This page is part of the C-CDA on FHIR Implementation Guide (v1.6.0: STU 1 Ballot 1) based on FHIR v1.6.0. The current version which supercedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions

C-CDA on FHIR Diagnostic Imaging

<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="ccda-diagnostic-imaging-composition"/>
  <url
       value="http://hl7.org/fhir/ccda/StructureDefinition/ccda-diagnostic-imaging-composition"/>
  <name value="C-CDA on FHIR Diagnostic Imaging"/>
  <status value="draft"/>
  <publisher value="Lantana Consulting Group"/>
  <contact>
    <name value="Sarah Gaunt"/>
    <telecom>
      <system value="phone"/>
      <value value="+6 141-029-2506"/>
      <use value="work"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="sarah.gaunt@lantanagroup.com"/>
      <use value="work"/>
    </telecom>
  </contact>
  <date value="2016-08-11T21:16:47+10:00"/>
  <description
               value="A Diagnostic Imaging Report (DIR) is a document that contains a consulting specialist’s interpretation of image data. It conveys the interpretation to the referring (ordering) physician and becomes part of the patient’s medical record. It is for use in Radiology, Endoscopy, Cardiology, and other imaging specialties."/>
  <mapping>
    <identity value="rim"/>
    <uri value="http://hl7.org/v3"/>
    <name value="RIM Mapping"/>
  </mapping>
  <mapping>
    <identity value="cda"/>
    <uri value="http://hl7.org/v3/cda"/>
    <name value="CDA (R2)"/>
  </mapping>
  <mapping>
    <identity value="w5"/>
    <uri value="http://hl7.org/fhir/w5"/>
    <name value="W5 Mapping"/>
  </mapping>
  <kind value="resource"/>
  <abstract value="false"/>
  <type value="Composition"/>
  <baseDefinition
                  value="http://hl7.org/fhir/ccda/StructureDefinition/ccda-us-realm-header-composition"/>
  <derivation value="constraint"/>
  <snapshot>
    <element id="Composition:c-cdaonfhirdiagnosticimaging">
      <path value="Composition"/>
      <short
             value="A set of resources composed into a single coherent clinical statement with clinical attestation"/>
      <definition
                  value="A set of healthcare-related information that is assembled together into a single logical document that provides a single coherent statement of meaning, establishes its own context and that has clinical attestation with regard to who is making the statement. While a Composition defines the structure, it does not actually contain the content: rather the full content of a document is contained in a Bundle, of which the Composition is the first resource contained."/>
      <comments
                value="While the focus of this specification is on patient-specific clinical statements, this resource can also apply to other healthcare-related statements such as study protocol designs, healthcare invoices and other activities that are not necessarily patient-specific or clinical."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Composition"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <constraint>
        <key value="dom-2"/>
        <severity value="error"/>
        <human
               value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/>
        <expression value="contained.contained.empty()"/>
        <xpath value="not(parent::f:contained and f:contained)"/>
      </constraint>
      <constraint>
        <key value="dom-1"/>
        <severity value="error"/>
        <human
               value="If the resource is contained in another resource, it SHALL NOT contain any narrative"/>
        <expression value="contained.text.empty()"/>
        <xpath value="not(parent::f:contained and f:text)"/>
      </constraint>
      <constraint>
        <key value="dom-4"/>
        <severity value="error"/>
        <human
               value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"/>
        <expression
                    value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/>
        <xpath
               value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/>
      </constraint>
      <constraint>
        <key value="dom-3"/>
        <severity value="error"/>
        <human
               value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource"/>
        <expression
                    value="contained.where(('#'+id in %resource.descendants().reference).not()).empty()"/>
        <xpath
               value="not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))"/>
      </constraint>
      <mapping>
        <identity value="rim"/>
        <map value="Entity. Role, or Act"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map
             value="Document[classCode="DOC" and moodCode="EVN" and isNormalAct()]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="ClinicalDocument"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="infrastructure.documents"/>
      </mapping>
    </element>
    <element id="Composition:c-cdaonfhirdiagnosticimaging.id">
      <path value="Composition.id"/>
      <short value="Logical id of this artifact"/>
      <definition
                  value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."/>
      <comments
                value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element id="Composition:c-cdaonfhirdiagnosticimaging.meta">
      <path value="Composition.meta"/>
      <short value="Metadata about the resource"/>
      <definition
                  value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.meta"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Meta"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element id="Composition:c-cdaonfhirdiagnosticimaging.implicitRules">
      <path value="Composition.implicitRules"/>
      <short value="A set of rules under which this content was created"/>
      <definition
                  value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content."/>
      <comments
                value="Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element as much as possible."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.implicitRules"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
    </element>
    <element id="Composition:c-cdaonfhirdiagnosticimaging.language">
      <path value="Composition.language"/>
      <short value="language"/>
      <definition
                  value="SHALL contain exactly one [1..1] language (CONF:2219-146)."/>
      <comments
                value="Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource  Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Resource.language"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
          <valueReference>
            <reference value="http://hl7.org/fhir/ValueSet/all-languages"/>
          </valueReference>
        </extension>
        <strength value="extensible"/>
        <description value="A human language."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/languages"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="Composition:c-cdaonfhirdiagnosticimaging.text">
      <path value="Composition.text"/>
      <short value="Text summary of the resource, for human interpretation"/>
      <definition
                  value="A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety."/>
      <comments
                value="Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later."/>
      <alias value="narrative"/>
      <alias value="html"/>
      <alias value="xhtml"/>
      <alias value="display"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DomainResource.text"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Narrative"/>
      </type>
      <condition value="dom-1"/>
      <mapping>
        <identity value="rim"/>
        <map value="Act.text?"/>
      </mapping>
    </element>
    <element id="Composition:c-cdaonfhirdiagnosticimaging.contained">
      <path value="Composition.contained"/>
      <short value="Contained, inline Resources"/>
      <definition
                  value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope."/>
      <comments
                value="This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again."/>
      <alias value="inline resources"/>
      <alias value="anonymous resources"/>
      <alias value="contained resources"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.contained"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Resource"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Composition:c-cdaonfhirdiagnosticimaging.extension">
      <path value="Composition.extension"/>
      <slicing>
        <discriminator value="url"/>
        <rules value="open"/>
      </slicing>
      <short value="Extension"/>
      <definition
                  value="MAY contain zero or more [0..*] C-CDA on FHIR Authorization (identifier: http://hl7.org/fhir/ccda/StructureDefinition/ccda-authorization-extension) (CONF:2219-2012)."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.extension:extension_slice_pos2$ccda-data-enterer-extension">
      <path value="Composition.extension"/>
      <name value="extension_slice_pos2"/>
      <label value="dataEnterer"/>
      <short value="dataEnterer"/>
      <definition
                  value="MAY contain zero or one [0..1] C-CDA on FHIR Data Enterer (identifier: http://hl7.org/fhir/ccda/StructureDefinition/ccda-data-enterer-extension) (CONF:2219-1844)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DomainResource.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://hl7.org/fhir/ccda/StructureDefinition/ccda-data-enterer-extension"/>
      </type>
      <condition value="ele-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression value="children().count() > id.count()"/>
        <xpath value="@value|f:*|h:div"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
      </constraint>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.extension:extension_slice_pos3$ccda-informant-extension">
      <path value="Composition.extension"/>
