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StructureDefinition "xhtml" Version "1"

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<?xml version="1.0" encoding="UTF-8"?>
<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="xhtml"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2018-09-06T12:33:47.093Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">to do</div>
  </text>
  <url value="http://hl7.org/fhir/StructureDefinition/xhtml"/>
  <name value="xhtml"/>
  <status value="draft"/>
  <publisher value="HL7 FHIR Standard"/>
  <contact>
    <telecom>
      <system value="other"/>
      <value value="http://hl7.org/fhir"/>
    </telecom>
  </contact>
  <date value="2016-12-23T11:29:19+11:00"/>
  <description value="Base StructureDefinition for xhtml Type"/>
  <fhirVersion value="1.9.0"/>
  <kind value="datatype"/>
  <abstract value="false"/>
  <base value="http://hl7.org/fhir/StructureDefinition/Element"/>
  <snapshot>
    <element id="xhtml">
      <path value="xhtml"/>
      <short value="Primitive Type xhtml"/>
      <definition value="XHTML"/>
      <min value="0"/>
      <max value="*"/>
    </element>
    <element id="xhtml.id">
      <path value="xhtml.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)"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="id"/>
      </type>
    </element>
    <element id="xhtml.extension">
      <path value="xhtml.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 resource. 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="0"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
    </element>
    <element id="xhtml.value">
      <path value="xhtml.value"/>
      <short value="Actual xhtml"/>
      <definition value="Actual xhtml"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code>
          <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-json-type">
            <valueString value="string"/>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-xml-type">
            <valueString value="xhtml:div"/>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-rdf-type">
            <valueString value="string"/>
          </extension>
        </code>
      </type>
    </element>
  </snapshot>
  <differential>
    <element id="xhtml">
      <path value="xhtml"/>
      <short value="Primitive Type xhtml"/>
      <definition value="XHTML"/>
      <min value="0"/>
      <max value="*"/>
    </element>
    <element id="xhtml.extension">
      <path value="xhtml.extension"/>
      <max value="0"/>
    </element>
    <element id="xhtml.value">
      <path value="xhtml.value"/>
      <short value="Actual xhtml"/>
      <definition value="Actual xhtml"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code>
          <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-json-type">
            <valueString value="string"/>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-xml-type">
            <valueString value="xhtml:div"/>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-rdf-type">
            <valueString value="string"/>
          </extension>
        </code>
      </type>
    </element>
  </differential>
</StructureDefinition>

StructureDefinition "xdsdocumentreference" Version "1"

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<?xml version="1.0" encoding="UTF-8"?>
<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="xdsdocumentreference"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2018-09-06T12:33:46.968Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">to do</div>
  </text>
  <url value="http://hl7.org/fhir/StructureDefinition/xdsdocumentreference"/>
  <name value="XDS profile for Document Reference"/>
  <status value="draft"/>
  <publisher value="HL7"/>
  <contact>
    <telecom>
      <system value="other"/>
      <value value="http://www.hl7.org"/>
    </telecom>
  </contact>
  <date value="2012-06-24"/>
  <description value="XDSDocumentEntry"/>
  <fhirVersion value="1.0.2"/>
  <kind value="resource"/>
  <constrainedType value="DocumentReference"/>
  <abstract value="false"/>
  <base value="http://hl7.org/fhir/StructureDefinition/DocumentReference"/>
  <snapshot>
    <element>
      <path value="DocumentReference"/>
      <name value="XDSDocumentReference"/>
      <short value="XDSDocumentEntry"/>
      <definition value="A reference to a document."/>
      <comments value="Usually, this is used for documents other than those defined by FHIR."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DocumentReference"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="DocumentReference"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="Document[classCode=&quot;DOC&quot; and moodCode=&quot;EVN&quot;]"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="infrastructure.documents"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentReference.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. Bundles always have an id, though it is usually a generated UUID."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DocumentReference.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="DocumentReference.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="DocumentReference.meta"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Meta"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="DocumentReference.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="DocumentReference.implicitRules"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="DocumentReference.language"/>
      <short value="Language of the resource content"/>
      <definition value="The base language in which the resource is written."/>
      <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="0"/>
      <max value="1"/>
      <base>
        <path value="DocumentReference.language"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <description value="A human language."/>
        <valueSetUri value="http://tools.ietf.org/html/bcp47"/>
      </binding>
    </element>
    <element>
      <path value="DocumentReference.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 &quot;clinically safe&quot; 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."/>
      <alias value="narrative"/>
      <alias value="html"/>
      <alias value="xhtml"/>
      <alias value="display"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DocumentReference.text"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Narrative"/>
      </type>
      <condition value="dom-1"/>
      <mapping>
        <identity value="rim"/>
        <map value="Act.text?"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentReference.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="DocumentReference.contained"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Resource"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentReference.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 resource. 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="DocumentReference.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentReference.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="DocumentReference.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>
      <path value="DocumentReference.masterIdentifier"/>
      <short value="XDSDocumentEntry.uniqueId"/>
      <definition value="Globally unique identifier assigned to the document by the creating entity. A DocumentEntry representing a single document is identified by the uniqueId attribute the linkage between DocumentEntry and the Document it represents is made with the uniqueId attribute. This unique identifier may be used in other documents to reference this document."/>
      <comments value="CDA Document Id extension and root."/>
      <requirements value="The structure and format of this Id shall be consistent with the specification corresponding to the formatCode attribute. (e.g. for a DICOM standard document a 64 character numeric UID, for an HL7 CDA format a serialization of the CDA Document Id extension and root in the form &quot;oid^extension&quot;, where OID is a 64 digits max, and the Id is a 16 UTF-8 char max. If the OID is coded without the extension then the &apos;^&apos; character shall not be included.)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="DocumentReference.masterIdentifier"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Identifier"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="xds"/>
        <map value="DocumentEntry.uniqueId"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="TXA-12"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".id"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="id"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentReference.identifier"/>
      <short value="XDSDocumentEntry.referenceIdList"/>
      <definition value="Other identifiers for the document."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DocumentReference.identifier"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Identifier"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="xds"/>
        <map value="DocumentEntry.entryUUID"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="TXA-16?"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".id / .setId"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="id"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentReference.subject"/>
      <short value="XDSDocumentEntry.patientId + sourcePatientId/sourcePatientInfo"/>
      <definition value="The patientId represents the subject of care of the document. The value of the patientId shall be the same for all new documents of a SubmissionSet. Patient information typically includes: the patient first and last name, sex, and birth date."/>
      <comments value="In the context of XDS, the patientId shall be the one with use = official. The Clinical XDS Affinity Domain policies may require more or less specific information and format. This patient information is not intended to be updated once the Document is registered (just as the Document content and metadata itself will not be updated without replacing the previous document). As sourcePatientInfo may have been updated by the source actor, it may no longer be in use within the Document Source (EHR-CR). It is only intended as an audit/checking mechanism and has occasional use for Document Consumer actors."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="DocumentReference.subject"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="xds"/>
        <map value="DocumentEntry.patientId"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="PID-3 (No standard way to define a Practitioner or Group subject in HL7 v2 MDM message)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=&quot;SBJ&quot;].role[typeCode=&quot;PAT&quot;]"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="who.focus"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentReference.type"/>
      <short value="XDSDocumentEntry.typeCode"/>
      <definition value="The code specifying the particular kind of document (e.g. Prescription, Discharge Summary, Report). It is suggested that the XDS Affinity Domain draws these values from a coding scheme providing a coarse level of granularity (about 10 to 100 entries). Shall have a single value."/>
      <comments value="Key metadata element describing the document, used in searching/filtering."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="DocumentReference.type"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="preferred"/>
        <description value="Precise type of clinical document."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/c80-doc-typecodes"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="xds"/>
        <map value="DocumentEntry.type"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="TXA-2"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="./code"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="class"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentReference.class"/>
      <short value="XDSDocumentEntry.classCode"/>
      <definition value="A categorization for the type of the document. This may be implied by or derived from the code specified in the Document Type."/>
      <comments value="XDSDocumentEntry.typeCode."/>
      <requirements value="Helps humans to assess whether the document is of interest when viewing a list of documents."/>
      <alias value="kind"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="DocumentReference.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/c80-doc-classcodes"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="xds"/>
        <map value="DocumentEntry.class"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".outboundRelationship[typeCode=&quot;COMP].target[classCode=&quot;LIST&quot;, moodCode=&quot;EVN&quot;].code"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="class"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentReference.author"/>
      <short value="XDSDocumentEntry.author"/>
      <definition value="Represents the humans and/or machines that authored the document."/>
      <comments value="Not necessarily who did the actual data entry (i.e. typist) it in or who was the source (informant)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="DocumentReference.author"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Device"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="xds"/>
        <map value="DocumentEntry.author"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="TXA-9 (No standard way to indicate a Device in HL7 v2 MDM message)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=&quot;AUT&quot;].role[classCode=&quot;ASSIGNED&quot;]"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="who.author"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentReference.custodian"/>
      <short value="n/a"/>
      <definition value="Org which maintains the document."/>
      <comments value="Identifies the logical organization to go to find the current version, where to report issues, etc. This is different from the physical location of the document, which is the technical location of the document, which host may be delegated to the management of some other organization."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="DocumentReference.custodian"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=&quot;RCV&quot;].role[classCode=&quot;CUST&quot;].scoper[classCode=&quot;ORG&quot; and determinerCode=&quot;INST&quot;]"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentReference.authenticator"/>
      <short value="??"/>
      <definition value="Represents a participant who has legally authenticated or attested the document within the authorInstitution. Legal authentication implies that a document has been signed manually or electronically by the legalAuthenticator."/>
      <comments value="Represents a participant within the author institution who has legally authenticated or attested the document. Legal authentication implies that a document has been signed manually or electronically by the legal Authenticator."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DocumentReference.authenticator"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="xds"/>
        <map value="DocumentEntry.legalAuthenticator"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="TXA-10"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=&quot;AUTHEN&quot;].role[classCode=&quot;ASSIGNED&quot;]"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="who.witness"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentReference.created"/>
      <short value="XDSDocumentEntry.creationTime"/>
      <definition value="Represents the time the author created the document in the Document Source."/>
      <comments value="Creation time is used for tracking, organizing versions and searching. This is the creation time of the document, not the source material on which it is based."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="DocumentReference.created"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="dateTime"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="xds"/>
        <map value="DocumentEntry.submissionTime"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="TXA-6"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".effectiveTime[type=&quot;TS&quot;]"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="when.done"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentReference.indexed"/>
