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StructureDefinition "structuredefinition-json-type" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
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Generated Narrative with Details

id: structuredefinition-json-type

url: http://hl7.org/fhir/StructureDefinition/structuredefinition-json-type

name: Json type of value property

status: draft

publisher: Health Level Seven, Inc. - [WG Name] WG

date: 1/31/2014

description: The JSON type of a property - used for the value property of a primitive type (for which there is no type in the FHIR typing system).

fhirVersion: 1.0.2

kind: datatype

constrainedType: Extension

abstract: false

contextType: datatype

context: ElementDefinition.type.code

base: http://hl7.org/fhir/StructureDefinition/Extension


<?xml version="1.0" encoding="UTF-8"?>
<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="structuredefinition-json-type"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2020-10-21T22:07:29.671Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: structuredefinition-json-type</p>
      <p>
        <b>url</b>:
        <a href="http://hl7.org/fhir/StructureDefinition/structuredefinition-json-type">http://hl7.org/fhir/StructureDefinition/structuredefinition-json-type</a>
      </p>
      <p>
        <b>name</b>: Json type of value property</p>
      <p>
        <b>status</b>: draft</p>
      <p>
        <b>publisher</b>: Health Level Seven, Inc. - [WG Name] WG</p>
      <p>
        <b>date</b>: 1/31/2014</p>
      <p>
        <b>description</b>: The JSON type of a property - used for the value property of a primitive type (for which there is no type in the FHIR typing system).</p>
      <p>
        <b>fhirVersion</b>: 1.0.2</p>
      <p>
        <b>kind</b>: datatype</p>
      <p>
        <b>constrainedType</b>: Extension</p>
      <p>
        <b>abstract</b>: false</p>
      <p>
        <b>contextType</b>: datatype</p>
      <p>
        <b>context</b>: ElementDefinition.type.code</p>
      <p>
        <b>base</b>:
        <a href="http://hl7.org/fhir/StructureDefinition/Extension">http://hl7.org/fhir/StructureDefinition/Extension</a>
      </p>
    </div>
  </text>
  <url value="http://hl7.org/fhir/StructureDefinition/structuredefinition-json-type"/>
  <name value="Json type of value property"/>
  <status value="draft"/>
  <publisher value="Health Level Seven, Inc. - [WG Name] WG"/>
  <contact>
    <telecom>
      <system value="other"/>
      <value value="http://hl7.org/special/committees/FHIR"/>
    </telecom>
  </contact>
  <date value="2014-01-31"/>
  <description value="The JSON type of a property - used for the value property of a primitive type (for which there is no type in the FHIR typing system)."/>
  <fhirVersion value="1.0.2"/>
  <kind value="datatype"/>
  <constrainedType value="Extension"/>
  <abstract value="false"/>
  <contextType value="datatype"/>
  <context value="ElementDefinition.type.code"/>
  <base value="http://hl7.org/fhir/StructureDefinition/Extension"/>
  <snapshot>
    <element>
      <path value="Extension"/>
      <short value="Json type of value property"/>
      <definition value="The JSON type of a property - used for the value property of a primitive type (for which there is no type in the FHIR typing system)."/>
      <comments value="This is in effect, compiler magic for the typing system."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
    </element>
    <element>
      <path value="Extension.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="Extension.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="Extension.extension"/>
      <name value="extension"/>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="Extension.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
    </element>
    <element>
      <path value="Extension.url"/>
      <representation value="xmlAttr"/>
      <short value="identifies the meaning of the extension"/>
      <definition value="Source of the definition for the extension code - a logical name or a URL."/>
      <comments value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition should be version specific. This will ideally be the URI for the Resource Profile defining the extension, with the code for the extension after a #."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Extension.url"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-json-type"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="Extension.valueString"/>
      <short value="Value of extension"/>
      <definition value="Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Extension.value[x]"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
  </snapshot>
  <differential>
    <element>
      <path value="Extension"/>
      <short value="Json type of value property"/>
      <definition value="The JSON type of a property - used for the value property of a primitive type (for which there is no type in the FHIR typing system)."/>
      <comments value="This is in effect, compiler magic for the typing system."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
      </type>
    </element>
    <element>
      <path value="Extension.extension"/>
      <name value="extension"/>
      <max value="0"/>
    </element>
    <element>
      <path value="Extension.url"/>
      <type>
        <code value="uri"/>
      </type>
      <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-json-type"/>
    </element>
    <element>
      <path value="Extension.value[x]"/>
      <min value="1"/>
      <type>
        <code value="string"/>
      </type>
    </element>
  </differential>
</StructureDefinition>

StructureDefinition "uslab-observationkind" Version "1"

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

Generated Narrative with Details

id: uslab-observationkind

url: http://hl7.org/fhir/StructureDefinition/uslab-observationkind

name: Kind of observation

display: Kind of observation

status: draft

publisher: Health Level Seven International (Orders and Observations - US Lab)

date: 11/17/2014

description: This extension is used to classify the kind of observation in Observation.value for laboratory reporting and to differentiate between actual test results, responses to filler questions when ordering tests and other unsolicted responses. This may be required to drive operational functionality.

fhirVersion: 1.0.2

kind: datatype

constrainedType: Extension

abstract: false

contextType: resource

context: Observation

base: http://hl7.org/fhir/StructureDefinition/Extension


<?xml version="1.0" encoding="UTF-8"?>
<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="uslab-observationkind"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2020-10-21T22:07:29.189Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: uslab-observationkind</p>
      <p>
        <b>url</b>:
        <a href="http://hl7.org/fhir/StructureDefinition/uslab-observationkind">http://hl7.org/fhir/StructureDefinition/uslab-observationkind</a>
      </p>
      <p>
        <b>name</b>: Kind of observation</p>
      <p>
        <b>display</b>: Kind of observation</p>
      <p>
        <b>status</b>: draft</p>
      <p>
        <b>publisher</b>: Health Level Seven International (Orders and Observations - US Lab)</p>
      <p>
        <b>date</b>: 11/17/2014</p>
      <p>
        <b>description</b>: This extension is used to classify the kind of observation in Observation.value for laboratory reporting and to differentiate between actual test results, responses to filler questions when ordering tests and other unsolicted responses. This may be required to drive operational functionality.</p>
      <p>
        <b>fhirVersion</b>: 1.0.2</p>
      <p>
        <b>kind</b>: datatype</p>
      <p>
        <b>constrainedType</b>: Extension</p>
      <p>
        <b>abstract</b>: false</p>
      <p>
        <b>contextType</b>: resource</p>
      <p>
        <b>context</b>: Observation</p>
      <p>
        <b>base</b>:
        <a href="http://hl7.org/fhir/StructureDefinition/Extension">http://hl7.org/fhir/StructureDefinition/Extension</a>
      </p>
    </div>
  </text>
  <url value="http://hl7.org/fhir/StructureDefinition/uslab-observationkind"/>
  <name value="Kind of observation"/>
  <display value="Kind of observation"/>
  <status value="draft"/>
  <publisher value="Health Level Seven International (Orders and Observations - US Lab)"/>
  <contact>
    <telecom>
      <system value="other"/>
      <value value="http://hl7.org"/>
    </telecom>
  </contact>
  <date value="2014-11-17"/>
  <description value="This extension is used to classify the kind of observation in Observation.value for laboratory reporting and to differentiate between actual test results, responses to filler questions when ordering tests and other unsolicted responses. This may be required to drive operational functionality."/>
  <fhirVersion value="1.0.2"/>
  <kind value="datatype"/>
  <constrainedType value="Extension"/>
  <abstract value="false"/>
  <contextType value="resource"/>
  <context value="Observation"/>
  <base value="http://hl7.org/fhir/StructureDefinition/Extension"/>
  <snapshot>
    <element>
      <path value="Extension"/>
      <short value="Kind of observation"/>
      <definition value="This extension is used to classify the kind of observation in Observation.value for laboratory reporting and to differentiate between actual test results, responses to filler questions when ordering tests and other unsolicted responses. This may be required to drive operational functionality."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
    </element>
    <element>
      <path value="Extension.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="Extension.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="Extension.extension"/>
      <name value="extension"/>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="Extension.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
    </element>
    <element>
      <path value="Extension.url"/>
      <representation value="xmlAttr"/>
      <short value="identifies the meaning of the extension"/>
      <definition value="Source of the definition for the extension code - a logical name or a URL."/>
      <comments value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition should be version specific. This will ideally be the URI for the Resource Profile defining the extension, with the code for the extension after a #."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Extension.url"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <fixedUri value="http://hl7.org/fhir/StructureDefinition/uslab-observationkind"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="Extension.valueCode"/>
      <short value="Value of extension"/>
      <definition value="Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Extension.value[x]"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <description value="Code to classify the kind of observation in Observation.value[x]"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/uslab-obs-kind"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
  </snapshot>
  <differential>
    <element>
      <path value="Extension"/>
      <short value="Kind of observation"/>
      <definition value="This extension is used to classify the kind of observation in Observation.value for laboratory reporting and to differentiate between actual test results, responses to filler questions when ordering tests and other unsolicted responses. This may be required to drive operational functionality."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
      </type>
    </element>
    <element>
      <path value="Extension.extension"/>
      <name value="extension"/>
      <max value="0"/>
    </element>
    <element>
      <path value="Extension.url"/>
      <type>
        <code value="uri"/>
      </type>
      <fixedUri value="http://hl7.org/fhir/StructureDefinition/uslab-observationkind"/>
    </element>
    <element>
      <path value="Extension.value[x]"/>
      <min value="1"/>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <description value="Code to classify the kind of observation in Observation.value[x]"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/uslab-obs-kind"/>
        </valueSetReference>
      </binding>
    </element>
  </differential>
</StructureDefinition>

StructureDefinition "instant" Version "1"