      <name value="extension_slice_pos3"/>
      <label value="informant"/>
      <short value="informant"/>
      <definition
                  value="MAY contain zero or more [0..*] C-CDA on FHIR Informant (identifier: http://hl7.org/fhir/ccda/StructureDefinition/ccda-informant-extension) (CONF:2219-1849)."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://hl7.org/fhir/ccda/StructureDefinition/ccda-informant-extension"/>
      </type>
      <condition value="ele-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression value="children().count() > id.count()"/>
        <xpath value="@value|f:*|h:div"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
      </constraint>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.extension:extension_slice_pos4$ccda-information-recipient-extension">
      <path value="Composition.extension"/>
      <name value="extension_slice_pos4"/>
      <label value="informationRecipient"/>
      <short value="informationRecipient"/>
      <definition
                  value="MAY contain zero or more [0..*] C-CDA on FHIR Information Recipient (identifier: http://hl7.org/fhir/ccda/StructureDefinition/ccda-information-recipient-extension) (CONF:2219-1856)."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://hl7.org/fhir/ccda/StructureDefinition/ccda-information-recipient-extension"/>
      </type>
      <condition value="ele-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression value="children().count() > id.count()"/>
        <xpath value="@value|f:*|h:div"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
      </constraint>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.extension:extension_slice_pos5$ccda-participant-extension">
      <path value="Composition.extension"/>
      <name value="extension_slice_pos5"/>
      <label value="participant"/>
      <short value="participant"/>
      <definition
                  value="MAY contain zero or more [0..*] C-CDA on FHIR Participant (identifier: http://hl7.org/fhir/ccda/StructureDefinition/ccda-participant-extension) (CONF:2219-1861)."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://hl7.org/fhir/ccda/StructureDefinition/ccda-participant-extension"/>
      </type>
      <condition value="ele-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression value="children().count() > id.count()"/>
        <xpath value="@value|f:*|h:div"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
      </constraint>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.extension:extension_slice_pos6$ccda-performer-extension">
      <path value="Composition.extension"/>
      <name value="extension_slice_pos6"/>
      <label value="performer"/>
      <short value="performer"/>
      <definition
                  value="SHOULD contain zero or more [0..*] C-CDA on FHIR Performer (identifier: http://hl7.org/fhir/ccda/StructureDefinition/ccda-performer-extension) (CONF:2219-1869)."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://hl7.org/fhir/ccda/StructureDefinition/ccda-performer-extension"/>
      </type>
      <condition value="ele-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression value="children().count() > id.count()"/>
        <xpath value="@value|f:*|h:div"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
      </constraint>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.extension:extension_slice_pos7$ccda-authorization-extension">
      <path value="Composition.extension"/>
      <name value="extension_slice_pos7"/>
      <label value="authorization"/>
      <short value="authorization"/>
      <definition
                  value="MAY contain zero or more [0..*] C-CDA on FHIR Authorization (identifier: http://hl7.org/fhir/ccda/StructureDefinition/ccda-authorization-extension) (CONF:2219-2012)."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://hl7.org/fhir/ccda/StructureDefinition/ccda-authorization-extension"/>
      </type>
      <condition value="ele-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression value="children().count() > id.count()"/>
        <xpath value="@value|f:*|h:div"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
      </constraint>
    </element>
    <element id="Composition:c-cdaonfhirdiagnosticimaging.modifierExtension">
      <path value="Composition.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/>
      <comments
                value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Composition:c-cdaonfhirdiagnosticimaging.identifier">
      <path value="Composition.identifier"/>
      <short value="identifier"/>
      <definition
                  value="SHALL contain exactly one [1..1] identifier (CONF:2219-147)."/>
      <comments
                value="See discussion in resource definition for how these relate."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Composition.identifier"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Identifier"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="Document.id / Document.setId"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".setId"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="id"/>
      </mapping>
    </element>
    <element id="Composition:c-cdaonfhirdiagnosticimaging.date">
      <path value="Composition.date"/>
      <short value="date"/>
      <definition value="SHALL contain exactly one [1..1] date (CONF:2219-148)."/>
      <comments value="US Realm Datetime"/>
      <requirements
                    value="dateTime is used for tracking, organizing versions and searching."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Composition.date"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="dateTime"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value=".effectiveTime[type="TS"]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".effectiveTime"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="when.done"/>
      </mapping>
    </element>
    <element id="Composition:c-cdaonfhirdiagnosticimaging.type">
      <path value="Composition.type"/>
      <label value="Diagnostic Imaging Report"/>
      <short value="Diagnostic Imaging Report"/>
      <definition
                  value="SHALL contain exactly one [1..1] type, which SHOULD be selected from ValueSet LOINC Imaging Document Codes urn:oid:1.3.6.1.4.1.12009.10.2.5 DYNAMIC (CONF:2219-1832)."/>
      <comments
                value="For Composition type, LOINC is ubiquitous and strongly endorsed by HL7. Most implementation guides will require a specific LOINC code, or use LOINC as an extensible binding."/>
      <requirements
                    value="Key metadata element describing the composition, used in searching/filtering."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Composition.type"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="preferred"/>
        <valueSetReference>
          <reference
                     value="http://hl7.org/fhir/ccda/ValueSet/1.3.6.1.4.1.12009.10.2.5"/>
          <display value="LOINC Imaging Document Codes"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="./code"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".code"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="class"/>
      </mapping>
    </element>
    <element id="Composition:c-cdaonfhirdiagnosticimaging.class">
      <path value="Composition.class"/>
      <short value="Categorization of Composition"/>
      <definition
                  value="A categorization for the type of the composition - helps for indexing and searching. This may be implied by or derived from the code specified in the Composition Type."/>
      <comments
                value="This is a metadata field from [XDS/MHD](http://wiki.ihe.net/index.php?title=Mobile_access_to_Health_Documents_(MHD))."/>
      <requirements
                    value="Helps humans to assess whether the composition is of interest when viewing an index of compositions or documents."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.class"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description
                     value="High-level kind of a clinical document at a macro level."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/doc-classcodes"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="n/a"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="class"/>
      </mapping>
    </element>
    <element id="Composition:c-cdaonfhirdiagnosticimaging.title">
      <path value="Composition.title"/>
      <label value="Document Title"/>
      <short value="Document Title"/>
      <definition
                  value="SHALL contain exactly one [1..1] title (CONF:2219-150)."/>
      <comments
                value="For many compositions, the title is the same as the text or a display name of Composition.type (e.g. a "consultation" or "progress note"). Note that CDA does not make title mandatory, but there are no known cases where it is useful for title to be omitted, so it is mandatory here. Feedback on this requirement is welcome during the trial use period."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Composition.title"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="./title"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".title"/>
      </mapping>
    </element>
    <element id="Composition:c-cdaonfhirdiagnosticimaging.status">
      <path value="Composition.status"/>
      <short value="status"/>
      <definition
                  value="SHALL contain exactly one [1..1] status (CONF:2219-1048)."/>
      <comments
                value="If a composition is marked as withdrawn, the compositions/documents in the series, or data from the composition or document series, should never be displayed to a user without being clearly marked as untrustworthy. The flag "withdrawn" is why this element is labeled as a modifier of other elements.   Some reporting work flows require that the original narrative of a final document never be altered; instead, only new narrative can be added. The composition resource has no explicit status for explicitly noting whether this business rule is in effect. This would be handled by an extension if required."/>