      <short value="XDS submission time or XDSDocumentEntry.creationTime if unknown"/>
      <definition value="When this document reference created."/>
      <comments value="Referencing/indexing time is used for tracking, organizing versions and searching."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="DocumentReference.indexed"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="instant"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="xds"/>
        <map value="DocumentEntry.submissionTime"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".availabilityTime[type=&quot;TS&quot;]"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="when.recorded"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentReference.status"/>
      <short value="implied by XDS workflow"/>
      <definition value="This attribute is always set to Approved as part of the submission of new XDS Documents. It may be changed to Deprecated under the primary responsibility of the Document Source with possible patient supervision. Although XDS supports the ability to delete documents, there is no such state as ???the Document Entry is removed??? (only an audit trail is kept if such a deletion is allowed)."/>
      <comments value="This is the status of the DocumentReference object, which might be independent from the docStatus element."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="DocumentReference.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 status of the document reference."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/document-reference-status"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="xds"/>
        <map value="DocumentEntry status"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="TXA-19"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="interim: .completionCode=&quot;IN&quot; &amp; ./statusCode[isNormalDatatype()]=&quot;active&quot; final: .completionCode=&quot;AU&quot; &amp;&amp; ./statusCode[isNormalDatatype()]=&quot;complete&quot; and not(./inboundRelationship[typeCode=&quot;SUBJ&quot; and isNormalActRelationship()]/source[subsumesCode(&quot;ActClass#CACT&quot;) and moodCode=&quot;EVN&quot; and domainMember(&quot;ReviseDocument&quot;, code) and isNormalAct()]) amended: .completionCode=&quot;AU&quot; &amp;&amp; ./statusCode[isNormalDatatype()]=&quot;complete&quot; and ./inboundRelationship[typeCode=&quot;SUBJ&quot; and isNormalActRelationship()]/source[subsumesCode(&quot;ActClass#CACT&quot;) and moodCode=&quot;EVN&quot; and domainMember(&quot;ReviseDocument&quot;, code) and isNormalAct() and statusCode=&quot;completed&quot;] withdrawn : .completionCode=NI &amp;&amp; ./statusCode[isNormalDatatype()]=&quot;obsolete&quot;"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="status"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentReference.docStatus"/>
      <short value="preliminary | final | appended | amended | entered-in-error"/>
      <definition value="Status of the underlying document."/>
      <comments value="The document that is pointed to might be in various lifecycle states."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="DocumentReference.docStatus"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <description value="Status of the underlying document."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/composition-status"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="TXA-17"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".statusCode"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="status"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentReference.relatesTo"/>
      <short value="Relationships that this document has with other document references that already exist"/>
      <definition value="Relationships to other documents."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DocumentReference.relatesTo"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value=".outboundRelationship"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentReference.relatesTo.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)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DocumentReference.relatesTo.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentReference.relatesTo.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="DocumentReference.relatesTo.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentReference.relatesTo.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="DocumentReference.relatesTo.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>
      <path value="DocumentReference.relatesTo.code"/>
      <short value="The type of relationship that this document has with anther document"/>
      <definition value="supersedes | transforms | signs | appends."/>
      <comments value="If this document appends another document, then the document cannot be fully understood without also accessing the referenced document."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="DocumentReference.relatesTo.code"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <description value="The type of relationship between documents."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/document-relationship-type"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="xds"/>
        <map value="DocumentEntry Associations type"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".outboundRelationship.typeCode"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentReference.relatesTo.target"/>
      <short value="The target document of this relationship"/>
      <definition value="Target of the relationship."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="DocumentReference.relatesTo.target"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="xds"/>
        <map value="DocumentEntry Associations reference"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".target[classCode=&quot;DOC&quot;, moodCode=&quot;EVN&quot;].id"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentReference.description"/>
      <short value="XDSDocumentEntry.title"/>
      <definition value="Represents the title of the document."/>
      <comments value="What the document is about, rather than a terse summary of the document. It is commonly the case that records do not have a title and are collectively referred to by the display name of Record code (e.g. a &quot;consultation&quot; or &quot;progress note&quot;)."/>
      <requirements value="Helps humans to assess whether the document is of interest."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DocumentReference.description"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="xds"/>
        <map value="DocumentEntry.description"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="TXA-25"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".outboundRelationship[typeCode=&quot;SUBJ&quot;].target.text"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentReference.securityLabel"/>
      <short value="XDSDocumentEntry.confidentialityCode"/>
      <definition value="The code specifying the level of confidentiality of the XDS Document. These codes are specific to an XDS Affinity Domain."/>
      <comments value="Enforcement and issues related to highly sensitive documents are beyond the scope of XDS (see security section). confidentialityCode is part of a codification scheme and value set enforced by the Document Registry."/>
      <requirements value="Use of the Health Care Privacy/Security Classification (HCS) system of security-tag use is recommended."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="DocumentReference.securityLabel"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="extensible"/>
        <description value="Security Labels from the Healthcare Privacy and Security Classification System."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/security-labels"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="xds"/>
        <map value="DocumentEntry.confidentialityCode"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="TXA-18"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".confidentialityCode"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentReference.content"/>
      <short value="Document referenced"/>
      <definition value="The document and format referenced. There may be multiple content element repetitions, each with a different format."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="DocumentReference.content"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="document.text"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentReference.content.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)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DocumentReference.content.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentReference.content.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="DocumentReference.content.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentReference.content.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="DocumentReference.content.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>
      <path value="DocumentReference.content.attachment"/>
      <short value="Where to access the document"/>
      <definition value="The document or url of the document along with critical metadata to prove content has integrity."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="DocumentReference.content.attachment"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Attachment"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="xds"/>
        <map value="DocumentEntry.mimeType DocumentEntry.languageCode DocumentEntry.URI DocumentEntry.size DocumentEntry.hash DocumentEntry.title"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="TXA-3 for mime type"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="document.text"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentReference.content.attachment.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)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Attachment.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentReference.content.attachment.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="Attachment.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentReference.content.attachment.contentType"/>
      <short value="XDSDocumentEntry.mimeType"/>
      <definition value="MIME type of the document in the Repository."/>
      <requirements value="Processors of the data need to be able to know how to interpret the data."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Attachment.contentType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <exampleCode value="text/plain charset=UTF-8, image/png"/>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <description value="The mime type of an attachment. Any valid mime type is allowed."/>
        <valueSetUri value="http://www.rfc-editor.org/bcp/bcp13.txt"/>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="ED.2+ED.3/RP.2+RP.3. Note conversion may be needed if old style values are being used"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="./mediaType, ./charset"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentReference.content.attachment.language"/>
      <short value="XDSDocumentEntry.languageCode"/>
      <definition value="Specifies the human language of character data in the document. The values of the attribute are language identifiers as described by the IETF (Internet Engineering Task Force) RFC 3066."/>
      <comments value="This value may further be restricted by the registry according to XDS Affinity Domain specific policy."/>
      <requirements value="Users need to be able to choose between the languages in a set of attachments."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Attachment.language"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <exampleCode value="en-AU"/>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <description value="A human language."/>
        <valueSetUri value="http://tools.ietf.org/html/bcp47"/>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="./language"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentReference.content.attachment.data"/>
      <short value="Data inline, base64ed"/>
      <definition value="The actual data of the attachment - a sequence of bytes. In XML, represented using base64."/>
      <comments value="The base64-encoded data SHALL be expressed in the same character set as the base resource XML or JSON."/>
      <requirements value="The data needs to able to be transmitted inline."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Attachment.data"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="base64Binary"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="ED.5"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="./data"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentReference.content.attachment.url"/>
      <short value="repository location (by implication &amp; configuration)"/>
      <definition value="Where to access the document."/>
      <comments value="If both data and url are provided, the url SHALL point to the same content as the data contains. Urls may be relative references or may reference transient locations such as a wrapping envelope using cid: though this has ramifications for using signatures. Relative URLs are interpreted relative to the service url, like a resource reference, rather than relative to the resource itself. If a URL is provided, it SHALL resolve to actual data."/>
      <requirements value="The data needs to be transmitted by reference."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Attachment.url"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <exampleUri value="http://www.acme.com/logo-small.png"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="RP.1+RP.2 - if they refer to a URL (see v2.6)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="./reference/literal"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentReference.content.attachment.size"/>
      <short value="XDSDocumentEntry.size"/>
      <definition value="Size in bytes of the byte stream that was provided in the Register and Provide Transaction and stored by the XDS Document Repository. This value is computed by the Document Repository and included in the Register Documents Set Transaction."/>
      <comments value="The number of bytes is redundant if the data is provided as a base64binary, but is useful if the data is provided as a url reference."/>
      <requirements value="Representing the size allows applications to determine whether they should fetch the content automatically in advance, or refuse to fetch it at all."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Attachment.size"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="unsignedInt"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A (needs data type R3 proposal)"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentReference.content.attachment.hash"/>
      <short value="XDSDocumentEntry.hash"/>
      <definition value="Hash key of the XDS Document itself."/>
      <comments value="This value is computed by the Document Repository and used by the Document Registry for detecting the improper resubmission of XDS Documents. If present, shall have a single value. If this attribute is received in a Provide &amp; Register Document Set-b [ITI-41] transaction, it shall be verified by the repository with the actual hash value of the submitted document an XDSRepositoryMetadataError shall be returned on mismatch."/>
      <requirements value="Included so that applications can verify that the contents of a location have not changed and so that a signature of the content can implicitly sign the content of an image without having to include the data in the instance or reference the url in the signature."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Attachment.hash"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="base64Binary"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value=".integrityCheck[parent::ED/integrityCheckAlgorithm=&quot;SHA-1&quot;]"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentReference.content.attachment.title"/>
      <short value="Label to display in place of the data"/>