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

Generated Narrative with Details

id: instant

meta:

url: http://hl7.org/fhir/StructureDefinition/instant

name: instant

status: draft

publisher: HL7 FHIR Standard

date: 10/24/2015 7:41:03 AM

description: Base StructureDefinition for instant Type: An instant in time - known at least to the second

fhirVersion: 1.0.2

kind: datatype

abstract: false

base: http://hl7.org/fhir/StructureDefinition/Element


<?xml version="1.0" encoding="UTF-8"?>
<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="instant"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2020-10-21T22:07:29.109Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: instant</p>
      <p>
        <b>meta</b>: </p>
      <p>
        <b>url</b>:
        <a href="http://hl7.org/fhir/StructureDefinition/instant">http://hl7.org/fhir/StructureDefinition/instant</a>
      </p>
      <p>
        <b>name</b>: instant</p>
      <p>
        <b>status</b>: draft</p>
      <p>
        <b>publisher</b>: HL7 FHIR Standard</p>
      <p>
        <b>date</b>: 10/24/2015 7:41:03 AM</p>
      <p>
        <b>description</b>: Base StructureDefinition for instant Type: An instant in time - known at least to the second</p>
      <p>
        <b>fhirVersion</b>: 1.0.2</p>
      <p>
        <b>kind</b>: datatype</p>
      <p>
        <b>abstract</b>: false</p>
      <p>
        <b>base</b>:
        <a href="http://hl7.org/fhir/StructureDefinition/Element">http://hl7.org/fhir/StructureDefinition/Element</a>
      </p>
    </div>
  </text>
  <url value="http://hl7.org/fhir/StructureDefinition/instant"/>
  <name value="instant"/>
  <status value="draft"/>
  <publisher value="HL7 FHIR Standard"/>
  <contact>
    <telecom>
      <system value="other"/>
      <value value="http://hl7.org/fhir"/>
    </telecom>
  </contact>
  <date value="2015-10-24T07:41:03+11:00"/>
  <description value="Base StructureDefinition for instant Type: An instant in time - known at least to the second"/>
  <fhirVersion value="1.0.2"/>
  <kind value="datatype"/>
  <abstract value="false"/>
  <base value="http://hl7.org/fhir/StructureDefinition/Element"/>
  <snapshot>
    <element>
      <path value="instant"/>
      <short value="Primitive Type instant"/>
      <definition value="An instant in time - known at least to the second"/>
      <comments value="Note: This is intended for precisely observed times, typically system logs etc., and not human-reported times - for them, see date and dateTime below. Time zone is always required"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Element"/>
      </type>
    </element>
    <element>
      <path value="instant.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>
    </element>
    <element>
      <path value="instant.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="instant.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
    </element>
    <element>
      <path value="instant.value"/>
      <representation value="xmlAttr"/>
      <short value="Primitive value for instant"/>
      <definition value="The actual value"/>
      <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="dateTime"/>
          </extension>
        </code>
      </type>
    </element>
  </snapshot>
  <differential>
    <element>
      <path value="instant"/>
      <short value="Primitive Type instant"/>
      <definition value="An instant in time - known at least to the second"/>
      <comments value="Note: This is intended for precisely observed times, typically system logs etc., and not human-reported times - for them, see date and dateTime below. Time zone is always required"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Element"/>
      </type>
    </element>
    <element>
      <path value="instant.value"/>
      <representation value="xmlAttr"/>
      <short value="Primitive value for instant"/>
      <definition value="Primitive value for instant"/>
      <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="dateTime"/>
          </extension>
        </code>
      </type>
    </element>
  </differential>
</StructureDefinition>

StructureDefinition "observation-delta" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
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Generated Narrative with Details

id: observation-delta

url: http://hl7.org/fhir/StructureDefinition/observation-delta

name: Qualitative change or trend in the measurement

display: delta

status: draft

publisher: Health Level Seven, Inc. - FHIR WG

date: 3/2/2015

description: The qualitative change in the value relative to the previous measurement. Usually only recorded if the change is clinically significant.

fhirVersion: 1.0.2

kind: datatype

constrainedType: Extension

abstract: false

contextType: resource

context: Observation

base: http://hl7.org/fhir/StructureDefinition/Extension


<?xml version="1.0" encoding="UTF-8"?>
<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="observation-delta"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2020-10-21T22:07:29.031Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: observation-delta</p>
      <p>
        <b>url</b>:
        <a href="http://hl7.org/fhir/StructureDefinition/observation-delta">http://hl7.org/fhir/StructureDefinition/observation-delta</a>
      </p>
      <p>
        <b>name</b>: Qualitative change or trend in the measurement</p>
      <p>
        <b>display</b>: delta</p>
      <p>
        <b>status</b>: draft</p>
      <p>
        <b>publisher</b>: Health Level Seven, Inc. - FHIR WG</p>
      <p>
        <b>date</b>: 3/2/2015</p>
      <p>
        <b>description</b>: The qualitative change in the value relative to the previous measurement. Usually only recorded if the change is clinically significant.</p>
      <p>
        <b>fhirVersion</b>: 1.0.2</p>
      <p>
        <b>kind</b>: datatype</p>
      <p>
        <b>constrainedType</b>: Extension</p>
      <p>
        <b>abstract</b>: false</p>
      <p>
        <b>contextType</b>: resource</p>
      <p>
        <b>context</b>: Observation</p>
      <p>
        <b>base</b>:
        <a href="http://hl7.org/fhir/StructureDefinition/Extension">http://hl7.org/fhir/StructureDefinition/Extension</a>
      </p>
    </div>
  </text>
  <url value="http://hl7.org/fhir/StructureDefinition/observation-delta"/>
  <name value="Qualitative change or trend in the measurement"/>
  <display value="delta"/>
  <status value="draft"/>
  <publisher value="Health Level Seven, Inc. - FHIR WG"/>
  <contact>
    <telecom>
      <system value="other"/>
      <value value="HL7"/>
    </telecom>
  </contact>
  <date value="2015-03-02"/>
  <description value="The qualitative change in the value relative to the previous measurement. Usually only recorded if the change is clinically significant."/>
  <fhirVersion value="1.0.2"/>
  <kind value="datatype"/>
  <constrainedType value="Extension"/>
  <abstract value="false"/>
  <contextType value="resource"/>
  <context value="Observation"/>
  <base value="http://hl7.org/fhir/StructureDefinition/Extension"/>
  <snapshot>
    <element>
      <path value="Extension"/>
      <short value="Qualitative change or trend in the measurement"/>
      <definition value="The qualitative change in the value relative to the previous measurement. Usually only recorded if the change is clinically significant."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
    </element>
    <element>
      <path value="Extension.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="Extension.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="Extension.extension"/>
      <name value="extension"/>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="Extension.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
    </element>
    <element>
      <path value="Extension.url"/>
      <representation value="xmlAttr"/>
      <short value="identifies the meaning of the extension"/>
      <definition value="Source of the definition for the extension code - a logical name or a URL."/>
      <comments value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition should be version specific. This will ideally be the URI for the Resource Profile defining the extension, with the code for the extension after a #."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Extension.url"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-delta"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="Extension.valueCodeableConcept"/>
      <short value="Value of extension"/>
      <definition value="Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Extension.value[x]"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
  </snapshot>
  <differential>
    <element>
      <path value="Extension"/>
      <short value="Qualitative change or trend in the measurement"/>
      <definition value="The qualitative change in the value relative to the previous measurement. Usually only recorded if the change is clinically significant."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
      </type>
    </element>
    <element>
      <path value="Extension.extension"/>
      <name value="extension"/>
      <max value="0"/>
    </element>
    <element>
      <path value="Extension.url"/>
      <type>
        <code value="uri"/>
      </type>
      <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-delta"/>
    </element>
    <element>
      <path value="Extension.value[x]"/>
      <min value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
  </differential>
</StructureDefinition>

StructureDefinition "patient-cadavericDonor" Version "1"

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

Generated Narrative with Details

id: patient-cadavericDonor

url: http://hl7.org/fhir/StructureDefinition/patient-cadavericDonor

name: Post-mortem donor status

display: cadavericDonor

status: draft

publisher: HL7

date: 10/24/2015 7:41:03 AM

description: Flag indicating whether the patient authorized the donation of body parts after death.

fhirVersion: 1.0.2

kind: datatype

constrainedType: Extension

abstract: false

contextType: resource

context: Patient

base: http://hl7.org/fhir/StructureDefinition/Extension


<?xml version="1.0" encoding="UTF-8"?>
<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="patient-cadavericDonor"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2020-10-21T22:07:28.593Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: patient-cadavericDonor</p>
      <p>
        <b>url</b>:
        <a href="http://hl7.org/fhir/StructureDefinition/patient-cadavericDonor">http://hl7.org/fhir/StructureDefinition/patient-cadavericDonor</a>
      </p>
      <p>
        <b>name</b>: Post-mortem donor status</p>
      <p>
        <b>display</b>: cadavericDonor</p>
      <p>
        <b>status</b>: draft</p>
      <p>
        <b>publisher</b>: HL7</p>
      <p>
        <b>date</b>: 10/24/2015 7:41:03 AM</p>
      <p>
        <b>description</b>: Flag indicating whether the patient authorized the donation of body parts after death.</p>
      <p>
        <b>fhirVersion</b>: 1.0.2</p>
      <p>
        <b>kind</b>: datatype</p>
      <p>
        <b>constrainedType</b>: Extension</p>
      <p>
        <b>abstract</b>: false</p>
      <p>
        <b>contextType</b>: resource</p>
      <p>
        <b>context</b>: Patient</p>
      <p>
        <b>base</b>:
        <a href="http://hl7.org/fhir/StructureDefinition/Extension">http://hl7.org/fhir/StructureDefinition/Extension</a>
      </p>
    </div>
  </text>
  <url value="http://hl7.org/fhir/StructureDefinition/patient-cadavericDonor"/>
  <name value="Post-mortem donor status"/>
  <display value="cadavericDonor"/>
  <status value="draft"/>
  <publisher value="HL7"/>
  <date value="2015-10-24T07:41:03+11:00"/>
  <description value="Flag indicating whether the patient authorized the donation of body parts after death."/>
  <fhirVersion value="1.0.2"/>
  <kind value="datatype"/>
  <constrainedType value="Extension"/>
  <abstract value="false"/>
  <contextType value="resource"/>
  <context value="Patient"/>
  <base value="http://hl7.org/fhir/StructureDefinition/Extension"/>
  <snapshot>
    <element>
      <path value="Extension"/>
      <short value="Post-mortem donor status"/>
      <definition value="Flag indicating whether the patient authorized the donation of body parts after death."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
    </element>
    <element>
      <path value="Extension.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="Extension.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="Extension.extension"/>
      <name value="extension"/>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="Extension.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
    </element>
    <element>
      <path value="Extension.url"/>
      <representation value="xmlAttr"/>
      <short value="identifies the meaning of the extension"/>
      <definition value="Source of the definition for the extension code - a logical name or a URL."/>
      <comments value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition should be version specific. This will ideally be the URI for the Resource Profile defining the extension, with the code for the extension after a #."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Extension.url"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-cadavericDonor"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="Extension.valueBoolean"/>
      <short value="Value of extension"/>
      <definition value="Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Extension.value[x]"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
  </snapshot>
  <differential>
    <element>
      <path value="Extension"/>
      <short value="Post-mortem donor status"/>
      <definition value="Flag indicating whether the patient authorized the donation of body parts after death."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
      </type>
    </element>
    <element>
      <path value="Extension.extension"/>
      <name value="extension"/>
      <max value="0"/>
    </element>
    <element>
      <path value="Extension.url"/>
      <type>
        <code value="uri"/>
      </type>
      <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-cadavericDonor"/>
    </element>
    <element>
      <path value="Extension.value[x]"/>
      <min value="1"/>
      <type>
        <code value="boolean"/>
      </type>
    </element>
  </differential>
</StructureDefinition>

StructureDefinition "qicore-communicationrequest" Version "1"

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

Generated Narrative with Details

id: qicore-communicationrequest

url: http://hl7.org/fhir/StructureDefinition/qicore-communicationrequest

name: QICore-CommunicationRequest

status: draft

publisher: Health Level Seven International (Clinical Quality Information - QICore)

date: 2/27/2015

description: Profile of CommunicationRequest for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.

