalProductDefinition.operation.organization is part of an existing definition because parent element MedicinalProductDefinition.operation requires a cross-version extension. Element MedicinalProductDefinition.operation.organization has a context of MedicinalProduct based on following the parent source element upwards and mapping to MedicinalProduct. Element MedicinalProductDefinition.operation.organization 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 MedicinalProductDefinition.operation.organization is part of an existing definition because parent element MedicinalProductDefinition.operation requires a cross-version extension. Element MedicinalProductDefinition.operation.organization has a context of MedicinalProduct based on following the parent source element upwards and mapping to MedicinalProduct. Element MedicinalProductDefinition.operation.organization 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())
                      58. Extension.extension:organization.id
                      Definition

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

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

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

                      ShortAdditional content defined by implementations
                      Comments

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

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

                        The organization or establishment responsible for (or associated with) the particular process or step, examples include the manufacturer, importer, agent.

                        ShortThe organization responsible for the particular process, e.g. the manufacturer or importer
                        Control0..1
                        TypeReference(Cross-version Profile for R5.Organization for use in FHIR R4, Organization)
                        [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()))
                        66. Extension.extension:confidentialityIndicator
                        Slice NameconfidentialityIndicator
                        Definition

                        R5: MedicinalProductDefinition.operation.confidentialityIndicator (new:CodeableConcept)

                        ShortR5: Specifies whether this process is considered proprietary or confidential (new)
                        Comments

                        Element MedicinalProductDefinition.operation.confidentialityIndicator is part of an existing definition because parent element MedicinalProductDefinition.operation requires a cross-version extension. Element MedicinalProductDefinition.operation.confidentialityIndicator has a context of MedicinalProduct based on following the parent source element upwards and mapping to MedicinalProduct. Element MedicinalProductDefinition.operation.confidentialityIndicator 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 MedicinalProductDefinition.operation.confidentialityIndicator is part of an existing definition because parent element MedicinalProductDefinition.operation requires a cross-version extension. Element MedicinalProductDefinition.operation.confidentialityIndicator has a context of MedicinalProduct based on following the parent source element upwards and mapping to MedicinalProduct. Element MedicinalProductDefinition.operation.confidentialityIndicator 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())
                        68. Extension.extension:confidentialityIndicator.id
                        Definition

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

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

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

                        ShortAdditional content defined by implementations
                        Comments

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

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

                          Specifies whether this particular business or manufacturing process is considered proprietary or confidential.

                          ShortSpecifies whether this process is considered proprietary or confidential
                          Control0..1
                          BindingFor example codes, see R5MedicinalProductConfidentialityForR4 (0.1.0)
                          (example to http://hl7.org/fhir/uv/xver/ValueSet/R5-medicinal-product-confidentiality-for-R4|0.1.0)

                          Confidentiality rating, e.g. commercial sensitivity for a Medicinal Product.

                          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()))
                          76. 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-MedicinalProductDefinition.operation
                          78. 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()))