      <definition value="A label or set of text to display in place of the data."/>
      <requirements value="Applications need a label to display to a human user in place of the actual data if the data cannot be rendered or perceived by the viewer."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Attachment.title"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <exampleString value="Official Corporate Logo"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="./title/data"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentReference.content.attachment.creation"/>
      <short value="Date attachment was first created"/>
      <definition value="The date that the attachment was first created."/>
      <requirements value="This is often tracked as an integrity issue for use of the attachment."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Attachment.creation"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="dateTime"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A (needs data type R3 proposal)"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentReference.content.format"/>
      <short value="Format/content rules for the document"/>
      <definition value="An identifier of the document encoding, structure, and template that the document conforms to beyond the base format indicated in the mimeType."/>
      <comments value="Note that while IHE mostly issues URNs for format types, not all documents can be identified by a URI."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DocumentReference.content.format"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="preferred"/>
        <description value="Document Format Codes."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/formatcodes"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="xds"/>
        <map value="DocumentEntry.formatCode"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="document.text"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentReference.context"/>
      <short value="event codes, service Start &amp; Stop time, and facility type"/>
      <definition value="Clinical context of document - eventCodeList, serviceStart &amp; Stop time, and facility type."/>
      <comments value="These values are primarily added to help with searching for interesting/relevant documents."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DocumentReference.context"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship[typeCode=&quot;SUBJ&quot;].target[classCode&lt;&apos;ACT&apos;]"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentReference.context.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)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DocumentReference.context.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentReference.context.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="DocumentReference.context.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentReference.context.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="DocumentReference.context.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>
      <path value="DocumentReference.context.encounter"/>
      <short value="Context of the document content"/>
      <definition value="Describes the clinical encounter or type of care that the document content is associated with."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="DocumentReference.context.encounter"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="unique(highest(./outboundRelationship[typeCode=&quot;SUBJ&quot; and isNormalActRelationship()], priorityNumber)/target[moodCode=&quot;EVN&quot; and classCode=(&quot;ENC&quot;, &quot;PCPR&quot;) and isNormalAct])"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="context"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentReference.context.event"/>
      <short value="XDSDocumentEntry.eventCodeList"/>
      <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 &quot;History and Physical Report&quot; in which the procedure being documented is necessarily a &quot;History and Physical&quot; act."/>
      <comments value="An event can further specialize the act inherent in the typeCode, such as where it is simply &quot;Procedure Report&quot; and the procedure was a &quot;colonoscopy&quot;. 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="DocumentReference.context.event"/>
        <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="xds"/>
        <map value="DocumentEntry.eventCodeList"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".code"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentReference.context.period"/>
      <short value="XDSDocumentEntry.serviceStartTime &amp; XDSDocumentEntry.serviceStopTime"/>
      <definition value="The start and stop time of the service being documented took place."/>
      <comments value="At least a start date SHALL be provided."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="DocumentReference.context.period"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Period"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="xds"/>
        <map value="DocumentEntry.serviceStartTime DocumentEntry.serviceStopTime"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".effectiveTime"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentReference.context.facilityType"/>
      <short value="XDSDocumentEntry.healthCareFacilityTypeCode"/>
      <definition value="This code represents the type of organizational setting of the clinical encounter during which the documented act occurred."/>
      <comments value="In some cases, the setting of the encounter is inherent in the typeCode, such as &quot;Diabetes Clinic Progress Note&quot;. healthcareFacilityTypeCode shall be equivalent to or further specialize the value inherent in the typeCode for example, where the typeCode is simply &quot;Clinic Progress Note&quot; and the value of healthcareFacilityTypeCode is &quot;private clinic&quot;. The value shall not conflict with the value inherent in the typeCode, as such a conflict would create an ambiguous situation."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DocumentReference.context.facilityType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="XDS Facility Type."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/c80-facilitycodes"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="xds"/>
        <map value="DocumentEntry.healthcareFacilityTypeCode"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=&quot;LOC&quot;].role[classCode=&quot;DSDLOC&quot;].code"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentReference.context.practiceSetting"/>
      <short value="XDSDocumentEntry.practiceSettingCode"/>
      <definition value="XDSDocumentEntry.practiceSettingCode."/>
      <comments value="The value set for this content has an example binding because it is a value set decided by community policy. Other examples exist for consideration: * HITSP created the table HITSP/C80 Table 2-148 Clinical Specialty Value Set (a value set based upon SNOMED CT which is referenced by Direct (XDR and XDM for Direct Messaging Specification, Version 1), as well as Nationwide Health Information Network (NHIN). Query for Documents, Web Service Interface Specification, V 3.0, 07/27/2011 * ELGA (Austria) (ELGA CDA Implementie-rungsleitf&#228;den Registrierung von CDA Dokumenten f&#252;r ELGA mit IHE Cross-Enterprise Document Sharing: XDS Metadaten (XDSDocumentEntry), [1.2.40.0.34.7.6.3] * XDS Connect-a-thon practiceSettingCode."/>
      <requirements value="This is an important piece of metadata that providers often rely upon to quickly sort and/or filter out to find specific content."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DocumentReference.context.practiceSetting"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="Additional details about where the content was created (e.g. clinical specialty)."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/c80-practice-codes"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="xds"/>
        <map value="DocumentEntry.practiceSettingCode"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=&quot;LOC&quot;].role[classCode=&quot;DSDLOC&quot;].code"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentReference.context.sourcePatientInfo"/>
      <short value="Patient demographics from source"/>
      <definition value="The Patient Information as known when the document was published. May be a reference to a version specific, or contained."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DocumentReference.context.sourcePatientInfo"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="xds"/>
        <map value="DocumentEntry.sourcePatientInfo DocumentEntry.sourcePatientId"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=&quot;SBJ&quot;].role[typeCode=&quot;PAT&quot;]"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentReference.context.related"/>
      <short value="Related identifiers or resources"/>
      <definition value="Related identifiers or resources associated with the DocumentReference."/>
      <comments value="May be identifiers or resources that caused the DocumentReference or referenced Document to be created."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DocumentReference.context.related"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="xds"/>
        <map value="DocumentEntry.referenceIdList"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="./outboundRelationship[typeCode=&quot;PERT&quot; and isNormalActRelationship()] / target[isNormalAct]"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentReference.context.related.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)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DocumentReference.context.related.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentReference.context.related.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="DocumentReference.context.related.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentReference.context.related.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="DocumentReference.context.related.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>
      <path value="DocumentReference.context.related.identifier"/>
      <short value="Identifier of related objects or events"/>
      <definition value="Related identifier to this DocumentReference. If both id and ref are present they shall refer to the same thing."/>
      <comments value="Order numbers, accession numbers, XDW workflow numbers."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DocumentReference.context.related.identifier"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Identifier"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="./outboundRelationship[typeCode=&quot;PERT&quot; and isNormalActRelationship()] / target[isNormalAct] .id"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentReference.context.related.ref"/>
      <short value="Related Resource"/>
      <definition value="Related Resource to this DocumentReference. If both id and ref are present they shall refer to the same thing."/>
      <comments value="Order, DiagnosticOrder, Procedure, EligibilityRequest, etc."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DocumentReference.context.related.ref"/>
        <min value="0"/>
        <max value="1"/>
      </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=&quot;PERT&quot; and isNormalActRelationship()] / target[isNormalAct].text.reference"/>
      </mapping>
    </element>
  </snapshot>
  <differential>
    <element>
      <path value="DocumentReference"/>
      <name value="XDSDocumentReference"/>
      <short value="XDSDocumentEntry"/>
      <definition value="A reference to a document."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="DocumentReference"/>
      </type>
    </element>
    <element>
      <path value="DocumentReference.masterIdentifier"/>
      <short value="XDSDocumentEntry.uniqueId"/>
      <definition value="Globally unique identifier assigned to the document by the creating entity. A DocumentEntry representing a single document is identified by the uniqueId attribute the linkage between DocumentEntry and the Document it represents is made with the uniqueId attribute. This unique identifier may be used in other documents to reference this document."/>
      <min value="1"/>
      <max value="1"/>
    </element>
    <element>
      <path value="DocumentReference.identifier"/>
      <short value="XDSDocumentEntry.referenceIdList"/>
      <definition value="Other identifiers for the document."/>
    </element>
    <element>
      <path value="DocumentReference.subject"/>
      <short value="XDSDocumentEntry.patientId + sourcePatientId/sourcePatientInfo"/>
      <definition value="The patientId represents the subject of care of the document. The value of the patientId shall be the same for all new documents of a SubmissionSet. Patient information typically includes: the patient first and last name, sex, and birth date."/>
      <comments value="In the context of XDS, the patientId shall be the one with use = official. The Clinical XDS Affinity Domain policies may require more or less specific information and format. This patient information is not intended to be updated once the Document is registered (just as the Document content and metadata itself will not be updated without replacing the previous document). As sourcePatientInfo may have been updated by the source actor, it may no longer be in use within the Document Source (EHR-CR). It is only intended as an audit/checking mechanism and has occasional use for Document Consumer actors."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
      </type>
    </element>
    <element>
      <path value="DocumentReference.type"/>
      <short value="XDSDocumentEntry.typeCode"/>
      <definition value="The code specifying the particular kind of document (e.g. Prescription, Discharge Summary, Report). It is suggested that the XDS Affinity Domain draws these values from a coding scheme providing a coarse level of granularity (about 10 to 100 entries). Shall have a single value."/>
    </element>
    <element>
      <path value="DocumentReference.class"/>
      <short value="XDSDocumentEntry.classCode"/>
      <definition value="A categorization for the type of the document. This may be implied by or derived from the code specified in the Document Type."/>
      <comments value="XDSDocumentEntry.typeCode."/>
      <min value="1"/>
      <max value="1"/>
    </element>
    <element>
      <path value="DocumentReference.author"/>
      <short value="XDSDocumentEntry.author"/>
      <definition value="Represents the humans and/or machines that authored the document."/>
      <min value="1"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Device"/>
      </type>
    </element>
    <element>
      <path value="DocumentReference.custodian"/>
      <short value="n/a"/>
      <definition value="Org which maintains the document."/>
      <min value="0"/>
      <max value="0"/>
    </element>
    <element>
      <path value="DocumentReference.authenticator"/>
      <short value="??"/>
      <definition value="Represents a participant who has legally authenticated or attested the document within the authorInstitution. Legal authentication implies that a document has been signed manually or electronically by the legalAuthenticator."/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
      </type>
    </element>
    <element>
      <path value="DocumentReference.created"/>
      <short value="XDSDocumentEntry.creationTime"/>
      <definition value="Represents the time the author created the document in the Document Source."/>
      <min value="1"/>
      <max value="1"/>
    </element>
    <element>
      <path value="DocumentReference.indexed"/>
      <short value="XDS submission time or XDSDocumentEntry.creationTime if unknown"/>
      <definition value="When this document reference created."/>
      <min value="1"/>
      <max value="1"/>
    </element>
    <element>
      <path value="DocumentReference.status"/>
      <short value="implied by XDS workflow"/>