fhirVersion: 1.0.2

kind: resource

constrainedType: CommunicationRequest

abstract: false

base: http://hl7.org/fhir/StructureDefinition/CommunicationRequest


<?xml version="1.0" encoding="UTF-8"?>
<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="qicore-communicationrequest"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2020-10-21T22:07:28.249Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: qicore-communicationrequest</p>
      <p>
        <b>url</b>:
        <a href="http://hl7.org/fhir/StructureDefinition/qicore-communicationrequest">http://hl7.org/fhir/StructureDefinition/qicore-communicationrequest</a>
      </p>
      <p>
        <b>name</b>: QICore-CommunicationRequest</p>
      <p>
        <b>status</b>: draft</p>
      <p>
        <b>publisher</b>: Health Level Seven International (Clinical Quality Information - QICore)</p>
      <p>
        <b>date</b>: 2/27/2015</p>
      <p>
        <b>description</b>: Profile of CommunicationRequest for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.</p>
      <p>
        <b>fhirVersion</b>: 1.0.2</p>
      <p>
        <b>kind</b>: resource</p>
      <p>
        <b>constrainedType</b>: CommunicationRequest</p>
      <p>
        <b>abstract</b>: false</p>
      <p>
        <b>base</b>:
        <a href="http://hl7.org/fhir/StructureDefinition/CommunicationRequest">http://hl7.org/fhir/StructureDefinition/CommunicationRequest</a>
      </p>
    </div>
  </text>
  <url value="http://hl7.org/fhir/StructureDefinition/qicore-communicationrequest"/>
  <name value="QICore-CommunicationRequest"/>
  <status value="draft"/>
  <publisher value="Health Level Seven International (Clinical Quality Information - QICore)"/>
  <contact>
    <telecom>
      <system value="other"/>
      <value value="http://hl7.org/special/committees/CQI"/>
    </telecom>
  </contact>
  <date value="2015-02-27"/>
  <description value="Profile of CommunicationRequest for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors."/>
  <fhirVersion value="1.0.2"/>
  <mapping>
    <identity value="qdm"/>
    <uri value="http://www.healthit.gov/quality-data-model"/>
    <name value="Quality Data Model"/>
  </mapping>
  <kind value="resource"/>
  <constrainedType value="CommunicationRequest"/>
  <abstract value="false"/>
  <base value="http://hl7.org/fhir/StructureDefinition/CommunicationRequest"/>
  <snapshot>
    <element>
      <path value="CommunicationRequest"/>
      <name value="QICore-CommunicationRequest"/>
      <short value="A request for information to be sent to a receiver"/>
      <definition value="A request to convey information e.g. the CDS system proposes that an alert be sent to a responsible provider, the CDS system proposes that the public health agency be notified about a reportable condition."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="CommunicationRequest"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="CommunicationRequest"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="w5"/>
        <map value="workflow.order"/>
      </mapping>
      <mapping>
        <identity value="qdm"/>
        <map value="&quot;Intervention, Order&quot; (when Communication.status=&quot;requested&quot;) &quot;Intervention, Recommended&quot; (when Communication.status=&quot;proposed&quot;)"/>
      </mapping>
    </element>
    <element>
      <path value="CommunicationRequest.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="CommunicationRequest.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="CommunicationRequest.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="CommunicationRequest.meta"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Meta"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="CommunicationRequest.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="CommunicationRequest.implicitRules"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="CommunicationRequest.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="CommunicationRequest.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="CommunicationRequest.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="CommunicationRequest.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="CommunicationRequest.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="CommunicationRequest.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="CommunicationRequest.extension"/>
      <slicing>
        <discriminator value="url"/>
        <ordered value="false"/>
        <rules value="open"/>
      </slicing>
      <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="CommunicationRequest.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="CommunicationRequest.extension"/>
      <name value="CommunicationRequest.reasonRejected"/>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CommunicationRequest.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/communicationrequest-reasonRejected"/>
      </type>
      <binding>
        <strength value="example"/>
        <description value="Reason communication request was not performed"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/qicore-communication-reason-not-performed"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="qdm"/>
        <map value="negation rationale (when CommunicationRequest.status is rejected or failed)"/>
      </mapping>
    </element>
    <element>
      <path value="CommunicationRequest.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="CommunicationRequest.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="CommunicationRequest.identifier"/>
      <short value="Unique identifier"/>
      <definition value="A unique ID of this request for reference purposes. It must be provided if user wants it returned as part of any output, otherwise it will be autogenerated, if needed, by CDS system. Does not need to be the actual ID of the source system."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="CommunicationRequest.identifier"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Identifier"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="w5"/>
        <map value="id"/>
      </mapping>
    </element>
    <element>
      <path value="CommunicationRequest.category"/>
      <short value="Message category"/>
      <definition value="The type of message to be sent such as alert, notification, reminder, instruction, etc."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CommunicationRequest.category"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <mustSupport value="true"/>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="Codes for general categories of communications such as alerts, instruction, etc."/>
      </binding>
      <mapping>
        <identity value="w5"/>
        <map value="class"/>
      </mapping>
      <mapping>
        <identity value="qdm"/>
        <map value="primary code"/>
      </mapping>
    </element>
    <element>
      <path value="CommunicationRequest.sender"/>
      <short value="Message sender"/>
      <definition value="The entity (e.g. person, organization, clinical information system, or device) which is to be the source of the communication."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CommunicationRequest.sender"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-practitioner"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-patient"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-device"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-relatedperson"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-organization"/>
      </type>
      <mustSupport value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="w5"/>
        <map value="who.actor"/>
      </mapping>
    </element>
    <element>
      <path value="CommunicationRequest.recipient"/>
      <short value="Message recipient"/>
      <definition value="The entity (e.g. person, organization, clinical information system, or device) which is the intended target of the communication."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="CommunicationRequest.recipient"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-practitioner"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-patient"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-device"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-relatedperson"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-organization"/>
      </type>
      <mustSupport value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="w5"/>
        <map value="who.focus"/>
      </mapping>
    </element>
    <element>
      <path value="CommunicationRequest.payload"/>
      <short value="Message payload"/>
      <definition value="Text, attachment(s), or resource(s) to be communicated to the recipient."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="CommunicationRequest.payload"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="CommunicationRequest.payload.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="CommunicationRequest.payload.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="CommunicationRequest.payload.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="CommunicationRequest.payload.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="CommunicationRequest.payload.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="CommunicationRequest.payload.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="CommunicationRequest.payload.content[x]"/>
      <short value="Message part content"/>
      <definition value="The communicated content (or for multi-part communications, one portion of the communication)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="CommunicationRequest.payload.content[x]"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <type>
        <code value="Attachment"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Resource"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="CommunicationRequest.medium"/>
      <short value="A channel of communication"/>
      <definition value="A channel that was used for this communication (e.g. email, fax)."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="CommunicationRequest.medium"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="The type of channel used for the communication, for example, telephone, fax, email."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/qicore-communication-medium"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="CommunicationRequest.requester"/>
      <short value="An individual who requested a communication"/>
      <definition value="The responsible person who authorizes this order, e.g. physician. This may be different than the author of the order statement, e.g. clerk, who may have entered the statement into the order entry application."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CommunicationRequest.requester"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-patient"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-practitioner"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-relatedperson"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="w5"/>
        <map value="who.cause"/>
      </mapping>
    </element>
    <element>
      <path value="CommunicationRequest.status"/>
      <short value="proposed | planned | requested | received | accepted | in-progress | completed | suspended | rejected | failed"/>
      <definition value="The status of the proposal or order."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CommunicationRequest.status"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <mustSupport value="true"/>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <description value="The status of the communication."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/communication-request-status"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="w5"/>
        <map value="status"/>
      </mapping>
      <mapping>
        <identity value="qdm"/>
        <map value="negation rationale (when CommunicationRequest.status is rejected or failed)"/>
      </mapping>
    </element>
    <element>
      <path value="CommunicationRequest.encounter"/>
      <short value="Encounter leading to message"/>
      <definition value="The encounter within which the communication request was created."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CommunicationRequest.encounter"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-encounter"/>
      </type>
      <mustSupport value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="w5"/>
        <map value="context"/>
      </mapping>
    </element>
    <element>
      <path value="CommunicationRequest.scheduled[x]"/>
      <short value="When scheduled"/>
      <definition value="The time when this communication is to occur."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CommunicationRequest.scheduled[x]"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="dateTime"/>
      </type>
      <type>
        <code value="Period"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="w5"/>
        <map value="when.planned"/>
      </mapping>
      <mapping>
        <identity value="qdm"/>
        <map value="start datetime, stop datetime"/>
      </mapping>
    </element>
    <element>
      <path value="CommunicationRequest.reason"/>
      <short value="Indication for message"/>
      <definition value="The reason or justification for the communication request."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="CommunicationRequest.reason"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="Codes for describing reasons for the occurrence of a communication."/>
      </binding>
      <mapping>
        <identity value="qdm"/>
        <map value="reason"/>
      </mapping>
    </element>
    <element>
      <path value="CommunicationRequest.requestedOn"/>
      <short value="When ordered or proposed"/>
      <definition value="The time when the request was made."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CommunicationRequest.requestedOn"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="dateTime"/>
      </type>
      <mustSupport value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="w5"/>
        <map value="when.init"/>
      </mapping>
      <mapping>
        <identity value="qdm"/>
        <map value="start datetime, stop datetime"/>
      </mapping>
    </element>
    <element>
      <path value="CommunicationRequest.subject"/>
      <short value="Focus of message"/>
      <definition value="The patient who is the focus of this communication request."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CommunicationRequest.subject"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
      </type>
      <mustSupport value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="w5"/>
        <map value="who.focus"/>
      </mapping>
    </element>
    <element>
      <path value="CommunicationRequest.priority"/>
      <short value="Message urgency"/>
      <definition value="Characterizes how quickly the proposed act must be initiated. Includes concepts such as stat, urgent, routine."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CommunicationRequest.priority"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="Codes indicating the relative importance of a communication request."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/diagnostic-order-priority"/>
        </valueSetReference>
      </binding>
    </element>
  </snapshot>
  <differential>
    <element>
      <path value="CommunicationRequest"/>
      <name value="QICore-CommunicationRequest"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="CommunicationRequest"/>
      </type>
      <mapping>
        <identity value="qdm"/>
        <map value="&quot;Intervention, Order&quot; (when Communication.status=&quot;requested&quot;) &quot;Intervention, Recommended&quot; (when Communication.status=&quot;proposed&quot;)"/>
      </mapping>
    </element>
    <element>
      <path value="CommunicationRequest.extension"/>
      <name value="CommunicationRequest.reasonRejected"/>
      <slicing>
        <discriminator value="url"/>
        <ordered value="false"/>
        <rules value="open"/>
      </slicing>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/communicationrequest-reasonRejected"/>
      </type>
      <binding>
        <strength value="example"/>
        <description value="Reason communication request was not performed"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/qicore-communication-reason-not-performed"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="qdm"/>
        <map value="negation rationale (when CommunicationRequest.status is rejected or failed)"/>
      </mapping>
    </element>
    <element>
      <path value="CommunicationRequest.category"/>
      <mustSupport value="true"/>
      <mapping>
        <identity value="qdm"/>
        <map value="primary code"/>
      </mapping>
    </element>
    <element>
      <path value="CommunicationRequest.sender"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-practitioner"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-patient"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-device"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-relatedperson"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-organization"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="CommunicationRequest.recipient"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-practitioner"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-patient"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-device"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-relatedperson"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-organization"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="CommunicationRequest.medium"/>
      <binding>
        <strength value="example"/>
        <description value="The type of channel used for the communication, for example, telephone, fax, email."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/qicore-communication-medium"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="CommunicationRequest.requester"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-patient"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-practitioner"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-relatedperson"/>
      </type>
    </element>
    <element>
      <path value="CommunicationRequest.status"/>
      <mustSupport value="true"/>
      <mapping>
        <identity value="qdm"/>
        <map value="negation rationale (when CommunicationRequest.status is rejected or failed)"/>
      </mapping>
    </element>
    <element>
      <path value="CommunicationRequest.encounter"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-encounter"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="CommunicationRequest.scheduled[x]"/>
      <mapping>
        <identity value="qdm"/>
        <map value="start datetime, stop datetime"/>
      </mapping>
    </element>
    <element>
      <path value="CommunicationRequest.reason"/>
      <mapping>
        <identity value="qdm"/>
        <map value="reason"/>
      </mapping>
    </element>
    <element>
      <path value="CommunicationRequest.requestedOn"/>
      <mustSupport value="true"/>
      <mapping>
        <identity value="qdm"/>
        <map value="start datetime, stop datetime"/>
      </mapping>
    </element>
    <element>
      <path value="CommunicationRequest.subject"/>
      <mustSupport value="true"/>
    </element>
  </differential>
</StructureDefinition>