      <requirements
                    value="Need to be able to mark interim, amended, or withdrawn compositions or documents."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Composition.status"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <description value="The workflow/clinical status of the composition."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/composition-status"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map
             value="interim: .completionCode="IN" & ./statusCode[isNormalDatatype()]="active";  final: .completionCode="AU" &&  ./statusCode[isNormalDatatype()]="complete" and not(./inboundRelationship[typeCode="SUBJ" and isNormalActRelationship()]/source[subsumesCode("ActClass#CACT") and moodCode="EVN" and domainMember("ReviseComposition", code) and isNormalAct()]);  amended: .completionCode="AU" &&  ./statusCode[isNormalDatatype()]="complete" and ./inboundRelationship[typeCode="SUBJ" and isNormalActRelationship()]/source[subsumesCode("ActClass#CACT") and moodCode="EVN" and domainMember("ReviseComposition", code) and isNormalAct() and statusCode="completed"];  withdrawn : .completionCode=NI &&  ./statusCode[isNormalDatatype()]="obsolete""/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="n/a"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="status"/>
      </mapping>
    </element>
    <element id="Composition:c-cdaonfhirdiagnosticimaging.confidentiality">
      <path value="Composition.confidentiality"/>
      <short value="confidentiality"/>
      <definition
                  value="SHALL contain exactly one [1..1] confidentiality, which SHALL be selected from ValueSet HL7 BasicConfidentialityKind urn:oid:2.16.840.1.113883.1.11.16926 STATIC (CONF:2219-151)."/>
      <comments
                value="The exact use of this element, and enforcement and issues related to highly sensitive documents are out of scope for the base specification, and delegated to implementation profiles (see security section)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Composition.confidentiality"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <valueSetReference>
          <reference
                     value="http://hl7.org/fhir/ccda/ValueSet/2.16.840.1.113883.1.11.16926"/>
          <display value="HL7 BasicConfidentialityKind"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value=".confidentialityCode"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".confidentialityCode"/>
      </mapping>
    </element>
    <element id="Composition:c-cdaonfhirdiagnosticimaging.subject">
      <path value="Composition.subject"/>
      <label value="recordTarget"/>
      <short value="recordTarget"/>
      <definition
                  value="SHALL contain exactly one [1..1] U.S. DAF Core Patient Profile (identifier: http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-patient) (CONF:2219-152)."/>
      <comments value="U.S. DAF Core Patient"/>
      <alias value="SubjectOfCare Client Resident"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Composition.subject"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile
                 value="http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-patient"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="Entity. Role, or Act"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="Patient[classCode=PAT]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="ClinicalDocument.recordTarget.patientRole"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="administrative.individual"/>
      </mapping>
    </element>
    <element id="Composition:c-cdaonfhirdiagnosticimaging.author">
      <path value="Composition.author"/>
      <label value="author"/>
      <short value="author"/>
      <definition
                  value="SHALL contain at least one [1..*] U.S. DAF Core Practitioner Profile (identifier: http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-pract) or daf-core-Core-Device (identifier: http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-core-device) (CONF:2219-153)."/>
      <comments value="U.S. DAF Core Practitioner"/>
      <requirements value="Identifies who is responsible for the content."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="Composition.author"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile
                 value="http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-pract"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile
                 value="http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-core-device"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map
             value=".participation[typeCode="AUT"].role[classCode="ASSIGNED"]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".author.assignedAuthor"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="who.author"/>
      </mapping>
    </element>
    <element id="Composition:c-cdaonfhirdiagnosticimaging.attester">
      <path value="Composition.attester"/>
      <slicing>
        <discriminator value="Composition.attester.mode"/>
        <rules value="open"/>
      </slicing>
      <short value="Attests to accuracy of composition"/>
      <definition
                  value="MAY contain zero or more [0..*] attester (CONF:2219-2083) such that it"/>
      <comments value="Only list each attester once."/>
      <requirements
                    value="Identifies responsibility for the accuracy of the composition content."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Composition.attester"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map
             value=".participation[typeCode="AUTHEN"].role[classCode="ASSIGNED"]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".authenticator/.legalAuthenticator"/>
      </mapping>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.attester:attester_slice_pos16">
      <path value="Composition.attester"/>
      <name value="attester_slice_pos16"/>
      <label value="legalAuthenticator"/>
      <short value="legalAuthenticator"/>
      <definition
                  value="SHOULD contain zero or more [0..*] attester (CONF:2219-2082) such that it"/>
      <comments value="Only list each attester once."/>
      <requirements
                    value="Identifies responsibility for the accuracy of the composition content."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Composition.attester"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map
             value=".participation[typeCode="AUTHEN"].role[classCode="ASSIGNED"]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".authenticator/.legalAuthenticator"/>
      </mapping>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.attester:attester_slice_pos16.id">
      <path value="Composition.attester.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition
                  value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.attester:attester_slice_pos16.extension">
      <path value="Composition.attester.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element. In order 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comments
                value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.attester:attester_slice_pos16.modifierExtension">
      <path value="Composition.attester.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/>
      <comments
                value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.attester:attester_slice_pos16.mode:attester_slice_pos16">
      <path value="Composition.attester.mode"/>
      <name value="attester_slice_pos16"/>
      <short value="mode"/>
      <definition
                  value="SHALL contain at least one [1..*] mode="legal" (CodeSystem: FHIR CompositionAttestationMode http://hl7.org/fhir/composition-attestation-mode) (CONF:2219-2084)."/>
      <comments
                value="Use more than one code where a single attester has more than one mode (professional and legal are often paired)."/>
      <requirements value="Indicates the level of authority of the attestation."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="Composition.attester.mode"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <fixedString value="legal"/>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <description
                     value="The way in which a person authenticated a composition."/>
        <valueSetReference>
          <reference
                     value="http://hl7.org/fhir/ValueSet/composition-attestation-mode"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="unique(./modeCode)"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="implied by .authenticator/.legalAuthenticator"/>
      </mapping>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.attester:attester_slice_pos16.time">
      <path value="Composition.attester.time"/>
      <short value="When composition attested"/>
      <definition value="When composition was attested by the party."/>
      <requirements
                    value="Identifies when the information in the composition was deemed accurate.  (Things may have changed since then.)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.attester.time"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="dateTime"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="./time[type="TS" and isNormalDatatype()]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".authenticator.time"/>
      </mapping>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.attester:attester_slice_pos16.party:attester_slice_pos16">
      <path value="Composition.attester.party"/>
      <name value="attester_slice_pos16"/>
      <short value="party"/>
      <definition
                  value="MAY contain zero or one [0..1] U.S. DAF Core Practitioner Profile (identifier: http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-pract) (CONF:2219-2085)."/>
      <comments