      <definition value="This attribute is always set to Approved as part of the submission of new XDS Documents. It may be changed to Deprecated under the primary responsibility of the Document Source with possible patient supervision. Although XDS supports the ability to delete documents, there is no such state as ???the Document Entry is removed??? (only an audit trail is kept if such a deletion is allowed)."/>
    </element>
    <element>
      <path value="DocumentReference.docStatus"/>
      <definition value="Status of the underlying document."/>
      <min value="0"/>
      <max value="0"/>
    </element>
    <element>
      <path value="DocumentReference.relatesTo"/>
      <short value="Relationships that this document has with other document references that already exist"/>
      <definition value="Relationships to other documents."/>
    </element>
    <element>
      <path value="DocumentReference.relatesTo.code"/>
      <short value="The type of relationship that this document has with anther document"/>
      <definition value="supersedes | transforms | signs | appends."/>
      <comments value="If this document appends another document, then the document cannot be fully understood without also accessing the referenced document."/>
    </element>
    <element>
      <path value="DocumentReference.relatesTo.target"/>
      <short value="The target document of this relationship"/>
      <definition value="Target of the relationship."/>
    </element>
    <element>
      <path value="DocumentReference.description"/>
      <short value="XDSDocumentEntry.title"/>
      <definition value="Represents the title of the document."/>
    </element>
    <element>
      <path value="DocumentReference.securityLabel"/>
      <short value="XDSDocumentEntry.confidentialityCode"/>
      <definition value="The code specifying the level of confidentiality of the XDS Document. These codes are specific to an XDS Affinity Domain."/>
      <comments value="Enforcement and issues related to highly sensitive documents are beyond the scope of XDS (see security section). confidentialityCode is part of a codification scheme and value set enforced by the Document Registry."/>
      <min value="1"/>
      <max value="1"/>
    </element>
    <element>
      <path value="DocumentReference.content"/>
    </element>
    <element>
      <path value="DocumentReference.content.attachment"/>
    </element>
    <element>
      <path value="DocumentReference.content.attachment.contentType"/>
      <short value="XDSDocumentEntry.mimeType"/>
      <definition value="MIME type of the document in the Repository."/>
      <min value="1"/>
      <max value="1"/>
    </element>
    <element>
      <path value="DocumentReference.content.attachment.language"/>
      <short value="XDSDocumentEntry.languageCode"/>
      <definition value="Specifies the human language of character data in the document. The values of the attribute are language identifiers as described by the IETF (Internet Engineering Task Force) RFC 3066."/>
      <comments value="This value may further be restricted by the registry according to XDS Affinity Domain specific policy."/>
    </element>
    <element>
      <path value="DocumentReference.content.attachment.url"/>
      <short value="repository location (by implication &amp; configuration)"/>
      <definition value="Where to access the document."/>
    </element>
    <element>
      <path value="DocumentReference.content.attachment.size"/>
      <short value="XDSDocumentEntry.size"/>
      <definition value="Size in bytes of the byte stream that was provided in the Register and Provide Transaction and stored by the XDS Document Repository. This value is computed by the Document Repository and included in the Register Documents Set Transaction."/>
    </element>
    <element>
      <path value="DocumentReference.content.attachment.hash"/>
      <short value="XDSDocumentEntry.hash"/>
      <definition value="Hash key of the XDS Document itself."/>
      <comments value="This value is computed by the Document Repository and used by the Document Registry for detecting the improper resubmission of XDS Documents. If present, shall have a single value. If this attribute is received in a Provide &amp; Register Document Set-b [ITI-41] transaction, it shall be verified by the repository with the actual hash value of the submitted document an XDSRepositoryMetadataError shall be returned on mismatch."/>
    </element>
    <element>
      <path value="DocumentReference.context"/>
      <short value="event codes, service Start &amp; Stop time, and facility type"/>
      <definition value="Clinical context of document - eventCodeList, serviceStart &amp; Stop time, and facility type."/>
      <min value="0"/>
      <max value="1"/>
    </element>
    <element>
      <path value="DocumentReference.context.encounter"/>
      <min value="0"/>
      <max value="0"/>
    </element>
    <element>
      <path value="DocumentReference.context.event"/>
      <short value="XDSDocumentEntry.eventCodeList"/>
      <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 &quot;History and Physical Report&quot; in which the procedure being documented is necessarily a &quot;History and Physical&quot; act."/>
      <comments value="An event can further specialize the act inherent in the typeCode, such as where it is simply &quot;Procedure Report&quot; and the procedure was a &quot;colonoscopy&quot;. 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."/>
    </element>
    <element>
      <path value="DocumentReference.context.period"/>
      <short value="XDSDocumentEntry.serviceStartTime &amp; XDSDocumentEntry.serviceStopTime"/>
      <definition value="The start and stop time of the service being documented took place."/>
      <comments value="At least a start date SHALL be provided."/>
      <min value="1"/>
      <max value="1"/>
    </element>
    <element>
      <path value="DocumentReference.context.facilityType"/>
      <short value="XDSDocumentEntry.healthCareFacilityTypeCode"/>
      <definition value="This code represents the type of organizational setting of the clinical encounter during which the documented act occurred."/>
      <comments value="In some cases, the setting of the encounter is inherent in the typeCode, such as &quot;Diabetes Clinic Progress Note&quot;. healthcareFacilityTypeCode shall be equivalent to or further specialize the value inherent in the typeCode for example, where the typeCode is simply &quot;Clinic Progress Note&quot; and the value of healthcareFacilityTypeCode is &quot;private clinic&quot;. The value shall not conflict with the value inherent in the typeCode, as such a conflict would create an ambiguous situation."/>
    </element>
    <element>
      <path value="DocumentReference.context.practiceSetting"/>
      <short value="XDSDocumentEntry.practiceSettingCode"/>
      <definition value="XDSDocumentEntry.practiceSettingCode."/>
    </element>
  </differential>
</StructureDefinition>

StructureDefinition "xdsdocumentmanifest" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

to do

<?xml version="1.0" encoding="UTF-8"?>
<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="xdsdocumentmanifest"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2018-09-06T12:33:46.890Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">to do</div>
  </text>
  <url value="http://hl7.org/fhir/StructureDefinition/xdsdocumentmanifest"/>
  <name value="XDS profile for Document Reference"/>
  <status value="draft"/>
  <publisher value="HL7"/>
  <contact>
    <telecom>
      <system value="other"/>
      <value value="http://www.hl7.org"/>
    </telecom>
  </contact>
  <date value="2012-06-24"/>
  <description value="SubmissionSet"/>
  <fhirVersion value="1.0.2"/>
  <kind value="resource"/>
  <constrainedType value="DocumentManifest"/>
  <abstract value="false"/>
  <base value="http://hl7.org/fhir/StructureDefinition/DocumentManifest"/>
  <snapshot>
    <element>
      <path value="DocumentManifest"/>
      <name value="XDSDocumentManifest"/>
      <short value="SubmissionSet"/>
      <definition value="A manifest that defines a set of documents."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DocumentManifest"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="DocumentManifest"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="Act[classCode=FOLDER, moodCode=EVN]"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="infrastructure.documents"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentManifest.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. Bundles always have an id, though it is usually a generated UUID."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DocumentManifest.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="DocumentManifest.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="DocumentManifest.meta"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Meta"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="DocumentManifest.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="DocumentManifest.implicitRules"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="DocumentManifest.language"/>
      <short value="Language of the resource content"/>
      <definition value="The base language in which the resource is written."/>
      <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="0"/>
      <max value="1"/>
      <base>
        <path value="DocumentManifest.language"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <description value="A human language."/>
        <valueSetUri value="http://tools.ietf.org/html/bcp47"/>
      </binding>
    </element>
    <element>
      <path value="DocumentManifest.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 &quot;clinically safe&quot; 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."/>
      <alias value="narrative"/>
      <alias value="html"/>
      <alias value="xhtml"/>
      <alias value="display"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DocumentManifest.text"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Narrative"/>
      </type>
      <condition value="dom-1"/>
      <mapping>
        <identity value="rim"/>
        <map value="Act.text?"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentManifest.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="DocumentManifest.contained"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Resource"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentManifest.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 resource. 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="DocumentManifest.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentManifest.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="DocumentManifest.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>
      <path value="DocumentManifest.masterIdentifier"/>
      <short value="SubmissionSet.uniqueId"/>
      <definition value="A globally unique identifier for the SubmissionSet assigned by the creating entity."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="DocumentManifest.masterIdentifier"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Identifier"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="xds"/>
        <map value="SubmissionSet.uniqueId"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="id [need a list semantic to indicate order matters]"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="id"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentManifest.identifier"/>
      <short value="Other identifiers for the manifest"/>
      <definition value="Other identifiers associated with the document manifest, including version independent identifiers."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DocumentManifest.identifier"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Identifier"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="xds"/>
        <map value="SubmissionSet.entryUUID"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="TXA-16-Unique Document File Name?"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".id / .setId"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="id"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentManifest.subject"/>
      <short value="SubmissionSet.patientId"/>
      <definition value="the subject of care whose longitudinal record is being reflected in this SubmissionSet."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DocumentManifest.subject"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="xds"/>
        <map value="SubmissionSet.patientId"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=SBJ].role"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="who.focus"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentManifest.recipient"/>
      <short value="SubmissionSet.intendedRecipient&#160;"/>
      <definition value="The organization(s) or person(s) for whom the SubmissionSet is intended."/>
      <comments value="How the recipient receives the document set or is notified of it is up to the implementation. This element is just a statement of intent. If the recipient is a person, and it is not known whether the person is a patient or a practitioner, RelatedPerson would be the default choice."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DocumentManifest.recipient"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="xds"/>
        <map value="SubmissionSet.intendedRecipient"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=IRCP].role"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="who.cause"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentManifest.type"/>
      <short value="SubmissionSet.contentTypeCode"/>
      <definition value="The code specifying the type of clinical activity that resulted in placing the documents in this SubmissionSet."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DocumentManifest.type"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="preferred"/>
        <description value="Precise type of clinical document."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/c80-doc-typecodes"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="xds"/>
        <map value="SubmissionSet.contentTypeCode"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".code"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="class"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentManifest.author"/>
      <short value="SubmissionSet.author"/>
      <definition value="The humans and/or machines that authored the document in the SubmissionSet. This attribute contains the sub-attributes: authorInstitution, authorPerson, authorRole, authorSpecialty."/>
      <comments value="Not necessarily who did the actual data entry (i.e. typist) or who was the source (informant)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="DocumentManifest.author"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Device"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="xds"/>
        <map value="SubmissionSet.author"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=AUT].role"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="who.author"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentManifest.created"/>
      <short value="SubmissionSet.submissionTime"/>
      <definition value="Point in time at the creating entity when the SubmissionSet was created."/>
      <comments value="Creation time is used for tracking, organizing versions and searching. This is the creation time of the document set, not the documents on which it is based."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DocumentManifest.created"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="dateTime"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="xds"/>
        <map value="SubmissionSet.submissionTime"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=AUT].time"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="when.done"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentManifest.source"/>
      <short value="SubmissionSet.sourceId"/>
      <definition value="OID identifying the instance of the creating entity that contributed the SubmissionSet."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DocumentManifest.source"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="xds"/>
        <map value="SubmissionSet.sourceId"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=PFM].time"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentManifest.status"/>