StructureDefinition "qicore-medicationadministration" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
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Generated Narrative with Details

id: qicore-medicationadministration

url: http://hl7.org/fhir/StructureDefinition/qicore-medicationadministration

name: QICore-MedicationAdministration

status: draft

publisher: Health Level Seven International (Clinical Quality Information - QICore)

date: 2/27/2015

description: Profile of MedicationAdministration for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.

fhirVersion: 1.0.2

kind: resource

constrainedType: MedicationAdministration

abstract: false

base: http://hl7.org/fhir/StructureDefinition/MedicationAdministration


<?xml version="1.0" encoding="UTF-8"?>
<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="qicore-medicationadministration"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2020-10-21T22:07:28.109Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: qicore-medicationadministration</p>
      <p>
        <b>url</b>:
        <a href="http://hl7.org/fhir/StructureDefinition/qicore-medicationadministration">http://hl7.org/fhir/StructureDefinition/qicore-medicationadministration</a>
      </p>
      <p>
        <b>name</b>: QICore-MedicationAdministration</p>
      <p>
        <b>status</b>: draft</p>
      <p>
        <b>publisher</b>: Health Level Seven International (Clinical Quality Information - QICore)</p>
      <p>
        <b>date</b>: 2/27/2015</p>
      <p>
        <b>description</b>: Profile of MedicationAdministration for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.</p>
      <p>
        <b>fhirVersion</b>: 1.0.2</p>
      <p>
        <b>kind</b>: resource</p>
      <p>
        <b>constrainedType</b>: MedicationAdministration</p>
      <p>
        <b>abstract</b>: false</p>
      <p>
        <b>base</b>:
        <a href="http://hl7.org/fhir/StructureDefinition/MedicationAdministration">http://hl7.org/fhir/StructureDefinition/MedicationAdministration</a>
      </p>
    </div>
  </text>
  <url value="http://hl7.org/fhir/StructureDefinition/qicore-medicationadministration"/>
  <name value="QICore-MedicationAdministration"/>
  <status value="draft"/>
  <publisher value="Health Level Seven International (Clinical Quality Information - QICore)"/>
  <contact>
    <telecom>
      <system value="other"/>
      <value value="http://hl7.org/special/committees/CQI"/>
    </telecom>
  </contact>
  <date value="2015-02-27"/>
  <description value="Profile of MedicationAdministration for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors."/>
  <fhirVersion value="1.0.2"/>
  <mapping>
    <identity value="qdm"/>
    <uri value="http://www.healthit.gov/quality-data-model"/>
    <name value="Quality Data Model"/>
  </mapping>
  <kind value="resource"/>
  <constrainedType value="MedicationAdministration"/>
  <abstract value="false"/>
  <base value="http://hl7.org/fhir/StructureDefinition/MedicationAdministration"/>
  <snapshot>
    <element>
      <path value="MedicationAdministration"/>
      <name value="QICore-MedicationAdministration"/>
      <short value="Administration of medication to a patient"/>
      <definition value="Describes the event of a patient consuming or otherwise being administered a medication. This may be as simple as swallowing a tablet or it may be a long running infusion. Related resources tie this event to the authorizing prescription, and the specific encounter between patient and health care practitioner."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="MedicationAdministration"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="MedicationAdministration"/>
      </type>
      <constraint>
        <key value="mad-3"/>
        <severity value="error"/>
        <human value="Reason given is only permitted if wasNotGiven is false"/>
        <xpath value="not(exists(f:reasonGiven) and f:wasNotGiven/@value=true())"/>
      </constraint>
      <constraint>
        <key value="mad-2"/>
        <severity value="error"/>
        <human value="Reason not given is only permitted if wasNotGiven is true"/>
        <xpath value="not(exists(f:reasonNotGiven) and f:wasNotGiven/@value=false())"/>
      </constraint>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="SubstanceAdministration"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="clinical.medication"/>
      </mapping>
      <mapping>
        <identity value="qdm"/>
        <map value="Medication, Administered"/>
      </mapping>
    </element>
    <element>
      <path value="MedicationAdministration.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="MedicationAdministration.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="MedicationAdministration.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="MedicationAdministration.meta"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Meta"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="MedicationAdministration.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="MedicationAdministration.implicitRules"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="MedicationAdministration.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="MedicationAdministration.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="MedicationAdministration.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="MedicationAdministration.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="MedicationAdministration.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="MedicationAdministration.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="MedicationAdministration.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="MedicationAdministration.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="MedicationAdministration.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="MedicationAdministration.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="MedicationAdministration.identifier"/>
      <short value="External identifier"/>
      <definition value="External identifier - FHIR will generate its own internal identifiers (probably URLs) which do not need to be explicitly managed by the resource. The identifier here is one that would be used by another non-FHIR system - for example an automated medication pump would provide a record each time it operated an administration while the patient was off the ward might be made with a different system and entered after the event. Particularly important if these records have to be updated."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="MedicationAdministration.identifier"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Identifier"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="RXA-25-Administered Barcode Identifier"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="id"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="id"/>
      </mapping>
    </element>
    <element>
      <path value="MedicationAdministration.status"/>
      <short value="in-progress | on-hold | completed | entered-in-error | stopped"/>
      <definition value="Will generally be set to show that the administration has been completed. For some long running administrations such as infusions it is possible for an administration to be started but not completed or it may be paused while some other process is under way."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="MedicationAdministration.status"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <mustSupport value="true"/>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <description value="A set of codes indicating the current status of a MedicationAdministration."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/medication-admin-status"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="RXA-20-Completion Status"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="statusCode"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="status"/>
      </mapping>
    </element>
    <element>
      <path value="MedicationAdministration.patient"/>
      <short value="Who received medication"/>
      <definition value="The person or animal receiving the medication."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="MedicationAdministration.patient"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-patient"/>
      </type>
      <mustSupport value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="PID-3-Patient ID List"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="subject-&gt;Patient"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="who.focus"/>
      </mapping>
    </element>
    <element>
      <path value="MedicationAdministration.practitioner"/>
      <short value="Who administered substance"/>
      <definition value="The individual who was responsible for giving the medication to the patient."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="MedicationAdministration.practitioner"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-practitioner"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-patient"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-relatedperson"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="RXA-10-Administering Provider / PRT-5-Participation Person: PRT-4-Participation=&apos;AP&apos; (RXA-10 is deprecated)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="performer-&gt;Role"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="who.actor"/>
      </mapping>
    </element>
    <element>
      <path value="MedicationAdministration.encounter"/>
      <short value="Encounter administered as part of"/>
      <definition value="The visit, admission or other contact between patient and health care provider the medication administration was performed as part of."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="MedicationAdministration.encounter"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-encounter"/>
      </type>
      <mustSupport value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="PV1-19-Visit Number"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="component-&gt;EncounterEvent"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="context"/>
      </mapping>
    </element>
    <element>
      <path value="MedicationAdministration.prescription"/>
      <short value="Order administration performed against"/>
      <definition value="The original request, instruction or authority to perform the administration."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="MedicationAdministration.prescription"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-medicationorder"/>
      </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="InFullfillmentOf-&gt;SubstanceAdministration"/>
      </mapping>
    </element>
    <element>
      <path value="MedicationAdministration.wasNotGiven"/>
      <short value="True if medication not administered"/>
      <definition value="Set this to true if the record is saying that the medication was NOT administered."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="MedicationAdministration.wasNotGiven"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
      <meaningWhenMissing value="If this is missing, then the medication was administered"/>
      <mustSupport value="true"/>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="RXA-20-Completion Status=&apos;NA&apos;"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="actionNegationInd"/>
      </mapping>
      <mapping>
        <identity value="qdm"/>
        <map value="negation rationale"/>
      </mapping>
    </element>
    <element>
      <path value="MedicationAdministration.reasonNotGiven"/>
      <short value="Reason administration not performed"/>
      <definition value="A code indicating why the administration was not performed."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="MedicationAdministration.reasonNotGiven"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <condition value="mad-2"/>
      <mustSupport value="true"/>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="A set of codes indicating the reason why the MedicationAdministration is negated."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/reason-medication-not-given-codes"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="RXA-9-Administration Notes / RXA-18 Substance/Treatment Refusal Reason"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="Reason-&gt;Observation-&gt;Value"/>
      </mapping>
      <mapping>
        <identity value="qdm"/>
        <map value="negation rationale"/>
      </mapping>
    </element>
    <element>
      <path value="MedicationAdministration.reasonGiven"/>
      <short value="Reason administration performed"/>
      <definition value="A code indicating why the medication was given."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="MedicationAdministration.reasonGiven"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <condition value="mad-3"/>
      <mustSupport value="true"/>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="A set of codes indicating the reason why the MedicationAdministration was made."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/reason-medication-given-codes"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="RXE-27 Give Indication"/>
      </mapping>
      <mapping>
        <identity value="qdm"/>
        <map value="reason"/>
      </mapping>
    </element>
    <element>
      <path value="MedicationAdministration.effectiveTime[x]"/>
      <short value="Start and end time of administration"/>
      <definition value="A specific date/time or interval of time during which the administration took place (or did not take place, when the &apos;notGiven&apos; attribute is true). For many administrations, such as swallowing a tablet the use of dateTime is more appropriate."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="MedicationAdministration.effectiveTime[x]"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="dateTime"/>
      </type>
      <type>
        <code value="Period"/>
      </type>
      <mustSupport value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="RXA-3-Date/Time Start of Administration / RXA-4-Date/Time End of Administration"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="effectiveTime"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="when.done"/>
      </mapping>
      <mapping>
        <identity value="qdm"/>
        <map value="start and stop datetime"/>
      </mapping>
    </element>
    <element>
      <path value="MedicationAdministration.medication[x]"/>
      <short value="What was administered"/>
      <definition value="Identifies the medication that was administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications."/>
      <comments value="If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. Note: do not use Medication.name to describe the administered medication. When the only available information is a text description of the medication, Medication.code.text should be used."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="MedicationAdministration.medication[x]"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-medication"/>
      </type>
      <mustSupport value="true"/>
      <isSummary value="true"/>
      <binding>
        <strength value="preferred"/>
        <description value="The set of RxNorm codes to represent medications"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/daf-medication-codes"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="RXA-5-Administered Code"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="Consumeable-&gt;AdministerableMedication"/>
      </mapping>
      <mapping>
        <identity value="qdm"/>
        <map value="primary code"/>
      </mapping>
    </element>
    <element>
      <path value="MedicationAdministration.device"/>
      <short value="Device used to administer"/>
      <definition value="The device used in administering the medication to the patient. For example, a particular infusion pump."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="MedicationAdministration.device"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-device"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="PRT-10 Participation Device / RXR-3 Administrative Device"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="device-&gt;Access OR device-&gt;AssignedDevice"/>
      </mapping>
    </element>
    <element>
      <path value="MedicationAdministration.note"/>
      <short value="Information about the administration"/>
      <definition value="Extra information about the medication administration that is not conveyed by the other attributes."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="MedicationAdministration.note"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="MedicationAdministration.dosage"/>
      <short value="Details of how medication was taken"/>
      <definition value="Describes the medication dosage information details e.g. dose, rate, site, route, etc."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="MedicationAdministration.dosage"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="mad-1"/>
        <severity value="error"/>
        <human value="SHALL have at least one of dosage.quantity and dosage.rate[x]"/>
        <xpath value="exists(f:quantity) or exists(f:rateRatio) or exists(f:rateRange)"/>
      </constraint>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="component-&gt;SubstanceAdministrationEvent"/>
      </mapping>
    </element>
    <element>
      <path value="MedicationAdministration.dosage.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="MedicationAdministration.dosage.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="MedicationAdministration.dosage.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="MedicationAdministration.dosage.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="MedicationAdministration.dosage.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="MedicationAdministration.dosage.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="MedicationAdministration.dosage.text"/>
      <short value="Dosage Instructions"/>
      <definition value="Free text dosage instructions can be used for cases where the instructions are too complex to code. When coded instructions are present, the free text instructions may still be present for display to humans taking or administering the medication."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="MedicationAdministration.dosage.text"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="MedicationAdministration.dosage.site[x]"/>
      <short value="Body site administered to"/>
      <definition value="A coded specification of the anatomic site where the medication first entered the body. For example, &quot;left arm&quot;."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="MedicationAdministration.dosage.site[x]"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/BodySite"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="A coded concept describing the site location the medicine enters into or onto the body."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/approach-site-codes"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="RXR-2 Administration Site / RXR-6 Administration Site Modifier"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="approachSiteCode"/>
      </mapping>
    </element>
    <element>
      <path value="MedicationAdministration.dosage.route"/>
      <short value="Path of substance into body"/>
      <definition value="A code specifying the route or physiological path of administration of a therapeutic agent into or onto the patient. For example, topical, intravenous, etc."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="MedicationAdministration.dosage.route"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <mustSupport value="true"/>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/route-codes"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="RXR-1-Route"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="routeCode"/>
      </mapping>
      <mapping>
        <identity value="qdm"/>
        <map value="route"/>
      </mapping>
    </element>
    <element>
      <path value="MedicationAdministration.dosage.method"/>
      <short value="How drug was administered"/>
      <definition value="A coded value indicating the method by which the medication is intended to be or was introduced into or on the body. This attribute will most often NOT be populated. It is most commonly used for injections. For example, Slow Push, Deep IV."/>
      <comments value="One of the reasons this attribute is not used often, is that the method is often pre-coordinated with the route and/or form of administration. This means the codes used in route or form may pre-coordinate the method in the route code or the form code. The implementation decision about what coding system to use for route or form code will determine how frequently the method code will be populated e.g. if route or form code pre-coordinate method code, then this attribute will not be populated often if there is no pre-coordination then method code may be used frequently."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="MedicationAdministration.dosage.method"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="A coded concept describing the technique by which the medicine is administered."/>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="RXR-4-Administration Method"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="methodCode"/>
      </mapping>
    </element>
    <element>
      <path value="MedicationAdministration.dosage.quantity"/>
      <short value="Amount administered in one dose"/>
      <definition value="The amount of the medication given at one administration event. Use this value when the administration is essentially an instantaneous event such as a swallowing a tablet or giving an injection."/>
      <comments value="If the administration is not instantaneous (rate is present or timing has a duration), this can be specified to convey the total amount administered over period of time of a single administration (as indicated by schedule)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="MedicationAdministration.dosage.quantity"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Quantity"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/>
      </type>
      <mustSupport value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="RXA-6 Administered Amount / RXA-7 Administered Units"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="doseQuantity"/>
      </mapping>
      <mapping>
        <identity value="qdm"/>
        <map value="dose"/>
      </mapping>
    </element>
    <element>
      <path value="MedicationAdministration.dosage.rate[x]"/>
      <short value="Dose quantity per unit of time"/>
      <definition value="Identifies the speed with which the medication was or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours. Currently we do not specify a default of &apos;1&apos; in the denominator, but this is being discussed. Other examples: 200 mcg/min or 200 mcg/1 minute 1 liter/8 hours."/>
      <comments value="If the rate changes over time, and you want to capture this in MedicationAdministration, then each change should be captured as a distinct MedicationAdministration, with a specific MedicationAdministration.dosage.rate, and the date time when the rate change occurred. Typically, the MedicationAdministration.dosage.rate element is not used to convey an average rate."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="MedicationAdministration.dosage.rate[x]"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Ratio"/>
      </type>
      <type>
        <code value="Range"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="RXA-12-Administered Per (Time Unit)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="rateQuantity"/>
      </mapping>
    </element>
  </snapshot>
  <differential>
    <element>
      <path value="MedicationAdministration"/>
      <name value="QICore-MedicationAdministration"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="MedicationAdministration"/>
      </type>
      <mapping>
        <identity value="qdm"/>
        <map value="Medication, Administered"/>
      </mapping>
    </element>
    <element>
      <path value="MedicationAdministration.status"/>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="MedicationAdministration.patient"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-patient"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="MedicationAdministration.practitioner"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-practitioner"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-patient"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-relatedperson"/>
      </type>
    </element>
    <element>
      <path value="MedicationAdministration.encounter"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-encounter"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="MedicationAdministration.prescription"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-medicationorder"/>
      </type>
    </element>
    <element>
      <path value="MedicationAdministration.wasNotGiven"/>
      <mustSupport value="true"/>
      <mapping>
        <identity value="qdm"/>
        <map value="negation rationale"/>
      </mapping>
    </element>
    <element>
      <path value="MedicationAdministration.reasonNotGiven"/>
      <mustSupport value="true"/>
      <mapping>
        <identity value="qdm"/>
        <map value="negation rationale"/>
      </mapping>
    </element>
    <element>
      <path value="MedicationAdministration.reasonGiven"/>
      <mustSupport value="true"/>
      <mapping>
        <identity value="qdm"/>
        <map value="reason"/>
      </mapping>
    </element>
    <element>
      <path value="MedicationAdministration.effectiveTime[x]"/>
      <mustSupport value="true"/>
      <mapping>
        <identity value="qdm"/>
        <map value="start and stop datetime"/>
      </mapping>
    </element>
    <element>
      <path value="MedicationAdministration.medication[x]"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-medication"/>
      </type>
      <mustSupport value="true"/>
      <binding>
        <strength value="preferred"/>
        <description value="The set of RxNorm codes to represent medications"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/daf-medication-codes"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="qdm"/>
        <map value="primary code"/>
      </mapping>
    </element>
    <element>
      <path value="MedicationAdministration.device"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-device"/>
      </type>
    </element>
    <element>
      <path value="MedicationAdministration.dosage"/>
    </element>
    <element>
      <path value="MedicationAdministration.dosage.route"/>
      <mustSupport value="true"/>
      <mapping>
        <identity value="qdm"/>
        <map value="route"/>
      </mapping>
    </element>
    <element>
      <path value="MedicationAdministration.dosage.quantity"/>
      <mustSupport value="true"/>
      <mapping>
        <identity value="qdm"/>
        <map value="dose"/>
      </mapping>
    </element>
  </differential>
</StructureDefinition>