                value="Note that a cab driver no longer fits the bill. You probably would be interested in the organization rather than the individual?"/>
      <alias value="Provider"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.attester.party"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile
                 value="http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-pract"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="Entity. Role, or Act"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="PRD (as one example)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="Role"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="Provider"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="administrative.individual"/>
      </mapping>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.attester:attester_slice_pos17">
      <path value="Composition.attester"/>
      <name value="attester_slice_pos17"/>
      <label value="authenticator"/>
      <short value="authenticator"/>
      <definition
                  value="MAY contain zero or more [0..*] attester (CONF:2219-2083) such that it"/>
      <comments value="Only list each attester once."/>
      <requirements
                    value="Identifies responsibility for the accuracy of the composition content."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Composition.attester"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map
             value=".participation[typeCode="AUTHEN"].role[classCode="ASSIGNED"]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".authenticator/.legalAuthenticator"/>
      </mapping>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.attester:attester_slice_pos17.id">
      <path value="Composition.attester.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition
                  value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.attester:attester_slice_pos17.extension">
      <path value="Composition.attester.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element. In order 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comments
                value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.attester:attester_slice_pos17.modifierExtension">
      <path value="Composition.attester.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/>
      <comments
                value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.attester:attester_slice_pos17.mode:attester_slice_pos17">
      <path value="Composition.attester.mode"/>
      <name value="attester_slice_pos17"/>
      <short value="mode"/>
      <definition
                  value="SHALL contain at least one [1..*] mode (CONF:2219-2086)."/>
      <comments
                value="Use more than one code where a single attester has more than one mode (professional and legal are often paired)."/>
      <requirements value="Indicates the level of authority of the attestation."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="Composition.attester.mode"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <description
                     value="The way in which a person authenticated a composition."/>
        <valueSetReference>
          <reference
                     value="http://hl7.org/fhir/ValueSet/composition-attestation-mode"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="unique(./modeCode)"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="implied by .authenticator/.legalAuthenticator"/>
      </mapping>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.attester:attester_slice_pos17.time">
      <path value="Composition.attester.time"/>
      <short value="When composition attested"/>
      <definition value="When composition was attested by the party."/>
      <requirements
                    value="Identifies when the information in the composition was deemed accurate.  (Things may have changed since then.)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.attester.time"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="dateTime"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="./time[type="TS" and isNormalDatatype()]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".authenticator.time"/>
      </mapping>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.attester:attester_slice_pos17.party:attester_slice_pos17">
      <path value="Composition.attester.party"/>
      <name value="attester_slice_pos17"/>
      <short value="party"/>
      <definition
                  value="MAY contain zero or one [0..1] U.S. DAF Core Practitioner Profile (identifier: http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-pract) (CONF:2219-2087)."/>
      <comments
                value="Note that a cab driver no longer fits the bill. You probably would be interested in the organization rather than the individual?"/>
      <alias value="Provider"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.attester.party"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile
                 value="http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-pract"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="Entity. Role, or Act"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="PRD (as one example)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="Role"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="Provider"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="administrative.individual"/>
      </mapping>
    </element>
    <element id="Composition:c-cdaonfhirdiagnosticimaging.custodian">
      <path value="Composition.custodian"/>
      <label value="custodian"/>
      <short value="custodian"/>
      <definition
                  value="SHALL contain exactly one [1..1] U.S. DAF Core Organization Profile (identifier: http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-organization) (CONF:2219-154)."/>
      <comments value="U.S. DAF Core Organization"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Composition.custodian"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile
                 value="http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-organization"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="Entity. Role, or Act"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="(also see master files messages)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="Organization(classCode=ORG, determinerCode=INST)"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="Organization"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="administrative.group"/>
      </mapping>
    </element>
    <element id="Composition:c-cdaonfhirdiagnosticimaging.event">
      <path value="Composition.event"/>
      <label value="serviceEvent"/>
      <short value="serviceEvent"/>
      <definition
                  value="SHALL contain at least one [1..*] event (CONF:2219-676)."/>
      <comments
                value="The event needs to be consistent with the type element, though can provide further information if desired."/>
      <requirements
                    value="Provides context for the composition and creates a linkage between a resource describing an event and the composition created describing the event."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="Composition.event"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map
             value="outboundRelationship[typeCode="SUBJ"].target[classCode<'ACT']"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".documentationOf.serviceEvent"/>
      </mapping>
    </element>
    <element id="Composition:c-cdaonfhirdiagnosticimaging.event.id">
      <path value="Composition.event.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition
                  value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Composition:c-cdaonfhirdiagnosticimaging.event.extension">
      <path value="Composition.event.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element. In order 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comments
                value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.event.modifierExtension">
      <path value="Composition.event.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/>
      <comments
                value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Composition:c-cdaonfhirdiagnosticimaging.event.code">
      <path value="Composition.event.code"/>
      <short value="Code(s) that apply to the event being documented"/>
      <definition
                  value="This list of codes represents the main clinical acts, such as a colonoscopy or an appendectomy, being documented. In some cases, the event is inherent in the typeCode, such as a "History and Physical Report" in which the procedure being documented is necessarily a "History and Physical" act."/>
      <comments
                value="An event can further specialize the act inherent in the typeCode, such as where it is simply "Procedure Report" and the procedure was a "colonoscopy". If one or more eventCodes are included, they SHALL NOT conflict with the values inherent in the classCode, practiceSettingCode or typeCode, as such a conflict would create an ambiguous situation. This short list of codes is provided to be used as key words for certain types of queries."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Composition.event.code"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description
                     value="This list of codes represents the main clinical acts being documented."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/v3-ActCode"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value=".code"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".code"/>
      </mapping>
    </element>
    <element id="Composition:c-cdaonfhirdiagnosticimaging.event.period">
      <path value="Composition.event.period"/>
      <short value="period"/>
      <definition