      <short value="SubmissionSet.availabilityStatus"/>
      <definition value="The lifecycle status of the SubmissionSet."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="DocumentManifest.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 status of the document reference."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/document-reference-status"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="xds"/>
        <map value="SubmissionSet status"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".statusCode"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="status"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentManifest.description"/>
      <short value="SubmissionSet.title"/>
      <definition value="Human-readable description of the source document. This is sometimes known as the &quot;title&quot;."/>
      <comments value="What the document is about, rather than a terse summary of the document. It is commonly the case that records do not have a title and are collectively referred to by the display name of Record code (e.g. a &quot;consultation&quot; or &quot;progress note&quot;)."/>
      <requirements value="Helps humans to assess whether the document is of interest."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DocumentManifest.description"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="xds"/>
        <map value="SubmissionSet.title"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".title"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentManifest.content"/>
      <short value="SubmissionSet.documentEntry"/>
      <definition value="The list of resources that describe the parts of this document reference. Usually, these would be document references, but direct references to binary attachments and images are also allowed."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="DocumentManifest.content"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentManifest.content.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)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DocumentManifest.content.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentManifest.content.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="DocumentManifest.content.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentManifest.content.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="DocumentManifest.content.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>
      <path value="DocumentManifest.content.p[x]"/>
      <short value="Contents of this set of documents"/>
      <definition value="The list of references to document content, or Attachment that consist of the parts of this document manifest. Usually, these would be document references, but direct references to Media or Attachments are also allowed."/>
      <comments value="The intended focus of the DocumentManifest is for the reference to target either DocumentReference or Media Resources, and most implementation guides will restrict to these resources. The reference is to &quot;Any&quot; to support EN 13606 usage, where an extract is DocumentManifest that references List and Composition resources."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="DocumentManifest.content.p[x]"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Attachment"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Resource"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="xds"/>
        <map value="SubmissionSet DocumentEntry(s)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".outboundRelationship[typeCode=COMP].target"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentManifest.related"/>
      <short value="Related things"/>
      <definition value="Related identifiers or resources associated with the DocumentManifest."/>
      <comments value="May be identifiers or resources that caused the DocumentManifest to be created."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DocumentManifest.related"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentManifest.related.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)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DocumentManifest.related.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentManifest.related.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="DocumentManifest.related.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="DocumentManifest.related.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="DocumentManifest.related.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>
      <path value="DocumentManifest.related.identifier"/>
      <short value="Identifiers of things that are related"/>
      <definition value="Related identifier to this DocumentManifest. For example, Order numbers, accession numbers, XDW workflow numbers."/>
      <comments value="If both identifier and ref elements are present they shall refer to the same thing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DocumentManifest.related.identifier"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Identifier"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="DocumentManifest.related.ref"/>
      <short value="Related Resource"/>
      <definition value="Related Resource to this DocumentManifest. For example, Order, DiagnosticOrder, Procedure, EligibilityRequest, etc."/>
      <comments value="If both identifier and ref elements are present they shall refer to the same thing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DocumentManifest.related.ref"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Resource"/>
      </type>
      <isSummary value="true"/>
    </element>
  </snapshot>
  <differential>
    <element>
      <path value="DocumentManifest"/>
      <name value="XDSDocumentManifest"/>
      <short value="SubmissionSet"/>
      <definition value="A manifest that defines a set of documents."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="DocumentManifest"/>
      </type>
    </element>
    <element>
      <path value="DocumentManifest.masterIdentifier"/>
      <short value="SubmissionSet.uniqueId"/>
      <definition value="A globally unique identifier for the SubmissionSet assigned by the creating entity."/>
      <min value="1"/>
      <max value="1"/>
    </element>
    <element>
      <path value="DocumentManifest.subject"/>
      <short value="SubmissionSet.patientId"/>
      <definition value="the subject of care whose longitudinal record is being reflected in this SubmissionSet."/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
      </type>
    </element>
    <element>
      <path value="DocumentManifest.recipient"/>
      <short value="SubmissionSet.intendedRecipient&#160;"/>
      <definition value="The organization(s) or person(s) for whom the SubmissionSet is intended."/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
      </type>
    </element>
    <element>
      <path value="DocumentManifest.type"/>
      <short value="SubmissionSet.contentTypeCode"/>
      <definition value="The code specifying the type of clinical activity that resulted in placing the documents in this SubmissionSet."/>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
    <element>
      <path value="DocumentManifest.author"/>
      <short value="SubmissionSet.author"/>
      <definition value="The humans and/or machines that authored the document in the SubmissionSet. This attribute contains the sub-attributes: authorInstitution, authorPerson, authorRole, authorSpecialty."/>
      <min value="1"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Device"/>
      </type>
    </element>
    <element>
      <path value="DocumentManifest.created"/>
      <short value="SubmissionSet.submissionTime"/>
      <definition value="Point in time at the creating entity when the SubmissionSet was created."/>
      <type>
        <code value="dateTime"/>
      </type>
    </element>
    <element>
      <path value="DocumentManifest.source"/>
      <short value="SubmissionSet.sourceId"/>
      <definition value="OID identifying the instance of the creating entity that contributed the SubmissionSet."/>
      <type>
        <code value="uri"/>
      </type>
    </element>
    <element>
      <path value="DocumentManifest.status"/>
      <short value="SubmissionSet.availabilityStatus"/>
      <definition value="The lifecycle status of the SubmissionSet."/>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <description value="The status of the document reference."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/document-reference-status"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="DocumentManifest.description"/>
      <short value="SubmissionSet.title"/>
      <definition value="Human-readable description of the source document. This is sometimes known as the &quot;title&quot;."/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element>
      <path value="DocumentManifest.content"/>
      <short value="SubmissionSet.documentEntry"/>
      <definition value="The list of resources that describe the parts of this document reference. Usually, these would be document references, but direct references to binary attachments and images are also allowed."/>
    </element>
  </differential>
</StructureDefinition>

StructureDefinition "VisionPrescription" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Name Flags Card. Type Description & Constraints doco
. . VisionPrescription Σ DomainResource Prescription for vision correction products for a patient
. . . identifier Σ 0..* Identifier Business identifier
. . . dateWritten Σ 0..1 dateTime When prescription was authorized
. . . patient Σ 0..1 Reference( Patient) Who prescription is for
. . . prescriber Σ 0..1 Reference( Practitioner) Who authorizes the vision product
. . . encounter Σ 0..1 Reference( Encounter) Created during encounter / admission / stay
. . . reason[x] Σ 0..1 Reason or indication for writing the prescription
. . . . reasonCodeableConcept CodeableConcept
. . . . reasonReference Reference( Condition)
. . . dispense Σ 0..* BackboneElement Vision supply authorization
. . . . product Σ 1..1 Coding Product to be supplied
Example Vision Prescription Product Codes ( Example)
. . . . eye Σ 0..1 code right | left
VisionEyes ( Required)
. . . . sphere Σ 0..1 decimal Lens sphere
. . . . cylinder Σ 0..1 decimal Lens cylinder
. . . . axis Σ 0..1 integer Lens axis
. . . . prism Σ 0..1 decimal Lens prism
. . . . base Σ 0..1 code up | down | in | out
VisionBase ( Required)
. . . . add Σ 0..1 decimal Lens add
. . . . power Σ 0..1 decimal Contact lens power
. . . . backCurve Σ 0..1 decimal Contact lens back curvature
. . . . diameter Σ 0..1 decimal Contact lens diameter
. . . . duration Σ 0..1 SimpleQuantity Lens wear duration
. . . . color Σ 0..1 string Lens add
. . . . brand Σ 0..1 string Lens add
. . . . notes Σ 0..1 string Notes for coatings

doco Documentation for this format

<?xml version="1.0" encoding="UTF-8"?>
<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="VisionPrescription"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2018-09-06T12:33:46.812Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <table style="border: 0px font-size: 11px font-family: verdana vertical-align: top" border="0" cellpadding="0" cellspacing="0">
        <tr style="border: 1px #F0F0F0 solid font-size: 11px font-family: verdana vertical-align: top">
          <th style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">
            <a title="The logical name of the element" href="formats.html#table">Name</a> </th>
          <th style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">
            <a title="Information about the use of the element" href="formats.html#table">Flags</a> </th>
          <th style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">
            <a title="Minimum and Maximum # of times the the element can appear in the instance" href="formats.html#table">Card.</a> </th>
          <th style="width: 100px" class="hierarchy">
            <a title="Reference to the type of the element" href="formats.html#table">Type</a> </th>
          <th style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">
            <a title="Additional information about the element" href="formats.html#table">Description &amp; Constraints</a>
            <span style="float: right">
              <a title="Legend for this format" href="formats.html#table">
                <img alt="doco" style="background-color: inherit"/> </a> </span> </th> </tr>
        <tr style="border: 0px padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,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" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Resource"/>
            <span title="VisionPrescription : An authorization for the supply of glasses and/or contact lenses to a patient.">VisionPrescription</span>
            <a name="VisionPrescription"> </a> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">
            <span title="This element is included in summaries">&#931;</span> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy"/>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">
            <a href="domainresource.html">DomainResource</a> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">Prescription for vision correction products for a patient</td> </tr>
        <tr style="border: 0px padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,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" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Data Type"/>
            <span title="VisionPrescription.identifier : Business identifier which may be used by other parties to reference or identify the prescription.">identifier</span>
            <a name="VisionPrescription.identifier"> </a> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">
            <span title="This element is included in summaries">&#931;</span> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">0..*</td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">
            <a href="datatypes.html#Identifier">Identifier</a> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">Business identifier</td> </tr>
        <tr style="border: 0px padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3gYBFzI0BrFQCwAAAERJREFUOMtj/P//PwMlgImBQjDwBrCcOnWKokBgYWBgYDCU+06W5i8MUggvnH/EOVJjAW4AuQHJ+O75LYqikXE0LzAAALePEntTkEoSAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Primitive Data Type"/>
            <span title="VisionPrescription.dateWritten : The date (and perhaps time) when the prescription was written.">dateWritten</span>
            <a name="VisionPrescription.dateWritten"> </a> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">
            <span title="This element is included in summaries">&#931;</span> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">0..1</td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">
            <a href="datatypes.html#dateTime">dateTime</a> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">When prescription was authorized</td> </tr>
        <tr style="border: 0px padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1BAACxjwv8YQUAAAAJcEhZcwAADsMAAA7DAcdvqGQAAAAadEVYdFNvZnR3YXJlAFBhaW50Lk5FVCB2My41LjEwMPRyoQAAAFxJREFUOE/NjEEOACEIA/0o/38GGw+agoXYeNnDJDCUDnd/gkoFKhWozJiZI3gLwY6rAgxhsPKTPUzycTl8lAryMyMsVQG6TFi6cHULyz8KOjC7OIQKlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Reference to another Resource"/>
            <span title="VisionPrescription.patient : A link to a resource representing the person to whom the vision products will be supplied.">patient</span>
            <a name="VisionPrescription.patient"> </a> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">
            <span title="This element is included in summaries">&#931;</span> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">0..1</td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">
            <a href="references.html">Reference</a>(
            <a href="patient.html">Patient</a>) </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">Who prescription is for</td> </tr>
        <tr style="border: 0px padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1BAACxjwv8YQUAAAAJcEhZcwAADsMAAA7DAcdvqGQAAAAadEVYdFNvZnR3YXJlAFBhaW50Lk5FVCB2My41LjEwMPRyoQAAAFxJREFUOE/NjEEOACEIA/0o/38GGw+agoXYeNnDJDCUDnd/gkoFKhWozJiZI3gLwY6rAgxhsPKTPUzycTl8lAryMyMsVQG6TFi6cHULyz8KOjC7OIQKlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Reference to another Resource"/>