StructureDefinition "geneticsAminoAcidChangeType" Version "1"

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

Generated Narrative with Details

id: geneticsAminoAcidChangeType

url: http://hl7.org/fhir/StructureDefinition/geneticsAminoAcidChangeType

name: ProteinChangeType

status: draft

publisher: Health Level Seven International (Clinical Genomics)

date: 3/18/2015

description: Type of variation expressed using Sequence Ontology or LOINC answer list 48006-1.

fhirVersion: 1.0.2

kind: datatype

constrainedType: Extension

abstract: false

contextType: resource

context: Observation

base: http://hl7.org/fhir/StructureDefinition/Extension


<?xml version="1.0" encoding="UTF-8"?>
<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="geneticsAminoAcidChangeType"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2020-10-21T22:07:27.859Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: geneticsAminoAcidChangeType</p>
      <p>
        <b>url</b>:
        <a href="http://hl7.org/fhir/StructureDefinition/geneticsAminoAcidChangeType">http://hl7.org/fhir/StructureDefinition/geneticsAminoAcidChangeType</a>
      </p>
      <p>
        <b>name</b>: ProteinChangeType</p>
      <p>
        <b>status</b>: draft</p>
      <p>
        <b>publisher</b>: Health Level Seven International (Clinical Genomics)</p>
      <p>
        <b>date</b>: 3/18/2015</p>
      <p>
        <b>description</b>: Type of variation expressed using Sequence Ontology or LOINC answer list 48006-1.</p>
      <p>
        <b>fhirVersion</b>: 1.0.2</p>
      <p>
        <b>kind</b>: datatype</p>
      <p>
        <b>constrainedType</b>: Extension</p>
      <p>
        <b>abstract</b>: false</p>
      <p>
        <b>contextType</b>: resource</p>
      <p>
        <b>context</b>: Observation</p>
      <p>
        <b>base</b>:
        <a href="http://hl7.org/fhir/StructureDefinition/Extension">http://hl7.org/fhir/StructureDefinition/Extension</a>
      </p>
    </div>
  </text>
  <url value="http://hl7.org/fhir/StructureDefinition/geneticsAminoAcidChangeType"/>
  <name value="ProteinChangeType"/>
  <status value="draft"/>
  <publisher value="Health Level Seven International (Clinical Genomics)"/>
  <contact>
    <telecom>
      <system value="other"/>
      <value value="http://www.hl7.org/Special/committees/clingenomics"/>
    </telecom>
  </contact>
  <date value="2015-03-18"/>
  <description value="Type of variation expressed using Sequence Ontology or LOINC answer list 48006-1."/>
  <fhirVersion value="1.0.2"/>
  <mapping>
    <identity value="v2"/>
    <uri value="http://hl7.org/v2"/>
    <name value="HL7 v2"/>
  </mapping>
  <mapping>
    <identity value="rim"/>
    <uri value="http://hl7.org/v3"/>
    <name value="RIM"/>
  </mapping>
  <kind value="datatype"/>
  <constrainedType value="Extension"/>
  <abstract value="false"/>
  <contextType value="resource"/>
  <context value="Observation"/>
  <base value="http://hl7.org/fhir/StructureDefinition/Extension"/>
  <snapshot>
    <element>
      <path value="Extension"/>
      <short value="ProteinChangeType"/>
      <definition value="Type of variation expressed using Sequence Ontology or LOINC answer list 48006-1."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="N/A"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="Extension.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="Extension.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="Extension.extension"/>
      <name value="extension"/>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="Extension.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
    </element>
    <element>
      <path value="Extension.url"/>
      <representation value="xmlAttr"/>
      <short value="identifies the meaning of the extension"/>
      <definition value="Source of the definition for the extension code - a logical name or a URL."/>
      <comments value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition should be version specific. This will ideally be the URI for the Resource Profile defining the extension, with the code for the extension after a #."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Extension.url"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <fixedUri value="http://hl7.org/fhir/StructureDefinition/geneticsAminoAcidChangeType"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="Extension.valueCodeableConcept"/>
      <short value="Value of extension"/>
      <definition value="Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Extension.value[x]"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
  </snapshot>
  <differential>
    <element>
      <path value="Extension"/>
      <short value="ProteinChangeType"/>
      <definition value="Type of variation expressed using Sequence Ontology or LOINC answer list 48006-1."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="N/A"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="Extension.extension"/>
      <name value="extension"/>
      <max value="0"/>
    </element>
    <element>
      <path value="Extension.url"/>
      <type>
        <code value="uri"/>
      </type>
      <fixedUri value="http://hl7.org/fhir/StructureDefinition/geneticsAminoAcidChangeType"/>
    </element>
    <element>
      <path value="Extension.value[x]"/>
      <min value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
  </differential>
</StructureDefinition>

StructureDefinition "daf-substance" Version "1"

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

Generated Narrative with Details

id: daf-substance

url: http://hl7.org/fhir/StructureDefinition/daf-substance

name: DAF Substance Profile

display: DAF-Substance

status: draft

publisher: Health Level Seven International (Infrastructure and Messaging - Data Access Framework)

date: 3/17/2015

description: Defines basic constraints and extensions on the Substance resource for use with other DAF resources

fhirVersion: 1.0.2

kind: resource

constrainedType: Substance

abstract: false

base: http://hl7.org/fhir/StructureDefinition/Substance


<?xml version="1.0" encoding="UTF-8"?>
<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="daf-substance"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2020-10-21T22:07:27.625Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: daf-substance</p>
      <p>
        <b>url</b>:
        <a href="http://hl7.org/fhir/StructureDefinition/daf-substance">http://hl7.org/fhir/StructureDefinition/daf-substance</a>
      </p>
      <p>
        <b>name</b>: DAF Substance Profile</p>
      <p>
        <b>display</b>: DAF-Substance</p>
      <p>
        <b>status</b>: draft</p>
      <p>
        <b>publisher</b>: Health Level Seven International (Infrastructure and Messaging - Data Access Framework)</p>
      <p>
        <b>date</b>: 3/17/2015</p>
      <p>
        <b>description</b>: Defines basic constraints and extensions on the Substance resource for use with other DAF resources</p>
      <p>
        <b>fhirVersion</b>: 1.0.2</p>
      <p>
        <b>kind</b>: resource</p>
      <p>
        <b>constrainedType</b>: Substance</p>
      <p>
        <b>abstract</b>: false</p>
      <p>
        <b>base</b>:
        <a href="http://hl7.org/fhir/StructureDefinition/Substance">http://hl7.org/fhir/StructureDefinition/Substance</a>
      </p>
    </div>
  </text>
  <url value="http://hl7.org/fhir/StructureDefinition/daf-substance"/>
  <name value="DAF Substance Profile"/>
  <display value="DAF-Substance"/>
  <status value="draft"/>
  <publisher value="Health Level Seven International (Infrastructure and Messaging - Data Access Framework)"/>
  <contact>
    <telecom>
      <system value="other"/>
      <value value="http://www.healthit.gov"/>
    </telecom>
  </contact>
  <date value="2015-03-17"/>
  <description value="Defines basic constraints and extensions on the Substance resource for use with other DAF resources"/>
  <fhirVersion value="1.0.2"/>
  <mapping>
    <identity value="servd"/>
    <uri value="http://www.omg.org/spec/ServD/1.0/"/>
    <name value="ServD"/>
  </mapping>
  <kind value="resource"/>
  <constrainedType value="Substance"/>
  <abstract value="false"/>
  <base value="http://hl7.org/fhir/StructureDefinition/Substance"/>
  <snapshot>
    <element>
      <path value="Substance"/>
      <name value="DAF-Substance"/>
      <short value="A homogeneous material with a definite composition"/>
      <definition value="A homogeneous material with a definite composition."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Substance"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Substance"/>
      </type>
      <mapping>
        <identity value="orim"/>
        <map value="fhir:Substance rdfs:subClassOf rim:Entity, [ a owl:Restriction owl:onProperty rim:Act.classCode owl:allValuesFrom cs:EntityClass\#MAT ]."/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="Material"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="administrative.entity"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="Organization"/>
      </mapping>
    </element>
    <element>
      <path value="Substance.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="Substance.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Substance.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="Substance.meta"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Meta"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Substance.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="Substance.implicitRules"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Substance.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="Substance.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="Substance.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="Substance.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="Substance.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="Substance.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="Substance.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="Substance.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="Substance.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="Substance.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="Substance.identifier"/>
      <short value="Unique identifier"/>
      <definition value="Unique identifier for the substance."/>
      <comments value="This identifier is associated with the kind of substance in contrast to the Substance.instance.identifier which is associated with the package/container."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Substance.identifier"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Identifier"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value=".id"/>
      </mapping>
    </element>
    <element>
      <path value="Substance.category"/>
      <short value="What class/type of substance this is"/>
      <definition value="A code that classifies the general type of substance. This is used for searching, sorting and display purposes."/>
      <comments value="The level of granularity is defined by the category concepts in the value set. More fine-grained filtering can be performed using the metadata and/or terminology hierarchy in Substance.code."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Substance.category"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="extensible"/>
        <description value="Category or classification of substance"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/substance-category"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value=".code"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="class"/>
      </mapping>
    </element>
    <element>
      <path value="Substance.code"/>
      <short value="What substance this is"/>
      <definition value="A code (or set of codes) that identify this substance."/>
      <comments value="This could be a reference to an externally defined code. It could also be a locally assigned code (e.g. a formulary), optionally with translations to the standard drug codes."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Substance.code"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <mustSupport value="true"/>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="Substance codes"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/substance-code"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="orim"/>
        <map value="fhir:Substance.code rdfs:subPropertyOf rim:Entity.code"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".code"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="what"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Substance.description"/>
      <short value="Textual description of the substance, comments"/>
      <definition value="A description of the substance - its appearance, handling requirements, and other usage notes."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Substance.description"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mustSupport value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value=".player.desc"/>
      </mapping>
    </element>
    <element>
      <path value="Substance.instance"/>
      <short value="If this describes a specific package/container of the substance"/>
      <definition value="Substance may be used to describe a kind of substance, or a specific package/container of the substance: an instance."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Substance.instance"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <meaningWhenMissing value="If this element is not present, then the substance resource describes a kind of substance"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value=".player.determinerCode"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="class"/>
      </mapping>
    </element>
    <element>
      <path value="Substance.instance.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="Substance.instance.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="Substance.instance.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="Substance.instance.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="Substance.instance.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="Substance.instance.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="Substance.instance.identifier"/>
      <short value="Identifier of the package/container"/>
      <definition value="Identifier associated with the package/container (usually a label affixed directly)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Substance.instance.identifier"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Identifier"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value=".id"/>
      </mapping>
    </element>
    <element>
      <path value="Substance.instance.expiry"/>
      <short value="When no longer valid to use"/>
      <definition value="When the substance is no longer valid to use. For some substances, a single arbitrary date is used for expiry."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Substance.instance.expiry"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="dateTime"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value=".expiryTime"/>
      </mapping>
    </element>
    <element>
      <path value="Substance.instance.quantity"/>
      <short value="Amount of substance in the package"/>
      <definition value="The amount of the substance."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Substance.instance.quantity"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Quantity"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value=".player.quantity"/>
      </mapping>
    </element>
    <element>
      <path value="Substance.ingredient"/>
      <short value="Composition information about the substance"/>
      <definition value="A substance can be composed of other substances."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Substance.ingredient"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value=".player.scopesRole[classCode=INGR]"/>
      </mapping>
    </element>
    <element>
      <path value="Substance.ingredient.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="Substance.ingredient.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="Substance.ingredient.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="Substance.ingredient.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="Substance.ingredient.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="Substance.ingredient.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="Substance.ingredient.quantity"/>
      <short value="Optional amount (concentration)"/>
      <definition value="The amount of the ingredient in the substance - a concentration ratio."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Substance.ingredient.quantity"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Ratio"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value=".quantity"/>
      </mapping>
    </element>
    <element>
      <path value="Substance.ingredient.substance"/>
      <short value="A component of the substance"/>
      <definition value="Another substance that is a component of this substance."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Substance.ingredient.substance"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Substance"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value=".player"/>
      </mapping>
    </element>
  </snapshot>
  <differential>
    <element>
      <path value="Substance"/>
      <name value="DAF-Substance"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Substance"/>
      </type>
      <mapping>
        <identity value="servd"/>
        <map value="Organization"/>
      </mapping>
    </element>
    <element>
      <path value="Substance.code"/>
      <mustSupport value="true"/>
      <mapping>
        <identity value="servd"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Substance.description"/>
      <mustSupport value="true"/>
    </element>
  </differential>
</StructureDefinition>

StructureDefinition "qicore-immunization" Version "1"

Tags: (no tags)  +

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

Generated Narrative with Details

id: qicore-immunization

url: http://hl7.org/fhir/StructureDefinition/qicore-immunization

name: QICore-Immunization

status: draft

publisher: Health Level Seven International (Clinical Quality Information - QICore)

date: 2/27/2015

description: Profile of Immunization for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.