                  value="Such events SHALL contain exactly one [1..1] period (CONF:2219-677)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Composition.event.period"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Period"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value=".effectiveTime"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".effectiveTime"/>
      </mapping>
    </element>
    <element id="Composition:c-cdaonfhirdiagnosticimaging.event.period.id">
      <path value="Composition.event.period.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition
                  value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.event.period.extension">
      <path value="Composition.event.period.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element. In order 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comments
                value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Composition:c-cdaonfhirdiagnosticimaging.event.period.start">
      <path value="Composition.event.period.start"/>
      <short value="start"/>
      <definition
                  value="This period SHALL contain exactly one [1..1] start (CONF:2219-678)."/>
      <comments
                value="If the low element is missing, the meaning is that the low boundary is not known."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Period.start"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="dateTime"/>
      </type>
      <condition value="per-1"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="DR.1"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="./low"/>
      </mapping>
    </element>
    <element id="Composition:c-cdaonfhirdiagnosticimaging.event.period.end">
      <path value="Composition.event.period.end"/>
      <short value="End time with inclusive boundary, if not ongoing"/>
      <definition
                  value="The end of the period. If the end of the period is missing, it means that the period is ongoing. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time."/>
      <comments
                value="The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has a end value of 2012-02-03."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Period.end"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="dateTime"/>
      </type>
      <meaningWhenMissing
                          value="If the end of the period is missing, it means that the period is ongoing"/>
      <condition value="per-1"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="DR.2"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="./high"/>
      </mapping>
    </element>
    <element id="Composition:c-cdaonfhirdiagnosticimaging.event.detail">
      <path value="Composition.event.detail"/>
      <short value="The event(s) being documented"/>
      <definition
                  value="The description and/or reference of the event(s) being documented. For example, this could be used to document such a colonoscopy or an appendectomy."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Composition.event.detail"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Resource"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value=".outboundRelationship[typeCode="SUBJ"].target"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Composition:c-cdaonfhirdiagnosticimaging.encounter">
      <path value="Composition.encounter"/>
      <label value="encompassingEncounter"/>
      <short value="encompassingEncounter"/>
      <definition
                  value="MAY contain zero or one [0..1] U.S. DAF Core Encounter Profile (identifier: http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-encounter) (CONF:2219-679)."/>
      <comments value="U.S. DAF Core Encounter"/>
      <requirements
                    value="Provides context for the composition and supports searching."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.encounter"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile
                 value="http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-encounter"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map
             value="unique(highest(./outboundRelationship[typeCode="SUBJ" and isNormalActRelationship()], priorityNumber)/target[moodCode="EVN" and classCode=("ENC", "PCPR") and isNormalAct])"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".componentOf.encompassingEncounter"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="context"/>
      </mapping>
    </element>
    <element id="Composition:c-cdaonfhirdiagnosticimaging.section">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Section"/>
      </extension>
      <path value="Composition.section"/>
      <slicing>
        <discriminator value="Composition.section.code"/>
        <rules value="open"/>
      </slicing>
      <short value="Composition is broken into sections"/>
      <definition
                  value="MAY contain zero or more [0..*] section (CONF:2219-1826) such that it"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Composition.section"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="cmp-1"/>
        <severity value="error"/>
        <human
               value="A section must at least one of text, entries, or sub-sections"/>
        <expression value="text.exists() or entry.exists() or section.exists()"/>
        <xpath value="exists(f:text) or exists(f:entry) or exists(f:section)"/>
      </constraint>
      <constraint>
        <key value="cmp-2"/>
        <severity value="error"/>
        <human value="A section can only have an emptyReason if it is empty"/>
        <expression value="emptyReason.empty() or entry.empty()"/>
        <xpath value="not(exists(f:emptyReason) and exists(f:entry))"/>
      </constraint>
      <mapping>
        <identity value="rim"/>
        <map
             value="./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".component.structuredBody.component.section"/>
      </mapping>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.section:section_slice_pos2">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Section"/>
      </extension>
      <path value="Composition.section"/>
      <name value="section_slice_pos2"/>
      <label value="Findings Section"/>
      <short value="Findings Section"/>
      <definition
                  value="SHALL contain exactly one [1..1] section (CONF:2219-1824) such that it"/>
      <comments value="Findings Section"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Composition.section"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="cmp-1"/>
        <severity value="error"/>
        <human
               value="A section must at least one of text, entries, or sub-sections"/>
        <expression value="text.exists() or entry.exists() or section.exists()"/>
        <xpath value="exists(f:text) or exists(f:entry) or exists(f:section)"/>
      </constraint>
      <constraint>
        <key value="cmp-2"/>
        <severity value="error"/>
        <human value="A section can only have an emptyReason if it is empty"/>
        <expression value="emptyReason.empty() or entry.empty()"/>
        <xpath value="not(exists(f:emptyReason) and exists(f:entry))"/>
      </constraint>
      <mapping>
        <identity value="rim"/>
        <map
             value="./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".component.structuredBody.component.section"/>
      </mapping>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.section:section_slice_pos2.id">
      <path value="Composition.section.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition
                  value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.section:section_slice_pos2.extension">
      <path value="Composition.section.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element. In order 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comments
                value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.section:section_slice_pos2.modifierExtension">
      <path value="Composition.section.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/>
      <comments
                value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.section:section_slice_pos2.title:section_slice_pos2">
      <path value="Composition.section.title"/>
      <name value="section_slice_pos2"/>
      <short value="title"/>
      <definition
                  value="SHALL contain exactly one [1..1] title="Findings" (CONF:2219-1827)."/>
      <comments
                value="The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element."/>
      <requirements
                    value="Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized."/>
      <alias value="header"/>
      <alias value="label"/>
      <alias value="caption"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.title"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <fixedString value="Findings"/>
      <mapping>
        <identity value="rim"/>
        <map value="./title"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".title"/>
      </mapping>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.section:section_slice_pos2.code:section_slice_pos2">
      <path value="Composition.section.code"/>
      <name value="section_slice_pos2"/>
      <short value="code"/>
      <definition
                  value="SHALL contain exactly one [1..1] code (CONF:2219-1836)."/>
      <comments
                value="The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code."/>
      <requirements
                    value="Provides computable standardized labels to topics within the document."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <strength value="example"/>
        <description
                     value="Classification of a section of a composition/document."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/doc-section-codes"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="./code"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".code"/>
      </mapping>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.section:section_slice_pos2.text:section_slice_pos2">