            <span title="VisionPrescription.prescriber : The healthcare professional responsible for authorizing the prescription.">prescriber</span>
            <a name="VisionPrescription.prescriber"> </a> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">
            <span title="This element is included in summaries">&#931;</span> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">0..1</td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">
            <a href="references.html">Reference</a>(
            <a href="practitioner.html">Practitioner</a>) </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">Who authorizes the vision product</td> </tr>
        <tr style="border: 0px padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1BAACxjwv8YQUAAAAJcEhZcwAADsMAAA7DAcdvqGQAAAAadEVYdFNvZnR3YXJlAFBhaW50Lk5FVCB2My41LjEwMPRyoQAAAFxJREFUOE/NjEEOACEIA/0o/38GGw+agoXYeNnDJDCUDnd/gkoFKhWozJiZI3gLwY6rAgxhsPKTPUzycTl8lAryMyMsVQG6TFi6cHULyz8KOjC7OIQKlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Reference to another Resource"/>
            <span title="VisionPrescription.encounter : A link to a resource that identifies the particular occurrence of contact between patient and health care provider.">encounter</span>
            <a name="VisionPrescription.encounter"> </a> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">
            <span title="This element is included in summaries">&#931;</span> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">0..1</td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">
            <a href="references.html">Reference</a>(
            <a href="encounter.html">Encounter</a>) </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">Created during encounter / admission / stay</td> </tr>
        <tr style="border: 0px padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,R0lGODlhEAAQAMQfAGm6/idTd4yTmF+v8Xa37KvW+lyh3KHJ62aq41ee2bXZ98nm/2mt5W2Ck5XN/C1chEZieho8WXXA/2Gn4P39/W+y6V+l3qjP8Njt/lx2izxPYGyv51Oa1EJWZ////////yH5BAEAAB8ALAAAAAAQABAAAAWH4Cd+Xml6Y0pCQts0EKp6GbYshaM/skhjhCChUmFIeL4OsHIxXRAISQTl6SgIG8+FgfBMoh2qtbLZQr0TQJhk3TC4pYPBApiyFVDEwSOf18UFXxMWBoUJBn9sDgmDewcJCRyJJBoEkRyYmAABPZQEAAOhA5seFDMaDw8BAQ9TpiokJyWwtLUhADs=" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Choice of Types"/>
            <span title="VisionPrescription.reason[x] : Can be the reason or the indication for writing the prescription.">reason[x]</span>
            <a name="VisionPrescription.reason_x_"> </a> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">
            <span title="This element is included in summaries">&#931;</span> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">0..1</td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy"/>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">Reason or indication for writing the prescription</td> </tr>
        <tr style="border: 0px padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMElEQVR42u3QwQkAMAwDsezq/WdoskKgFAoy6HkfV5LamJ1tc7MHAAD+5QQAAOCZBkurQFbnaRSlAAAAAElFTkSuQmCC)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzMPbYccAgAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAMElEQVQ4y+3OQREAIBDDwAv+PQcFFN5MIyCzqHMKUGVCpMFLK97heq+gggoq+EiwAVjvMhFGmlEUAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,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" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Data Type"/>
            <span title="A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text.">reasonCodeableConcept</span> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy"/>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy"/>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy"/> </tr>
        <tr style="border: 0px padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzMPbYccAgAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAMElEQVQ4y+3OQREAIBDDwAv+PQcFFN5MIyCzqHMKUGVCpMFLK97heq+gggoq+EiwAVjvMhFGmlEUAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzME+lXFigAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+3OsRUAIAjEUOL+O8cJABttJM11/x1qZAGqRBEVcNIqdWj1efDqQbb3HwwwwEfABmQUHSPM9dtDAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1BAACxjwv8YQUAAAAJcEhZcwAADsMAAA7DAcdvqGQAAAAadEVYdFNvZnR3YXJlAFBhaW50Lk5FVCB2My41LjEwMPRyoQAAAFxJREFUOE/NjEEOACEIA/0o/38GGw+agoXYeNnDJDCUDnd/gkoFKhWozJiZI3gLwY6rAgxhsPKTPUzycTl8lAryMyMsVQG6TFi6cHULyz8KOjC7OIQKlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Reference to another Resource"/>reasonReference </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy"/>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy"/>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">
            <a href="references.html">Reference</a>(
            <a href="condition.html">Condition</a>) </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy"/> </tr>
        <tr style="border: 0px padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAI0lEQVR42u3QIQEAAAACIL/6/4MvTAQOkLYBAAB4kAAAANwMad9AqkRjgNAAAAAASUVORK5CYII=)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzME+lXFigAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+3OsRUAIAjEUOL+O8cJABttJM11/x1qZAGqRBEVcNIqdWj1efDqQbb3HwwwwEfABmQUHSPM9dtDAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,R0lGODlhEAAQAMQfAOvGUf7ztuvPMf/78/fkl/Pbg+u8Rvjqteu2Pf3zxPz36Pz0z+vTmPzurPvuw/npofbjquvNefHVduuyN+uuMu3Oafbgjfnqvf/3zv/3xevPi+vRjP/20/bmsP///////yH5BAEAAB8ALAAAAAAQABAAAAV24CeOZGmepqeqqOgxjBZFa+19r4ftWQUAgqDgltthMshMIJAZ4jYDHsBARSAmFOJvq+g6HIdEFgcYmBWNxoNAsDjGHgBnmV5bCoUDHLBIq9sFEhIdcAYJdYASFRUQhQkLCwkOFwcdEBAXhVabE52ecDahKy0oIQA7" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Element"/>
            <span title="VisionPrescription.dispense : Deals with details of the dispense part of the supply specification.">dispense</span>
            <a name="VisionPrescription.dispense"> </a> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">
            <span title="This element is included in summaries">&#931;</span> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">0..*</td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">
            <a href="backboneelement.html">BackboneElement</a> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">Vision supply authorization</td> </tr>
        <tr style="border: 0px padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR42u3QwQkAMAwDsezq/WdIO4XJQwa9DTdJpulv258AAMANIgAAADUPYAVAgAJ//usAAAAASUVORK5CYII=)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIZgEiYEgAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAIElEQVQ4y2P8//8/AyWAiYFCMGrAqAGjBowaMGoAAgAALL0DKYQ0DPIAAAAASUVORK5CYII=" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,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" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Data Type"/>
            <span title="VisionPrescription.dispense.product : Identifies the type of vision correction product which is required for the patient.">product</span>
            <a name="VisionPrescription.dispense.product"> </a> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">
            <span title="This element is included in summaries">&#931;</span> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">1..1</td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">
            <a href="datatypes.html#Coding">Coding</a> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">Product to be supplied
            <br/>
            <a title="A coded concept describing the vision products." href="valueset-vision-product.html">Example Vision Prescription Product Codes</a>(
            <a title="Instances are not expected or even encouraged to draw from the specified value set. The value set merely provides examples of the types of concepts intended to be included." href="terminologies.html#example">Example</a>) </td> </tr>
        <tr style="border: 0px padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR42u3QwQkAMAwDsezq/WdIO4XJQwa9DTdJpulv258AAMANIgAAADUPYAVAgAJ//usAAAAASUVORK5CYII=)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIZgEiYEgAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAIElEQVQ4y2P8//8/AyWAiYFCMGrAqAGjBowaMGoAAgAALL0DKYQ0DPIAAAAASUVORK5CYII=" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3gYBFzI0BrFQCwAAAERJREFUOMtj/P//PwMlgImBQjDwBrCcOnWKokBgYWBgYDCU+06W5i8MUggvnH/EOVJjAW4AuQHJ+O75LYqikXE0LzAAALePEntTkEoSAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Primitive Data Type"/>
            <span title="VisionPrescription.dispense.eye : The eye for which the lens applies.">eye</span>
            <a name="VisionPrescription.dispense.eye"> </a> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">
            <span title="This element is included in summaries">&#931;</span> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">0..1</td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">
            <a href="datatypes.html#code">code</a> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">right | left
            <br/>
            <a title="A coded concept listing the eye codes." href="valueset-vision-eye-codes.html">VisionEyes</a>(
            <a title="To be conformant, instances of this element SHALL include a code from the specified value set." href="terminologies.html#required">Required</a>) </td> </tr>
        <tr style="border: 0px padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR42u3QwQkAMAwDsezq/WdIO4XJQwa9DTdJpulv258AAMANIgAAADUPYAVAgAJ//usAAAAASUVORK5CYII=)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIZgEiYEgAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAIElEQVQ4y2P8//8/AyWAiYFCMGrAqAGjBowaMGoAAgAALL0DKYQ0DPIAAAAASUVORK5CYII=" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3gYBFzI0BrFQCwAAAERJREFUOMtj/P//PwMlgImBQjDwBrCcOnWKokBgYWBgYDCU+06W5i8MUggvnH/EOVJjAW4AuQHJ+O75LYqikXE0LzAAALePEntTkEoSAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Primitive Data Type"/>
            <span title="VisionPrescription.dispense.sphere : Lens power measured in diopters (0.25 units).">sphere</span>
            <a name="VisionPrescription.dispense.sphere"> </a> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">
            <span title="This element is included in summaries">&#931;</span> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">0..1</td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">
            <a href="datatypes.html#decimal">decimal</a> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">Lens sphere</td> </tr>
        <tr style="border: 0px padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR42u3QwQkAMAwDsezq/WdIO4XJQwa9DTdJpulv258AAMANIgAAADUPYAVAgAJ//usAAAAASUVORK5CYII=)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIZgEiYEgAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAIElEQVQ4y2P8//8/AyWAiYFCMGrAqAGjBowaMGoAAgAALL0DKYQ0DPIAAAAASUVORK5CYII=" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3gYBFzI0BrFQCwAAAERJREFUOMtj/P//PwMlgImBQjDwBrCcOnWKokBgYWBgYDCU+06W5i8MUggvnH/EOVJjAW4AuQHJ+O75LYqikXE0LzAAALePEntTkEoSAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Primitive Data Type"/>
            <span title="VisionPrescription.dispense.cylinder : Power adjustment for astigmatism measured in diopters (0.25 units).">cylinder</span>
            <a name="VisionPrescription.dispense.cylinder"> </a> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">
            <span title="This element is included in summaries">&#931;</span> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">0..1</td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">
            <a href="datatypes.html#decimal">decimal</a> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">Lens cylinder</td> </tr>
        <tr style="border: 0px padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR42u3QwQkAMAwDsezq/WdIO4XJQwa9DTdJpulv258AAMANIgAAADUPYAVAgAJ//usAAAAASUVORK5CYII=)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIZgEiYEgAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAIElEQVQ4y2P8//8/AyWAiYFCMGrAqAGjBowaMGoAAgAALL0DKYQ0DPIAAAAASUVORK5CYII=" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3gYBFzI0BrFQCwAAAERJREFUOMtj/P//PwMlgImBQjDwBrCcOnWKokBgYWBgYDCU+06W5i8MUggvnH/EOVJjAW4AuQHJ+O75LYqikXE0LzAAALePEntTkEoSAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Primitive Data Type"/>
            <span title="VisionPrescription.dispense.axis : Adjustment for astigmatism measured in integer degrees.">axis</span>
            <a name="VisionPrescription.dispense.axis"> </a> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">
            <span title="This element is included in summaries">&#931;</span> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">0..1</td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">
            <a href="datatypes.html#integer">integer</a> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">Lens axis</td> </tr>
        <tr style="border: 0px padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR42u3QwQkAMAwDsezq/WdIO4XJQwa9DTdJpulv258AAMANIgAAADUPYAVAgAJ//usAAAAASUVORK5CYII=)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIZgEiYEgAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAIElEQVQ4y2P8//8/AyWAiYFCMGrAqAGjBowaMGoAAgAALL0DKYQ0DPIAAAAASUVORK5CYII=" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3gYBFzI0BrFQCwAAAERJREFUOMtj/P//PwMlgImBQjDwBrCcOnWKokBgYWBgYDCU+06W5i8MUggvnH/EOVJjAW4AuQHJ+O75LYqikXE0LzAAALePEntTkEoSAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Primitive Data Type"/>
            <span title="VisionPrescription.dispense.prism : Amount of prism to compensate for eye alignment in fractional units.">prism</span>
            <a name="VisionPrescription.dispense.prism"> </a> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">
            <span title="This element is included in summaries">&#931;</span> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">0..1</td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">
            <a href="datatypes.html#decimal">decimal</a> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">Lens prism</td> </tr>
        <tr style="border: 0px padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR42u3QwQkAMAwDsezq/WdIO4XJQwa9DTdJpulv258AAMANIgAAADUPYAVAgAJ//usAAAAASUVORK5CYII=)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIZgEiYEgAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAIElEQVQ4y2P8//8/AyWAiYFCMGrAqAGjBowaMGoAAgAALL0DKYQ0DPIAAAAASUVORK5CYII=" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3gYBFzI0BrFQCwAAAERJREFUOMtj/P//PwMlgImBQjDwBrCcOnWKokBgYWBgYDCU+06W5i8MUggvnH/EOVJjAW4AuQHJ+O75LYqikXE0LzAAALePEntTkEoSAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Primitive Data Type"/>
            <span title="VisionPrescription.dispense.base : The relative base, or reference lens edge, for the prism.">base</span>
            <a name="VisionPrescription.dispense.base"> </a> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">
            <span title="This element is included in summaries">&#931;</span> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">0..1</td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">
            <a href="datatypes.html#code">code</a> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">up | down | in | out
            <br/>
            <a title="A coded concept listing the base codes." href="valueset-vision-base-codes.html">VisionBase</a>(
            <a title="To be conformant, instances of this element SHALL include a code from the specified value set." href="terminologies.html#required">Required</a>) </td> </tr>
        <tr style="border: 0px padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR42u3QwQkAMAwDsezq/WdIO4XJQwa9DTdJpulv258AAMANIgAAADUPYAVAgAJ//usAAAAASUVORK5CYII=)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIZgEiYEgAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAIElEQVQ4y2P8//8/AyWAiYFCMGrAqAGjBowaMGoAAgAALL0DKYQ0DPIAAAAASUVORK5CYII=" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3gYBFzI0BrFQCwAAAERJREFUOMtj/P//PwMlgImBQjDwBrCcOnWKokBgYWBgYDCU+06W5i8MUggvnH/EOVJjAW4AuQHJ+O75LYqikXE0LzAAALePEntTkEoSAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Primitive Data Type"/>