fhirVersion: 1.0.2

kind: resource

constrainedType: Immunization

abstract: false

base: http://hl7.org/fhir/StructureDefinition/Immunization


<?xml version="1.0" encoding="UTF-8"?>
<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="qicore-immunization"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2020-10-21T22:07:27.286Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: qicore-immunization</p>
      <p>
        <b>url</b>:
        <a href="http://hl7.org/fhir/StructureDefinition/qicore-immunization">http://hl7.org/fhir/StructureDefinition/qicore-immunization</a>
      </p>
      <p>
        <b>name</b>: QICore-Immunization</p>
      <p>
        <b>status</b>: draft</p>
      <p>
        <b>publisher</b>: Health Level Seven International (Clinical Quality Information - QICore)</p>
      <p>
        <b>date</b>: 2/27/2015</p>
      <p>
        <b>description</b>: Profile of Immunization for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.</p>
      <p>
        <b>fhirVersion</b>: 1.0.2</p>
      <p>
        <b>kind</b>: resource</p>
      <p>
        <b>constrainedType</b>: Immunization</p>
      <p>
        <b>abstract</b>: false</p>
      <p>
        <b>base</b>:
        <a href="http://hl7.org/fhir/StructureDefinition/Immunization">http://hl7.org/fhir/StructureDefinition/Immunization</a>
      </p>
    </div>
  </text>
  <url value="http://hl7.org/fhir/StructureDefinition/qicore-immunization"/>
  <name value="QICore-Immunization"/>
  <status value="draft"/>
  <publisher value="Health Level Seven International (Clinical Quality Information - QICore)"/>
  <contact>
    <telecom>
      <system value="other"/>
      <value value="http://hl7.org/special/committees/CQI"/>
    </telecom>
  </contact>
  <date value="2015-02-27"/>
  <description value="Profile of Immunization for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors."/>
  <fhirVersion value="1.0.2"/>
  <mapping>
    <identity value="qdm"/>
    <uri value="http://www.healthit.gov/quality-data-model"/>
    <name value="Quality Data Model"/>
  </mapping>
  <kind value="resource"/>
  <constrainedType value="Immunization"/>
  <abstract value="false"/>
  <base value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
  <snapshot>
    <element>
      <path value="Immunization"/>
      <name value="QICore-Immunization"/>
      <short value="Immunization event information"/>
      <definition value="Describes the event of a patient being administered a vaccination or a record of a vaccination as reported by a patient, a clinician or another party and may include vaccine reaction information and what vaccination protocol was followed."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Immunization"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Immunization"/>
      </type>
      <constraint>
        <key value="imm-2"/>
        <severity value="error"/>
        <human value="If immunization was administered (wasNotGiven=false) then explanation.reasonNotGiven SHALL be absent."/>
        <xpath value="not(f:wasNotGiven/@value=false() and exists(f:explanation/f:reasonNotGiven))"/>
      </constraint>
      <constraint>
        <key value="imm-1"/>
        <severity value="error"/>
        <human value="If immunization was not administred (wasNotGiven=true) then there SHALL be no reaction nor explanation.reason present"/>
        <xpath value="not(f:wasNotGiven/@value=true() and (count(f:reaction) &gt; 0 or exists(f:explanation/f:reason)))"/>
      </constraint>
      <mapping>
        <identity value="v2"/>
        <map value="VXU_V04"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="SubstanceAdministration"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="clinical.medication"/>
      </mapping>
      <mapping>
        <identity value="qdm"/>
        <map value="Medication, administered"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.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="Immunization.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Immunization.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="Immunization.meta"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Meta"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Immunization.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="Immunization.implicitRules"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Immunization.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="Immunization.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="Immunization.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="Immunization.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="Immunization.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="Immunization.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="Immunization.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="Immunization.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="Immunization.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="Immunization.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="Immunization.identifier"/>
      <short value="Business identifier"/>
      <definition value="A unique identifier assigned to this immunization record."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Immunization.identifier"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Identifier"/>
      </type>
      <mapping>
        <identity value="cda"/>
        <map value="ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/id"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".id"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="id"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.status"/>
      <short value="in-progress | on-hold | completed | entered-in-error | stopped"/>
      <definition value="Indicates the current status of the vaccination event."/>
      <comments value="Will generally be set to show that the immunization has been completed."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Immunization.status"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <mustSupport value="true"/>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <description value="A set of codes indicating the current status of an Immunization"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/medication-admin-status"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="statusCode"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="status"/>
      </mapping>
      <mapping>
        <identity value="qdm"/>
        <map value="start datetime"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.date"/>
      <short value="Vaccination administration date"/>
      <definition value="Date vaccine administered or was to be administered."/>
      <comments value="When immunizations are given a specific date and time should always be known. When immunizations are patient reported, a specific date might not be known. &#160;Although partial dates are allowed, an adult patient might not be able to recall the year a childhood immunization was given."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Immunization.date"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="dateTime"/>
      </type>
      <mustSupport value="true"/>
      <mapping>
        <identity value="cda"/>
        <map value="ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/effectiveTime/value"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="RXA-3"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".effectiveTime"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="when.init"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.vaccineCode"/>
      <short value="Vaccine product administered"/>
      <definition value="Vaccine that was administered or was to be administered."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Immunization.vaccineCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <mustSupport value="true"/>
      <binding>
        <strength value="preferred"/>
        <description value="This identifies the CVX code system"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/daf-cvx"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="cda"/>
        <map value="ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable/manfacturedProduct/manufacturedMaterial/realmCode/code"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="RXA-5"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".code"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="what"/>
      </mapping>
      <mapping>
        <identity value="qdm"/>
        <map value="primary code"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.patient"/>
      <short value="Who was immunized"/>
      <definition value="The patient who either received or did not receive the immunization."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Immunization.patient"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-patient"/>
      </type>
      <mustSupport value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="PID-3"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".partipication[ttypeCode=].role"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="who.focus"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.wasNotGiven"/>
      <short value="Flag for whether immunization was given"/>
      <definition value="Indicates if the vaccination was or was not given."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Immunization.wasNotGiven"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
      <mustSupport value="true"/>
      <isModifier value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="[actionNegationInd=true].reasonCode"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="status"/>
      </mapping>
      <mapping>
        <identity value="qdm"/>
        <map value="negation rationale"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.reported"/>
      <short value="Indicates a self-reported record"/>
      <definition value="True if this administration was reported rather than directly administered."/>
      <comments value="May need source of reported info (e.g. parent), but leave out for now."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Immunization.reported"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="RXA-9"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=INF].role[classCode=PAT] (this syntax for self-reported=true)"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="who.source"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.performer"/>
      <short value="Who administered vaccine"/>
      <definition value="Clinician who administered the vaccine."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Immunization.performer"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-practitioner"/>
      </type>
      <mapping>
        <identity value="cda"/>
        <map value="ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/performer/assignedEntity/assignedPerson/name"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="RXA-10"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=PRF].COCT_MT090102UV"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="who.actor"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.requester"/>
      <short value="Who ordered vaccination"/>
      <definition value="Clinician who ordered the vaccination."/>
      <comments value="Other participants - delegate to Provenance resource."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Immunization.requester"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-practitioner"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="ORC-12"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship.target[classCode=SBADM].participation[typeCode=AUT].COCT_MT090102UV"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="who.cause"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.encounter"/>
      <short value="Encounter administered as part of"/>
      <definition value="The visit or admission or other contact between patient and health care provider the immunization was performed as part of."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Immunization.encounter"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-encounter"/>
      </type>
      <mustSupport value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="PV1-19"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="component-&gt;EncounterEvent"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="context"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.manufacturer"/>
      <short value="Vaccine manufacturer"/>
      <definition value="Name of vaccine manufacturer."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Immunization.manufacturer"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-organization"/>
      </type>
      <mapping>
        <identity value="cda"/>
        <map value="ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable/manfacturedProduct/manufacuturerOrganization/name"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="RXA-17"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=ORG]"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.location"/>
      <short value="Where vaccination occurred"/>
      <definition value="The service delivery location where the vaccine administration occurred."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Immunization.location"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-location"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="RXA-27 (or RXA-11, deprecated as of v2.7)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=LOC].COCT_MT240000UV"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="where"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.lotNumber"/>
      <short value="Vaccine lot number"/>
      <definition value="Lot number of the vaccine product."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Immunization.lotNumber"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="cda"/>
        <map value="ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable/manfacturedProduct/manufacturedMaterial/lotNumberText"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="RXA-15"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].id"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.expirationDate"/>
      <short value="Vaccine expiration date"/>
      <definition value="Date vaccine batch expires."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Immunization.expirationDate"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="date"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="RXA-16"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].expirationTime"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.site"/>
      <short value="Body site vaccine was administered"/>
      <definition value="Body site where vaccine was administered."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Immunization.site"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <strength value="preferred"/>
        <description value="This identifies the body site at which the substance was administered"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/daf-bodysite"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="cda"/>
        <map value="ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/approachSiteCode/code"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="RXR-2"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="observation.targetSiteCode"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.route"/>
      <short value="How vaccine entered body"/>
      <definition value="The path by which the vaccine product is taken into the body."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Immunization.route"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <mustSupport value="true"/>
      <binding>
        <strength value="example"/>
        <description value="The route by which the vaccine was administered"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/immunization-route"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="cda"/>
        <map value="ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/routeCode/code"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="RXR-1"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".routeCode"/>