      <path value="Composition.section.text"/>
      <name value="section_slice_pos2"/>
      <short value="text"/>
      <definition
                  value="SHALL contain exactly one [1..1] text (CONF:2219-1828)."/>
      <comments
                value="Document profiles may define what content should be represented in the narrative to ensure clinical safety."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.text"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Narrative"/>
      </type>
      <condition value="cmp-1"/>
      <mapping>
        <identity value="rim"/>
        <map value=".text"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".text"/>
      </mapping>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.section:section_slice_pos2.mode">
      <path value="Composition.section.mode"/>
      <short value="working | snapshot | changes"/>
      <definition
                  value="How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted."/>
      <requirements
                    value="Sections are used in various ways, and it must be known in what way it is safe to use the entries in them."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.mode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <description value="The processing mode that applies to this section."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/list-mode"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="n/a"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="class"/>
      </mapping>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.section:section_slice_pos2.orderedBy">
      <path value="Composition.section.orderedBy"/>
      <short value="Order of section entries"/>
      <definition
                  value="Specifies the order applied to the items in the section entries."/>
      <comments
                value="Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order."/>
      <requirements
                    value="Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.orderedBy"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <strength value="preferred"/>
        <description value="What order applies to the items in the entry."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/list-order"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value=".outboundRelationship[typeCode=COMP].sequenceNumber > 1"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.section:section_slice_pos2.entry">
      <path value="Composition.section.entry"/>
      <short value="A reference to data that supports this section"/>
      <definition
                  value="A reference to the actual resource from which the narrative in the section is derived."/>
      <comments
                value="If there are no entries in the list, an emptyReason SHOULD be provided."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Composition.section.entry"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Resource"/>
      </type>
      <condition value="cmp-2"/>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".entry"/>
      </mapping>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.section:section_slice_pos2.emptyReason">
      <path value="Composition.section.emptyReason"/>
      <short value="Why the section is empty"/>
      <definition
                  value="If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason."/>
      <comments
                value="The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases."/>
      <requirements
                    value="Allows capturing things like "none exist" or "not asked" which can be important for most lists."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.emptyReason"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <condition value="cmp-2"/>
      <binding>
        <strength value="preferred"/>
        <description value="If a section is empty, why it is empty."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/list-empty-reason"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map
             value=".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.section:section_slice_pos2.section">
      <path value="Composition.section.section"/>
      <short value="Nested Section"/>
      <definition value="A nested sub-section within this section."/>
      <comments
                value="Nested sections are primarily used to help human readers navigate to particular portions of the document."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Composition.section.section"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <contentReference
                        value="#Composition:c-cdaonfhirdiagnosticimaging.section:section_slice_pos2"/>
      <condition value="cmp-1"/>
      <mapping>
        <identity value="rim"/>
        <map
             value="./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".component.section"/>
      </mapping>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.section:section_slice_pos3">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Section"/>
      </extension>
      <path value="Composition.section"/>
      <name value="section_slice_pos3"/>
      <label value="DICOM Object Catalog Section - DCM 121181"/>
      <short value="DICOM Object Catalog Section - DCM 121181"/>
      <definition
                  value="SHOULD contain zero or one [0..1] section (CONF:2219-1825) such that it"/>
      <comments value="DICOM Object Catalog Section - DCM 121181"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="cmp-1"/>
        <severity value="error"/>
        <human
               value="A section must at least one of text, entries, or sub-sections"/>
        <expression value="text.exists() or entry.exists() or section.exists()"/>
        <xpath value="exists(f:text) or exists(f:entry) or exists(f:section)"/>
      </constraint>
      <constraint>
        <key value="cmp-2"/>
        <severity value="error"/>
        <human value="A section can only have an emptyReason if it is empty"/>
        <expression value="emptyReason.empty() or entry.empty()"/>
        <xpath value="not(exists(f:emptyReason) and exists(f:entry))"/>
      </constraint>
      <mapping>
        <identity value="rim"/>
        <map
             value="./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".component.structuredBody.component.section"/>
      </mapping>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.section:section_slice_pos3.id">
      <path value="Composition.section.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition
                  value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.section:section_slice_pos3.extension">
      <path value="Composition.section.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element. In order 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comments
                value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.section:section_slice_pos3.modifierExtension">
      <path value="Composition.section.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/>
      <comments
                value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.section:section_slice_pos3.title:section_slice_pos3">
      <path value="Composition.section.title"/>
      <name value="section_slice_pos3"/>
      <short value="title"/>
      <definition
                  value="SHALL contain exactly one [1..1] title (CONF:2219-1829)."/>
      <comments
                value="The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element."/>
      <requirements
                    value="Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized."/>
      <alias value="header"/>
      <alias value="label"/>
      <alias value="caption"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.title"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="./title"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".title"/>
      </mapping>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.section:section_slice_pos3.code:section_slice_pos3">
      <path value="Composition.section.code"/>
      <name value="section_slice_pos3"/>
      <label value="Dicom Object Catalog"/>
      <short value="Dicom Object Catalog"/>
      <definition
                  value="SHALL contain exactly one [1..1] code="121181" (CodeSystem: DCM urn:oid:1.2.840.10008.2.16.4) (CONF:2219-1830)."/>
      <comments
                value="The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code."/>
      <requirements
                    value="Provides computable standardized labels to topics within the document."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <fixedCodeableConcept>
        <coding>
          <system value="urn:oid:1.2.840.10008.2.16.4"/>
          <code value="121181"/>
        </coding>
      </fixedCodeableConcept>
      <binding>
        <strength value="example"/>
        <description
                     value="Classification of a section of a composition/document."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/doc-section-codes"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="./code"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".code"/>
      </mapping>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.section:section_slice_pos3.text:section_slice_pos3">
      <path value="Composition.section.text"/>
      <name value="section_slice_pos3"/>
      <short value="text"/>
      <definition
                  value="SHALL contain exactly one [1..1] text (CONF:2219-1831)."/>
      <comments
                value="Document profiles may define what content should be represented in the narrative to ensure clinical safety."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.text"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Narrative"/>
      </type>
      <condition value="cmp-1"/>
      <mapping>
        <identity value="rim"/>
        <map value=".text"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".text"/>