            <span title="VisionPrescription.dispense.add : Power adjustment for multifocal lenses measured in diopters (0.25 units).">add</span>
            <a name="VisionPrescription.dispense.add"> </a> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">
            <span title="This element is included in summaries">&#931;</span> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">0..1</td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">
            <a href="datatypes.html#decimal">decimal</a> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">Lens add</td> </tr>
        <tr style="border: 0px padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR42u3QwQkAMAwDsezq/WdIO4XJQwa9DTdJpulv258AAMANIgAAADUPYAVAgAJ//usAAAAASUVORK5CYII=)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIZgEiYEgAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAIElEQVQ4y2P8//8/AyWAiYFCMGrAqAGjBowaMGoAAgAALL0DKYQ0DPIAAAAASUVORK5CYII=" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3gYBFzI0BrFQCwAAAERJREFUOMtj/P//PwMlgImBQjDwBrCcOnWKokBgYWBgYDCU+06W5i8MUggvnH/EOVJjAW4AuQHJ+O75LYqikXE0LzAAALePEntTkEoSAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Primitive Data Type"/>
            <span title="VisionPrescription.dispense.power : Contact lens power measured in diopters (0.25 units).">power</span>
            <a name="VisionPrescription.dispense.power"> </a> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">
            <span title="This element is included in summaries">&#931;</span> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">0..1</td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">
            <a href="datatypes.html#decimal">decimal</a> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">Contact lens power</td> </tr>
        <tr style="border: 0px padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR42u3QwQkAMAwDsezq/WdIO4XJQwa9DTdJpulv258AAMANIgAAADUPYAVAgAJ//usAAAAASUVORK5CYII=)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIZgEiYEgAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAIElEQVQ4y2P8//8/AyWAiYFCMGrAqAGjBowaMGoAAgAALL0DKYQ0DPIAAAAASUVORK5CYII=" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3gYBFzI0BrFQCwAAAERJREFUOMtj/P//PwMlgImBQjDwBrCcOnWKokBgYWBgYDCU+06W5i8MUggvnH/EOVJjAW4AuQHJ+O75LYqikXE0LzAAALePEntTkEoSAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Primitive Data Type"/>
            <span title="VisionPrescription.dispense.backCurve : Back curvature measured in millimeters.">backCurve</span>
            <a name="VisionPrescription.dispense.backCurve"> </a> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">
            <span title="This element is included in summaries">&#931;</span> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">0..1</td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">
            <a href="datatypes.html#decimal">decimal</a> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">Contact lens back curvature</td> </tr>
        <tr style="border: 0px padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR42u3QwQkAMAwDsezq/WdIO4XJQwa9DTdJpulv258AAMANIgAAADUPYAVAgAJ//usAAAAASUVORK5CYII=)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIZgEiYEgAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAIElEQVQ4y2P8//8/AyWAiYFCMGrAqAGjBowaMGoAAgAALL0DKYQ0DPIAAAAASUVORK5CYII=" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3gYBFzI0BrFQCwAAAERJREFUOMtj/P//PwMlgImBQjDwBrCcOnWKokBgYWBgYDCU+06W5i8MUggvnH/EOVJjAW4AuQHJ+O75LYqikXE0LzAAALePEntTkEoSAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Primitive Data Type"/>
            <span title="VisionPrescription.dispense.diameter : Contact lens diameter measured in millimeters.">diameter</span>
            <a name="VisionPrescription.dispense.diameter"> </a> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">
            <span title="This element is included in summaries">&#931;</span> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">0..1</td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">
            <a href="datatypes.html#decimal">decimal</a> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">Contact lens diameter</td> </tr>
        <tr style="border: 0px padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR42u3QwQkAMAwDsezq/WdIO4XJQwa9DTdJpulv258AAMANIgAAADUPYAVAgAJ//usAAAAASUVORK5CYII=)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIZgEiYEgAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAIElEQVQ4y2P8//8/AyWAiYFCMGrAqAGjBowaMGoAAgAALL0DKYQ0DPIAAAAASUVORK5CYII=" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,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" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Data Type"/>
            <span title="VisionPrescription.dispense.duration : The recommended maximum wear period for the lens.">duration</span>
            <a name="VisionPrescription.dispense.duration"> </a> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">
            <span title="This element is included in summaries">&#931;</span> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">0..1</td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">
            <a href="datatypes.html#SimpleQuantity">SimpleQuantity</a> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">Lens wear duration</td> </tr>
        <tr style="border: 0px padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR42u3QwQkAMAwDsezq/WdIO4XJQwa9DTdJpulv258AAMANIgAAADUPYAVAgAJ//usAAAAASUVORK5CYII=)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIZgEiYEgAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAIElEQVQ4y2P8//8/AyWAiYFCMGrAqAGjBowaMGoAAgAALL0DKYQ0DPIAAAAASUVORK5CYII=" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3gYBFzI0BrFQCwAAAERJREFUOMtj/P//PwMlgImBQjDwBrCcOnWKokBgYWBgYDCU+06W5i8MUggvnH/EOVJjAW4AuQHJ+O75LYqikXE0LzAAALePEntTkEoSAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Primitive Data Type"/>
            <span title="VisionPrescription.dispense.color : Special color or pattern.">color</span>
            <a name="VisionPrescription.dispense.color"> </a> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">
            <span title="This element is included in summaries">&#931;</span> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">0..1</td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">
            <a href="datatypes.html#string">string</a> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">Lens add</td> </tr>
        <tr style="border: 0px padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR42u3QwQkAMAwDsezq/WdIO4XJQwa9DTdJpulv258AAMANIgAAADUPYAVAgAJ//usAAAAASUVORK5CYII=)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIZgEiYEgAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAIElEQVQ4y2P8//8/AyWAiYFCMGrAqAGjBowaMGoAAgAALL0DKYQ0DPIAAAAASUVORK5CYII=" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3gYBFzI0BrFQCwAAAERJREFUOMtj/P//PwMlgImBQjDwBrCcOnWKokBgYWBgYDCU+06W5i8MUggvnH/EOVJjAW4AuQHJ+O75LYqikXE0LzAAALePEntTkEoSAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Primitive Data Type"/>
            <span title="VisionPrescription.dispense.brand : Brand recommendations or restrictions.">brand</span>
            <a name="VisionPrescription.dispense.brand"> </a> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">
            <span title="This element is included in summaries">&#931;</span> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">0..1</td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">
            <a href="datatypes.html#string">string</a> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">Lens add</td> </tr>
        <tr style="border: 0px padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAI0lEQVR42u3QIQEAAAACIL/6/4MvTAQOkLYBAAB4kAAAANwMad9AqkRjgNAAAAAASUVORK5CYII=)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIZgEiYEgAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAIElEQVQ4y2P8//8/AyWAiYFCMGrAqAGjBowaMGoAAgAALL0DKYQ0DPIAAAAASUVORK5CYII=" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzME+lXFigAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+3OsRUAIAjEUOL+O8cJABttJM11/x1qZAGqRBEVcNIqdWj1efDqQbb3HwwwwEfABmQUHSPM9dtDAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3gYBFzI0BrFQCwAAAERJREFUOMtj/P//PwMlgImBQjDwBrCcOnWKokBgYWBgYDCU+06W5i8MUggvnH/EOVJjAW4AuQHJ+O75LYqikXE0LzAAALePEntTkEoSAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Primitive Data Type"/>
            <span title="VisionPrescription.dispense.notes : Notes for special requirements such as coatings and lens materials.">notes</span>
            <a name="VisionPrescription.dispense.notes"> </a> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">
            <span title="This element is included in summaries">&#931;</span> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">0..1</td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">
            <a href="datatypes.html#string">string</a> </td>
          <td style="vertical-align: top text-align : left background-color: white padding:0px 4px 0px 4px" class="hierarchy">Notes for coatings</td> </tr>
        <tr>
          <td colspan="5" class="hierarchy">
            <br/>
            <a title="Legend for this format" href="formats.html#table">
              <img alt="doco" style="background-color: inherit"/>Documentation for this format </a> </td> </tr> </table> </div>
  </text>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="0"/>
  </extension>
  <url value="http://hl7.org/fhir/StructureDefinition/VisionPrescription"/>
  <name value="VisionPrescription"/>
  <status value="draft"/>
  <publisher value="Health Level Seven International (Financial Management)"/>
  <contact>
    <telecom>
      <system value="other"/>
      <value value="http://hl7.org/fhir"/>
    </telecom>
  </contact>
  <contact>
    <telecom>
      <system value="other"/>
      <value value="http://www.hl7.org/Special/committees/fm/index.cfm"/>
    </telecom>
  </contact>
  <date value="2015-10-24T07:41:03+11:00"/>
  <description value="Base StructureDefinition for VisionPrescription Resource"/>
  <fhirVersion value="1.0.2"/>
  <mapping>
    <identity value="rim"/>
    <uri value="http://hl7.org/v3"/>
    <name value="RIM"/>
  </mapping>
  <mapping>
    <identity value="w5"/>
    <uri value="http://hl7.org/fhir/w5"/>
    <name value="W5 Mapping"/>
  </mapping>
  <mapping>
    <identity value="v2"/>
    <uri value="http://hl7.org/v2"/>
    <name value="HL7 v2"/>
  </mapping>
  <kind value="resource"/>
  <abstract value="false"/>
  <base value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
  <snapshot>
    <element>
      <path value="VisionPrescription"/>
      <short value="Prescription for vision correction products for a patient"/>
      <definition value="An authorization for the supply of glasses and/or contact lenses to a patient."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="DomainResource"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="CombinedVisionRequest"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="clinical.careprovision"/>
      </mapping>
    </element>
    <element>
      <path value="VisionPrescription.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. Bundles always have an id, though it is usually a generated UUID."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="id"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="VisionPrescription.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"/>
      <type>
        <code value="Meta"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="VisionPrescription.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"/>
      <type>
        <code value="uri"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="VisionPrescription.language"/>
      <short value="Language of the resource content"/>
      <definition value="The base language in which the resource is written."/>
      <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="0"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <description value="A human language."/>
        <valueSetUri value="http://tools.ietf.org/html/bcp47"/>
      </binding>
    </element>
    <element>
      <path value="VisionPrescription.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 &quot;clinically safe&quot; 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."/>
      <alias value="narrative"/>
      <alias value="html"/>
      <alias value="xhtml"/>
      <alias value="display"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Narrative"/>
      </type>
      <condition value="dom-1"/>
      <mapping>
        <identity value="rim"/>
        <map value="Act.text?"/>
      </mapping>
    </element>
    <element>
      <path value="VisionPrescription.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="*"/>
      <type>
        <code value="Resource"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="VisionPrescription.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 resource. 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="*"/>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="VisionPrescription.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="*"/>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="VisionPrescription.identifier"/>
      <short value="Business identifier"/>
      <definition value="Business identifier which may be used by other parties to reference or identify the prescription."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Identifier"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="ORC-2-Placer Order Number / ORC-3-Filler Order Number"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="id"/>
      </mapping>
    </element>
    <element>
      <path value="VisionPrescription.dateWritten"/>
      <short value="When prescription was authorized"/>
      <definition value="The date (and perhaps time) when the prescription was written."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="dateTime"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="RXE-32-Original Order Date/Time / ORC-9-Date/Time of Transaction"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="author.time"/>
      </mapping>
    </element>
    <element>
      <path value="VisionPrescription.patient"/>
      <short value="Who prescription is for"/>
      <definition value="A link to a resource representing the person to whom the vision products will be supplied."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="PID-3-Patient ID List"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="subject.role"/>
      </mapping>
    </element>
    <element>
      <path value="VisionPrescription.prescriber"/>
      <short value="Who authorizes the vision product"/>
      <definition value="The healthcare professional responsible for authorizing the prescription."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="RXE-13-Ordering Provider&apos;s DEA Number / RXO-14-Ordering Provider&apos;s DEA Number / RXE-14-Pharmacist/Treatment Supplier&apos;s Verifier ID / RXO-15-Pharmacist/Treatment Supplier&apos;s Verifier ID / ORC-12-Ordering Provider / PRT-5-Participation Person: PRT-4-Participation=&apos;OP&apos; (all but last deprecated)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="author.role"/>
      </mapping>
    </element>
    <element>
      <path value="VisionPrescription.encounter"/>
      <short value="Created during encounter / admission / stay"/>
      <definition value="A link to a resource that identifies the particular occurrence of contact between patient and health care provider."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="PV1-19-Visit Number"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="componentOf.patientEncounter"/>
      </mapping>
    </element>
    <element>
      <path value="VisionPrescription.reason[x]"/>
      <short value="Reason or indication for writing the prescription"/>
      <definition value="Can be the reason or the indication for writing the prescription."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Condition"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="ORC-16-Order Control Code Reason"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="reason.observation or reason.observation[code=ASSERTION].value"/>
      </mapping>
    </element>
    <element>
      <path value="VisionPrescription.dispense"/>
      <short value="Vision supply authorization"/>