      </mapping>
      <mapping>
        <identity value="qdm"/>
        <map value="route"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.doseQuantity"/>
      <short value="Amount of vaccine administered"/>
      <definition value="The quantity of vaccine product that was administered."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Immunization.doseQuantity"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Quantity"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/>
      </type>
      <mustSupport value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="RXA-6 / RXA-7.1"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".doseQuantity"/>
      </mapping>
      <mapping>
        <identity value="qdm"/>
        <map value="dose"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.note"/>
      <short value="Vaccination notes"/>
      <definition value="Extra information about the immunization that is not conveyed by the other attributes."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Immunization.note"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Annotation"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="note"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.explanation"/>
      <short value="Administration/non-administration reasons"/>
      <definition value="Reasons why a vaccine was or was not administered."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Immunization.explanation"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.explanation.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="Immunization.explanation.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="Immunization.explanation.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="Immunization.explanation.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="Immunization.explanation.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="Immunization.explanation.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="Immunization.explanation.reason"/>
      <short value="Why immunization occurred"/>
      <definition value="Reasons why a vaccine was administered."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Immunization.explanation.reason"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <mustSupport value="true"/>
      <binding>
        <strength value="example"/>
        <description value="The reason why a vaccine was administered"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/immunization-reason"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="[actionNegationInd=false].reasonCode"/>
      </mapping>
      <mapping>
        <identity value="qdm"/>
        <map value="reason"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.explanation.reasonNotGiven"/>
      <short value="Why immunization did not occur"/>
      <definition value="Reason why a vaccine was not administered."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Immunization.explanation.reasonNotGiven"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <mustSupport value="true"/>
      <binding>
        <strength value="example"/>
        <description value="The reason why a vaccine was not administered"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/no-immunization-reason"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="RXA-18"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="[actionNegationInd=true].reasonCode"/>
      </mapping>
      <mapping>
        <identity value="qdm"/>
        <map value="negation rationale"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.reaction"/>
      <short value="Details of a reaction that follows immunization"/>
      <definition value="Categorical data indicating that an adverse event is associated in time to an immunization."/>
      <comments value="A reaction may be an indication of an allergy or intolerance and, if this is determined to be the case, it should be recorded as a new [[[AllergyIntolerance]]] resource instance as most systems will not query against past Immunization.reaction elements."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Immunization.reaction"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="OBX-3"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="Observation[classCode=obs].code"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.reaction.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="Immunization.reaction.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="Immunization.reaction.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="Immunization.reaction.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="Immunization.reaction.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="Immunization.reaction.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="Immunization.reaction.date"/>
      <short value="When reaction started"/>
      <definition value="Date of reaction to the immunization."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Immunization.reaction.date"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="dateTime"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="OBX-14 (ideally this would be reported in an IAM segment, but IAM is not part of the HL7 v2 VXU message - most likely would appear in OBX segments if at all)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".effectiveTime"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.reaction.detail"/>
      <short value="Additional information on reaction"/>
      <definition value="Details of the reaction."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Immunization.reaction.detail"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-observation"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="OBX-5"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".value"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.reaction.reported"/>
      <short value="Indicates self-reported reaction"/>
      <definition value="Self-reported indicator."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Immunization.reaction.reported"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="(no such concept seems to exist for allergy/adverse reaction in HL7 v2)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=INF].role[classCode=PAT] (this syntax for self-reported=true)"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.vaccinationProtocol"/>
      <short value="What protocol was followed"/>
      <definition value="Contains information about the protocol(s) under which the vaccine was administered."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Immunization.vaccinationProtocol"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="(HL7 v2 doesn&apos;t seem to provide for this)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship[typeCode=INST].target[classCode=SBADM]"/>
      </mapping>
      <mapping>
        <identity value="qdm"/>
        <map value="frequency"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.vaccinationProtocol.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="Immunization.vaccinationProtocol.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="Immunization.vaccinationProtocol.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="Immunization.vaccinationProtocol.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="Immunization.vaccinationProtocol.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="Immunization.vaccinationProtocol.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="Immunization.vaccinationProtocol.doseSequence"/>
      <short value="Dose number within series"/>
      <definition value="Nominal position in a series."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Immunization.vaccinationProtocol.doseSequence"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="positiveInt"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship[typeCode=INST].target[classCode=SBADM].inboundRelationship[typeCode=COMP].sequenceNumber"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.vaccinationProtocol.description"/>
      <short value="Details of vaccine protocol"/>
      <definition value="Contains the description about the protocol under which the vaccine was administered."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Immunization.vaccinationProtocol.description"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship[typeCode=INST].target[classCode=SBADM].inboundRelationship[typeCode=COMP].source[classCode=SBADM].text"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.vaccinationProtocol.authority"/>
      <short value="Who is responsible for protocol"/>
      <definition value="Indicates the authority who published the protocol. E.g. ACIP."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Immunization.vaccinationProtocol.authority"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-organization"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship[typeCode=INST].target[classCode=SBADM].inboundRelationship[typeCode=COMP].source[classCode=SBADM].participation[typeCode=AUT].COCT_MT090200UV"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.vaccinationProtocol.series"/>
      <short value="Name of vaccine series"/>
      <definition value="One possible path to achieve presumed immunity against a disease - within the context of an authority."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Immunization.vaccinationProtocol.series"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship[typeCode=INST].target[classCode=SBADM]"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.vaccinationProtocol.seriesDoses"/>
      <short value="Recommended number of doses for immunity"/>
      <definition value="The recommended number of doses to achieve immunity."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Immunization.vaccinationProtocol.seriesDoses"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="positiveInt"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship[typeCode=INST].target[classCode=SBADM].inboundRelationship[typeCode=COMP].source[classCode=SBADM].text"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.vaccinationProtocol.targetDisease"/>
      <short value="Disease immunized against"/>
      <definition value="The targeted disease."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="Immunization.vaccinationProtocol.targetDisease"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <strength value="example"/>
        <description value="The disease target of the vaccination protocol"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/vaccination-protocol-dose-target"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship.target[classCode=OBS].code"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.vaccinationProtocol.doseStatus"/>
      <short value="Indicates if dose counts towards immunity"/>
      <definition value="Indicates if the immunization event should &quot;count&quot; against the protocol."/>
      <comments value="May need to differentiate between status declarations by a provider vs. a CDS engine."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Immunization.vaccinationProtocol.doseStatus"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <strength value="example"/>
        <description value="The status of the vaccination protocol (i.e. should this count)"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/vaccination-protocol-dose-status"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].playedRole[classCode=INGR].scopedRole.scoper[classCode=MMAT].playedRole[classCode=HLTHCHRT].participation[typeCode=SBJ].observation[classCode=OBS].value"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.vaccinationProtocol.doseStatusReason"/>
      <short value="Why dose does (not) count"/>
      <definition value="Provides an explanation as to why an immunization event should or should not count against the protocol."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Immunization.vaccinationProtocol.doseStatusReason"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <strength value="example"/>
        <description value="The reason for the determining if a vaccination should count or why vaccination should not count."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/vaccination-protocol-dose-status-reason"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].playedRole[classCode=INGR].scopedRole.scoper[classCode=MMAT].playedRole[classCode=HLTHCHRT].participation[typeCode=SBJ].observation[classCode=OBS].reasonCode"/>
      </mapping>
    </element>
  </snapshot>
  <differential>
    <element>
      <path value="Immunization"/>
      <name value="QICore-Immunization"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Immunization"/>
      </type>
      <mapping>
        <identity value="qdm"/>
        <map value="Medication, administered"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.status"/>
      <mustSupport value="true"/>
      <mapping>
        <identity value="qdm"/>
        <map value="start datetime"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.date"/>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="Immunization.vaccineCode"/>
      <mustSupport value="true"/>
      <binding>
        <strength value="preferred"/>
        <description value="This identifies the CVX code system"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/daf-cvx"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="qdm"/>
        <map value="primary code"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.patient"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-patient"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="Immunization.wasNotGiven"/>
      <mustSupport value="true"/>
      <mapping>
        <identity value="qdm"/>
        <map value="negation rationale"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.performer"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-practitioner"/>
      </type>
    </element>
    <element>
      <path value="Immunization.requester"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-practitioner"/>
      </type>
    </element>
    <element>
      <path value="Immunization.encounter"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-encounter"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="Immunization.manufacturer"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-organization"/>
      </type>
    </element>
    <element>
      <path value="Immunization.location"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-location"/>
      </type>
    </element>
    <element>
      <path value="Immunization.site"/>
      <binding>
        <strength value="preferred"/>
        <description value="This identifies the body site at which the substance was administered"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/daf-bodysite"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Immunization.route"/>
      <mustSupport value="true"/>
      <mapping>
        <identity value="qdm"/>
        <map value="route"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.doseQuantity"/>
      <mustSupport value="true"/>
      <mapping>
        <identity value="qdm"/>
        <map value="dose"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.explanation"/>
    </element>
    <element>
      <path value="Immunization.explanation.reason"/>
      <mustSupport value="true"/>
      <mapping>
        <identity value="qdm"/>
        <map value="reason"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.explanation.reasonNotGiven"/>
      <mustSupport value="true"/>
      <mapping>
        <identity value="qdm"/>
        <map value="negation rationale"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.reaction"/>
    </element>
    <element>
      <path value="Immunization.reaction.detail"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-observation"/>
      </type>
    </element>
    <element>
      <path value="Immunization.vaccinationProtocol"/>
      <mapping>
        <identity value="qdm"/>
        <map value="frequency"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.vaccinationProtocol.authority"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-organization"/>
      </type>
    </element>
  </differential>
</StructureDefinition>