      </mapping>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.section:section_slice_pos3.mode">
      <path value="Composition.section.mode"/>
      <short value="working | snapshot | changes"/>
      <definition
                  value="How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted."/>
      <requirements
                    value="Sections are used in various ways, and it must be known in what way it is safe to use the entries in them."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.mode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <description value="The processing mode that applies to this section."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/list-mode"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="n/a"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="class"/>
      </mapping>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.section:section_slice_pos3.orderedBy">
      <path value="Composition.section.orderedBy"/>
      <short value="Order of section entries"/>
      <definition
                  value="Specifies the order applied to the items in the section entries."/>
      <comments
                value="Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order."/>
      <requirements
                    value="Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.orderedBy"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <strength value="preferred"/>
        <description value="What order applies to the items in the entry."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/list-order"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value=".outboundRelationship[typeCode=COMP].sequenceNumber > 1"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.section:section_slice_pos3.entry">
      <path value="Composition.section.entry"/>
      <short value="A reference to data that supports this section"/>
      <definition
                  value="A reference to the actual resource from which the narrative in the section is derived."/>
      <comments
                value="If there are no entries in the list, an emptyReason SHOULD be provided."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Composition.section.entry"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Resource"/>
      </type>
      <condition value="cmp-2"/>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".entry"/>
      </mapping>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.section:section_slice_pos3.emptyReason">
      <path value="Composition.section.emptyReason"/>
      <short value="Why the section is empty"/>
      <definition
                  value="If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason."/>
      <comments
                value="The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases."/>
      <requirements
                    value="Allows capturing things like "none exist" or "not asked" which can be important for most lists."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.emptyReason"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <condition value="cmp-2"/>
      <binding>
        <strength value="preferred"/>
        <description value="If a section is empty, why it is empty."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/list-empty-reason"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map
             value=".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.section:section_slice_pos3.section">
      <path value="Composition.section.section"/>
      <short value="Nested Section"/>
      <definition value="A nested sub-section within this section."/>
      <comments
                value="Nested sections are primarily used to help human readers navigate to particular portions of the document."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Composition.section.section"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <contentReference
                        value="#Composition:c-cdaonfhirdiagnosticimaging.section:section_slice_pos3"/>
      <condition value="cmp-1"/>
      <mapping>
        <identity value="rim"/>
        <map
             value="./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".component.section"/>
      </mapping>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.section:section_slice_pos4">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Section"/>
      </extension>
      <path value="Composition.section"/>
      <name value="section_slice_pos4"/>
      <short value="section"/>
      <definition
                  value="MAY contain zero or more [0..*] section (CONF:2219-1826) such that it"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Composition.section"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="cmp-1"/>
        <severity value="error"/>
        <human
               value="A section must at least one of text, entries, or sub-sections"/>
        <expression value="text.exists() or entry.exists() or section.exists()"/>
        <xpath value="exists(f:text) or exists(f:entry) or exists(f:section)"/>
      </constraint>
      <constraint>
        <key value="cmp-2"/>
        <severity value="error"/>
        <human value="A section can only have an emptyReason if it is empty"/>
        <expression value="emptyReason.empty() or entry.empty()"/>
        <xpath value="not(exists(f:emptyReason) and exists(f:entry))"/>
      </constraint>
      <mapping>
        <identity value="rim"/>
        <map
             value="./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".component.structuredBody.component.section"/>
      </mapping>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.section:section_slice_pos4.id">
      <path value="Composition.section.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition
                  value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.section:section_slice_pos4.extension">
      <path value="Composition.section.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element. In order 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comments
                value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.section:section_slice_pos4.modifierExtension">
      <path value="Composition.section.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/>
      <comments
                value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.section:section_slice_pos4.title:section_slice_pos4">
      <path value="Composition.section.title"/>
      <name value="section_slice_pos4"/>
      <short value="title"/>
      <definition
                  value="SHOULD contain zero or one [0..1] title (CONF:2219-1833)."/>
      <comments
                value="The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element."/>
      <requirements
                    value="Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized."/>
      <alias value="header"/>
      <alias value="label"/>
      <alias value="caption"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.title"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="./title"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".title"/>
      </mapping>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.section:section_slice_pos4.code:section_slice_pos4">
      <path value="Composition.section.code"/>
      <name value="section_slice_pos4"/>
      <short value="code"/>
      <definition
                  value="SHALL contain exactly one [1..1] code, which SHOULD be selected from ValueSet DIRSectionTypeCodes urn:oid:2.16.840.1.113883.11.20.9.59 DYNAMIC (CONF:2219-1834)."/>
      <comments
                value="The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code."/>
      <requirements
                    value="Provides computable standardized labels to topics within the document."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <strength value="preferred"/>
        <valueSetReference>
          <reference
                     value="http://hl7.org/fhir/ccda/ValueSet/2.16.840.1.113883.11.20.9.59"/>
          <display value="DIRSectionTypeCodes"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="./code"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".code"/>
      </mapping>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.section:section_slice_pos4.text:section_slice_pos4">
      <path value="Composition.section.text"/>
      <name value="section_slice_pos4"/>
      <short value="text"/>
      <definition
                  value="SHOULD contain zero or one [0..1] text (CONF:2219-1835)."/>
      <comments
                value="Document profiles may define what content should be represented in the narrative to ensure clinical safety."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.text"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Narrative"/>
      </type>
      <condition value="cmp-1"/>
      <mapping>
        <identity value="rim"/>
        <map value=".text"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".text"/>
      </mapping>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.section:section_slice_pos4.mode">
      <path value="Composition.section.mode"/>
      <short value="working | snapshot | changes"/>
      <definition
                  value="How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted."/>
      <requirements
                    value="Sections are used in various ways, and it must be known in what way it is safe to use the entries in them."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.mode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <description value="The processing mode that applies to this section."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/list-mode"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="n/a"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="class"/>
      </mapping>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.section:section_slice_pos4.orderedBy">