      <definition value="Deals with details of the dispense part of the supply specification."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="component.supplyEvent"/>
      </mapping>
    </element>
    <element>
      <path value="VisionPrescription.dispense.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)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="id"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="VisionPrescription.dispense.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="*"/>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="VisionPrescription.dispense.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="*"/>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="VisionPrescription.dispense.product"/>
      <short value="Product to be supplied"/>
      <definition value="Identifies the type of vision correction product which is required for the patient."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="A coded concept describing the vision products."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/vision-product"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="RXE-2-Give Code / RXO-1-Requested Give Code / RXD-2-Dispense/Give Code"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="consumable.role"/>
      </mapping>
    </element>
    <element>
      <path value="VisionPrescription.dispense.eye"/>
      <short value="right | left"/>
      <definition value="The eye for which the lens applies."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <description value="A coded concept listing the eye codes."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/vision-eye-codes"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="VisionPrescription.dispense.sphere"/>
      <short value="Lens sphere"/>
      <definition value="Lens power measured in diopters (0.25 units)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="decimal"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="VisionPrescription.dispense.cylinder"/>
      <short value="Lens cylinder"/>
      <definition value="Power adjustment for astigmatism measured in diopters (0.25 units)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="decimal"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="VisionPrescription.dispense.axis"/>
      <short value="Lens axis"/>
      <definition value="Adjustment for astigmatism measured in integer degrees."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="integer"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="VisionPrescription.dispense.prism"/>
      <short value="Lens prism"/>
      <definition value="Amount of prism to compensate for eye alignment in fractional units."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="decimal"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="VisionPrescription.dispense.base"/>
      <short value="up | down | in | out"/>
      <definition value="The relative base, or reference lens edge, for the prism."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <description value="A coded concept listing the base codes."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/vision-base-codes"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="VisionPrescription.dispense.add"/>
      <short value="Lens add"/>
      <definition value="Power adjustment for multifocal lenses measured in diopters (0.25 units)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="decimal"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="VisionPrescription.dispense.power"/>
      <short value="Contact lens power"/>
      <definition value="Contact lens power measured in diopters (0.25 units)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="decimal"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="VisionPrescription.dispense.backCurve"/>
      <short value="Contact lens back curvature"/>
      <definition value="Back curvature measured in millimeters."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="decimal"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="VisionPrescription.dispense.diameter"/>
      <short value="Contact lens diameter"/>
      <definition value="Contact lens diameter measured in millimeters."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="decimal"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="VisionPrescription.dispense.duration"/>
      <short value="Lens wear duration"/>
      <definition value="The recommended maximum wear period for the lens."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Quantity"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="VisionPrescription.dispense.color"/>
      <short value="Lens add"/>
      <definition value="Special color or pattern."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="VisionPrescription.dispense.brand"/>
      <short value="Lens add"/>
      <definition value="Brand recommendations or restrictions."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="VisionPrescription.dispense.notes"/>
      <short value="Notes for coatings"/>
      <definition value="Notes for special requirements such as coatings and lens materials."/>
      <alias value="0..1"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <isSummary value="true"/>
    </element>
  </snapshot>
  <differential>
    <element>
      <path value="VisionPrescription"/>
      <short value="Prescription for vision correction products for a patient"/>
      <definition value="An authorization for the supply of glasses and/or contact lenses to a patient."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="DomainResource"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="CombinedVisionRequest"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="clinical.careprovision"/>
      </mapping>
    </element>
    <element>
      <path value="VisionPrescription.identifier"/>
      <short value="Business identifier"/>
      <definition value="Business identifier which may be used by other parties to reference or identify the prescription."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Identifier"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="ORC-2-Placer Order Number / ORC-3-Filler Order Number"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="id"/>
      </mapping>
    </element>
    <element>
      <path value="VisionPrescription.dateWritten"/>
      <short value="When prescription was authorized"/>
      <definition value="The date (and perhaps time) when the prescription was written."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="dateTime"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="RXE-32-Original Order Date/Time / ORC-9-Date/Time of Transaction"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="author.time"/>
      </mapping>
    </element>
    <element>
      <path value="VisionPrescription.patient"/>
      <short value="Who prescription is for"/>
      <definition value="A link to a resource representing the person to whom the vision products will be supplied."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="PID-3-Patient ID List"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="subject.role"/>
      </mapping>
    </element>
    <element>
      <path value="VisionPrescription.prescriber"/>
      <short value="Who authorizes the vision product"/>
      <definition value="The healthcare professional responsible for authorizing the prescription."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="RXE-13-Ordering Provider&apos;s DEA Number / RXO-14-Ordering Provider&apos;s DEA Number / RXE-14-Pharmacist/Treatment Supplier&apos;s Verifier ID / RXO-15-Pharmacist/Treatment Supplier&apos;s Verifier ID / ORC-12-Ordering Provider / PRT-5-Participation Person: PRT-4-Participation=&apos;OP&apos; (all but last deprecated)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="author.role"/>
      </mapping>
    </element>
    <element>
      <path value="VisionPrescription.encounter"/>
      <short value="Created during encounter / admission / stay"/>
      <definition value="A link to a resource that identifies the particular occurrence of contact between patient and health care provider."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="PV1-19-Visit Number"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="componentOf.patientEncounter"/>
      </mapping>
    </element>
    <element>
      <path value="VisionPrescription.reason[x]"/>
      <short value="Reason or indication for writing the prescription"/>
      <definition value="Can be the reason or the indication for writing the prescription."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Condition"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="ORC-16-Order Control Code Reason"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="reason.observation or reason.observation[code=ASSERTION].value"/>
      </mapping>
    </element>
    <element>
      <path value="VisionPrescription.dispense"/>
      <short value="Vision supply authorization"/>
      <definition value="Deals with details of the dispense part of the supply specification."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="component.supplyEvent"/>
      </mapping>
    </element>
    <element>
      <path value="VisionPrescription.dispense.product"/>
      <short value="Product to be supplied"/>
      <definition value="Identifies the type of vision correction product which is required for the patient."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="A coded concept describing the vision products."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/vision-product"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="RXE-2-Give Code / RXO-1-Requested Give Code / RXD-2-Dispense/Give Code"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="consumable.role"/>
      </mapping>
    </element>
    <element>
      <path value="VisionPrescription.dispense.eye"/>
      <short value="right | left"/>
      <definition value="The eye for which the lens applies."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <description value="A coded concept listing the eye codes."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/vision-eye-codes"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="VisionPrescription.dispense.sphere"/>
      <short value="Lens sphere"/>
      <definition value="Lens power measured in diopters (0.25 units)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="decimal"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="VisionPrescription.dispense.cylinder"/>
      <short value="Lens cylinder"/>
      <definition value="Power adjustment for astigmatism measured in diopters (0.25 units)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="decimal"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="VisionPrescription.dispense.axis"/>
      <short value="Lens axis"/>
      <definition value="Adjustment for astigmatism measured in integer degrees."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="integer"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="VisionPrescription.dispense.prism"/>
      <short value="Lens prism"/>
      <definition value="Amount of prism to compensate for eye alignment in fractional units."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="decimal"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="VisionPrescription.dispense.base"/>
      <short value="up | down | in | out"/>
      <definition value="The relative base, or reference lens edge, for the prism."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <description value="A coded concept listing the base codes."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/vision-base-codes"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="VisionPrescription.dispense.add"/>
      <short value="Lens add"/>
      <definition value="Power adjustment for multifocal lenses measured in diopters (0.25 units)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="decimal"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="VisionPrescription.dispense.power"/>
      <short value="Contact lens power"/>
      <definition value="Contact lens power measured in diopters (0.25 units)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="decimal"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="VisionPrescription.dispense.backCurve"/>
      <short value="Contact lens back curvature"/>
      <definition value="Back curvature measured in millimeters."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="decimal"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="VisionPrescription.dispense.diameter"/>
      <short value="Contact lens diameter"/>
      <definition value="Contact lens diameter measured in millimeters."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="decimal"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="VisionPrescription.dispense.duration"/>
      <short value="Lens wear duration"/>
      <definition value="The recommended maximum wear period for the lens."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Quantity"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="VisionPrescription.dispense.color"/>
      <short value="Lens add"/>
      <definition value="Special color or pattern."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="VisionPrescription.dispense.brand"/>
      <short value="Lens add"/>
      <definition value="Brand recommendations or restrictions."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="VisionPrescription.dispense.notes"/>
      <short value="Notes for coatings"/>
      <definition value="Notes for special requirements such as coatings and lens materials."/>
      <alias value="0..1"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <isSummary value="true"/>
    </element>
  </differential>
</StructureDefinition>

StructureDefinition "ValueSet" Version "1"

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Name Flags Card. Type Description & Constraints doco
. . ValueSet I DomainResource A set of codes drawn from one or more code systems
A defined code system (if present) SHALL have a different url than the value set url
Value set SHALL contain at least one of a codeSystem, a compose, or an expansion element
A value set with only one import SHALL also have an include and/or an exclude unless the value set includes and inline code system
. . . url Σ 0..1 uri Globally unique logical identifier for value set
. . . identifier Σ 0..1 Identifier Additional identifier for the value set (e.g. HL7 v2 / CDA)
. . . version Σ 0..1 string Logical identifier for this version of the value set
. . . name Σ 0..1 string Informal name for this value set
. . . status ?! Σ 1..1 code draft | active | retired
ConformanceResourceStatus ( Required)
. . . experimental Σ 0..1 boolean If for testing purposes, not real usage
. . . publisher Σ 0..1 string Name of the publisher (organization or individual)
. . . contact Σ 0..* BackboneElement Contact details of the publisher
. . . . name Σ 0..1 string Name of an individual to contact
. . . . telecom Σ 0..* ContactPoint Contact details for individual or publisher
. . . date Σ 0..1 dateTime Date for given status
. . . lockedDate Σ 0..1 date Fixed date for all referenced code systems and value sets
. . . description Σ 0..1 string Human language description of the value set
. . . useContext Σ 0..* CodeableConcept Content intends to support these contexts
Context of Use ValueSet ( Extensible)
. . . immutable Σ 0..1 boolean Indicates whether or not any change to the content logical definition may occur
. . . requirements 0..1 string Why needed
. . . copyright 0..1 string Use and/or publishing restrictions
. . . extensible Σ 0..1 boolean Whether this is intended to be used with an extensible binding
. . . codeSystem Σ I 0..1 BackboneElement An inline code system, which is part of this value set
Codes must be unique
Within a code system definition, all the codes SHALL be unique
. . . . system Σ 1..1 uri URI to identify the code system (e.g. in Coding.system)
. . . . version Σ 0..1 string Version (for use in Coding.version)
. . . . caseSensitive Σ 0..1 boolean If code comparison is case sensitive
. . . . concept 1..* BackboneElement Concepts in the code system
. . . . . code 1..1 code Code that identifies concept
. . . . . abstract 0..1 boolean If this code is not for use as a real concept
. . . . . display 0..1 string Text to display to the user