StructureDefinition "valueset-replacedby" Version "1"

Tags: (no tags)  +

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

Generated Narrative with Details

id: valueset-replacedby

url: http://hl7.org/fhir/StructureDefinition/valueset-replacedby

name: A code that replaces this

status: draft

publisher: HL7

date: 10/24/2015 7:41:03 AM

description: A code that replaces this - use this code instead.

fhirVersion: 1.0.2

kind: datatype

constrainedType: Extension

abstract: false

contextType: resource

context: ValueSet.codeSystem.concept

base: http://hl7.org/fhir/StructureDefinition/Extension


<?xml version="1.0" encoding="UTF-8"?>
<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="valueset-replacedby"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2020-10-21T22:07:25.249Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: valueset-replacedby</p>
      <p>
        <b>url</b>:
        <a href="http://hl7.org/fhir/StructureDefinition/valueset-replacedby">http://hl7.org/fhir/StructureDefinition/valueset-replacedby</a>
      </p>
      <p>
        <b>name</b>: A code that replaces this</p>
      <p>
        <b>status</b>: draft</p>
      <p>
        <b>publisher</b>: HL7</p>
      <p>
        <b>date</b>: 10/24/2015 7:41:03 AM</p>
      <p>
        <b>description</b>: A code that replaces this - use this code instead.</p>
      <p>
        <b>fhirVersion</b>: 1.0.2</p>
      <p>
        <b>kind</b>: datatype</p>
      <p>
        <b>constrainedType</b>: Extension</p>
      <p>
        <b>abstract</b>: false</p>
      <p>
        <b>contextType</b>: resource</p>
      <p>
        <b>context</b>: ValueSet.codeSystem.concept</p>
      <p>
        <b>base</b>:
        <a href="http://hl7.org/fhir/StructureDefinition/Extension">http://hl7.org/fhir/StructureDefinition/Extension</a>
      </p>
    </div>
  </text>
  <url value="http://hl7.org/fhir/StructureDefinition/valueset-replacedby"/>
  <name value="A code that replaces this"/>
  <status value="draft"/>
  <publisher value="HL7"/>
  <date value="2015-10-24T07:41:03+11:00"/>
  <description value="A code that replaces this - use this code instead."/>
  <fhirVersion value="1.0.2"/>
  <kind value="datatype"/>
  <constrainedType value="Extension"/>
  <abstract value="false"/>
  <contextType value="resource"/>
  <context value="ValueSet.codeSystem.concept"/>
  <base value="http://hl7.org/fhir/StructureDefinition/Extension"/>
  <snapshot>
    <element>
      <path value="Extension"/>
      <short value="A code that replaces this"/>
      <definition value="A code that replaces this - use this code instead."/>
      <comments value="Usually such codes are deprecated (retired)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="false"/>
    </element>
    <element>
      <path value="Extension.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="Extension.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="Extension.extension"/>
      <name value="extension"/>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="Extension.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
    </element>
    <element>
      <path value="Extension.url"/>
      <representation value="xmlAttr"/>
      <short value="identifies the meaning of the extension"/>
      <definition value="Source of the definition for the extension code - a logical name or a URL."/>
      <comments value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition should be version specific. This will ideally be the URI for the Resource Profile defining the extension, with the code for the extension after a #."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Extension.url"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-replacedby"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="Extension.valueCoding"/>
      <short value="Value of extension"/>
      <definition value="Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Extension.value[x]"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
  </snapshot>
  <differential>
    <element>
      <path value="Extension"/>
      <short value="A code that replaces this"/>
      <definition value="A code that replaces this - use this code instead."/>
      <comments value="Usually such codes are deprecated (retired)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
      </type>
      <i