      <path value="Composition.section.orderedBy"/>
      <short value="Order of section entries"/>
      <definition
                  value="Specifies the order applied to the items in the section entries."/>
      <comments
                value="Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order."/>
      <requirements
                    value="Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.orderedBy"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <strength value="preferred"/>
        <description value="What order applies to the items in the entry."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/list-order"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value=".outboundRelationship[typeCode=COMP].sequenceNumber > 1"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.section:section_slice_pos4.entry">
      <path value="Composition.section.entry"/>
      <short value="A reference to data that supports this section"/>
      <definition
                  value="A reference to the actual resource from which the narrative in the section is derived."/>
      <comments
                value="If there are no entries in the list, an emptyReason SHOULD be provided."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Composition.section.entry"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Resource"/>
      </type>
      <condition value="cmp-2"/>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".entry"/>
      </mapping>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.section:section_slice_pos4.emptyReason">
      <path value="Composition.section.emptyReason"/>
      <short value="Why the section is empty"/>
      <definition
                  value="If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason."/>
      <comments
                value="The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases."/>
      <requirements
                    value="Allows capturing things like "none exist" or "not asked" which can be important for most lists."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.emptyReason"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <condition value="cmp-2"/>
      <binding>
        <strength value="preferred"/>
        <description value="If a section is empty, why it is empty."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/list-empty-reason"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map
             value=".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.section:section_slice_pos4.section">
      <path value="Composition.section.section"/>
      <short value="Nested Section"/>
      <definition value="A nested sub-section within this section."/>
      <comments
                value="Nested sections are primarily used to help human readers navigate to particular portions of the document."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Composition.section.section"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <contentReference
                        value="#Composition:c-cdaonfhirdiagnosticimaging.section:section_slice_pos4"/>
      <condition value="cmp-1"/>
      <mapping>
        <identity value="rim"/>
        <map
             value="./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".component.section"/>
      </mapping>
    </element>
  </snapshot>
  <differential>
    <element id="Composition:c-cdaonfhirdiagnosticimaging">
      <path value="Composition"/>
    </element>
    <element id="Composition:c-cdaonfhirdiagnosticimaging.type">
      <path value="Composition.type"/>
      <label value="Diagnostic Imaging Report"/>
      <short value="Diagnostic Imaging Report"/>
      <definition
                  value="SHALL contain exactly one [1..1] type, which SHOULD be selected from ValueSet LOINC Imaging Document Codes urn:oid:1.3.6.1.4.1.12009.10.2.5 DYNAMIC (CONF:2219-1832)."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <strength value="preferred"/>
        <valueSetReference>
          <reference
                     value="http://hl7.org/fhir/ccda/ValueSet/1.3.6.1.4.1.12009.10.2.5"/>
          <display value="LOINC Imaging Document Codes"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="Composition:c-cdaonfhirdiagnosticimaging.section">
      <path value="Composition.section"/>
      <slicing>
        <discriminator value="Composition.section.code"/>
        <rules value="open"/>
      </slicing>
      <definition
                  value="MAY contain zero or more [0..*] section (CONF:2219-1826) such that it"/>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.section:section_slice_pos2">
      <path value="Composition.section"/>
      <name value="section_slice_pos2"/>
      <label value="Findings Section"/>
      <short value="Findings Section"/>
      <definition
                  value="SHALL contain exactly one [1..1] section (CONF:2219-1824) such that it"/>
      <comments value="Findings Section"/>
      <min value="1"/>
      <max value="1"/>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.section:section_slice_pos2.title:section_slice_pos2">
      <path value="Composition.section.title"/>
      <name value="section_slice_pos2"/>
      <short value="title"/>
      <definition
                  value="SHALL contain exactly one [1..1] title="Findings" (CONF:2219-1827)."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <fixedString value="Findings"/>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.section:section_slice_pos2.code:section_slice_pos2">
      <path value="Composition.section.code"/>
      <name value="section_slice_pos2"/>
      <short value="code"/>
      <definition
                  value="SHALL contain exactly one [1..1] code (CONF:2219-1836)."/>
      <min value="1"/>
      <max value="1"/>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.section:section_slice_pos2.text:section_slice_pos2">
      <path value="Composition.section.text"/>
      <name value="section_slice_pos2"/>
      <short value="text"/>
      <definition
                  value="SHALL contain exactly one [1..1] text (CONF:2219-1828)."/>
      <min value="1"/>
      <max value="1"/>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.section:section_slice_pos3">
      <path value="Composition.section"/>
      <name value="section_slice_pos3"/>
      <label value="DICOM Object Catalog Section - DCM 121181"/>
      <short value="DICOM Object Catalog Section - DCM 121181"/>
      <definition
                  value="SHOULD contain zero or one [0..1] section (CONF:2219-1825) such that it"/>
      <comments value="DICOM Object Catalog Section - DCM 121181"/>
      <min value="0"/>
      <max value="1"/>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.section:section_slice_pos3.title:section_slice_pos3">
      <path value="Composition.section.title"/>
      <name value="section_slice_pos3"/>
      <short value="title"/>
      <definition
                  value="SHALL contain exactly one [1..1] title (CONF:2219-1829)."/>
      <min value="1"/>
      <max value="1"/>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.section:section_slice_pos3.code:section_slice_pos3">
      <path value="Composition.section.code"/>
      <name value="section_slice_pos3"/>
      <label value="Dicom Object Catalog"/>
      <short value="Dicom Object Catalog"/>
      <definition
                  value="SHALL contain exactly one [1..1] code="121181" (CodeSystem: DCM urn:oid:1.2.840.10008.2.16.4) (CONF:2219-1830)."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <fixedCodeableConcept>
        <coding>
          <system value="urn:oid:1.2.840.10008.2.16.4"/>
          <code value="121181"/>
        </coding>
      </fixedCodeableConcept>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.section:section_slice_pos3.text:section_slice_pos3">
      <path value="Composition.section.text"/>
      <name value="section_slice_pos3"/>
      <short value="text"/>
      <definition
                  value="SHALL contain exactly one [1..1] text (CONF:2219-1831)."/>
      <min value="1"/>
      <max value="1"/>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.section:section_slice_pos4">
      <path value="Composition.section"/>
      <name value="section_slice_pos4"/>
      <short value="section"/>
      <definition
                  value="MAY contain zero or more [0..*] section (CONF:2219-1826) such that it"/>
      <min value="0"/>
      <max value="*"/>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.section:section_slice_pos4.title:section_slice_pos4">
      <path value="Composition.section.title"/>
      <name value="section_slice_pos4"/>
      <short value="title"/>
      <definition
                  value="SHOULD contain zero or one [0..1] title (CONF:2219-1833)."/>
      <min value="0"/>
      <max value="1"/>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.section:section_slice_pos4.code:section_slice_pos4">
      <path value="Composition.section.code"/>
      <name value="section_slice_pos4"/>
      <short value="code"/>
      <definition
                  value="SHALL contain exactly one [1..1] code, which SHOULD be selected from ValueSet DIRSectionTypeCodes urn:oid:2.16.840.1.113883.11.20.9.59 DYNAMIC (CONF:2219-1834)."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <strength value="preferred"/>
        <valueSetReference>
          <reference
                     value="http://hl7.org/fhir/ccda/ValueSet/2.16.840.1.113883.11.20.9.59"/>
          <display value="DIRSectionTypeCodes"/>
        </valueSetReference>
      </binding>
    </element>
    <element
             id="Composition:c-cdaonfhirdiagnosticimaging.section:section_slice_pos4.text:section_slice_pos4">
      <path value="Composition.section.text"/>
      <name value="section_slice_pos4"/>
      <short value="text"/>
      <definition
                  value="SHOULD contain zero or one [0..1] text (CONF:2219-1835)."/>
      <min value="0"/>
      <max value="1"/>
    </element>
  </differential>
</StructureDefinition>