SmartIPSComposition
type: StructureDefinition
node role: treeRoot
resource.id:
  value: SmartIPSComposition
domain resource.text:
  narrative.status:
    value: extensions
  narrative.div: Generated Narrative: StructureDefinition SmartIPSComposition Name Flags Card. Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> Composition 0..* CompositionUvIps International Patient Summary composition #xD; section 4..* BackboneElement Sections composing the IPS #xD; Slices for section Content/Rules for all slices #xD; section:sectionAdvanceDirectives 1..1 BackboneElement IPS Advance Directives Section #xD; entry <a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;" href="http://hl7.org/fhir/R4/conformance-rules.html#constraints" title="This element has or is affected by constraints ( containsSmartConsent-cmp2 )">C 0..* Reference(Consent | DocumentReference) Narrative description of the patient's advance directive. Constraints: containsSmartConsent-cmp2 #xD; <img src="[binary]" alt="doco" style="background-color: inherit"/> Documentation for this format
structure definition.url:
  value: http://smart.who.int/ph4h/StructureDefinition/SmartIPSComposition
structure definition.version:
  value: 0.9.9
structure definition.name:
  value: SmartIPSComposition
structure definition.title:
  value: SMART Composition (IPS)
structure definition.status:
  value: draft
structure definition.date:
  value: 2026-07-09T08:39:10+00:00
structure definition.publisher:
  value: WHO
structure definition.contact:
  index: 0
  contact detail.name:
    value: WHO
  contact detail.telecom:
    index: 0
    contact point.system:
      value: url
    contact point.value:
      value: http://who.int
structure definition.description:
  value: This profile represents the constraints applied to the Composition resource by the International Patient Summary (IPS) for use within the SMART Guidelines Note: The profile expects atleast one SMART Consent entry to be present within Advance Directives section
structure definition.fhir version:
  value: 4.0.1
structure definition.mapping:
  index: 0
  structure definition.mapping.identity:
    value: workflow
  structure definition.mapping.uri:
    value: http://hl7.org/fhir/workflow
  structure definition.mapping.name:
    value: Workflow Pattern
structure definition.mapping:
  index: 1
  structure definition.mapping.identity:
    value: rim
  structure definition.mapping.uri:
    value: http://hl7.org/v3
  structure definition.mapping.name:
    value: RIM Mapping
structure definition.mapping:
  index: 2
  structure definition.mapping.identity:
    value: cda
  structure definition.mapping.uri:
    value: http://hl7.org/v3/cda
  structure definition.mapping.name:
    value: CDA (R2)
structure definition.mapping:
  index: 3
  structure definition.mapping.identity:
    value: fhirdocumentreference
  structure definition.mapping.uri:
    value: http://hl7.org/fhir/documentreference
  structure definition.mapping.name:
    value: FHIR DocumentReference
structure definition.mapping:
  index: 4
  structure definition.mapping.identity:
    value: w5
  structure definition.mapping.uri:
    value: http://hl7.org/fhir/fivews
  structure definition.mapping.name:
    value: FiveWs Pattern Mapping
structure definition.kind:
  value: resource
structure definition.abstract:
  value: false
structure definition.type:
  value: Composition
structure definition.base definition:
  value: http://hl7.org/fhir/uv/ips/StructureDefinition/Composition-uv-ips
  link: http://hl7.org/fhir/uv/ips/StructureDefinition/Composition-uv-ips
structure definition.derivation:
  value: constraint
structure definition.snapshot:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version
    extension.value string:
      value: 1.1.0
  structure definition.snapshot.element:
    index: 0
    element.id:
      value: Composition
    element definition.path:
      value: Composition
    element definition.short:
      value: International Patient Summary composition
    element definition.definition:
      value: International Patient Summary composition. A composition is a set of healthcare-related information that is assembled together into a single logical document that provides a single coherent statement of meaning, establishes its own context and that has clinical attestation with regard to who is making the statement. While a Composition defines the structure, it does not actually contain the content: rather the full content of a document is contained in a Bundle, of which the Composition is the first resource contained.
    element definition.comment:
      value: While the focus of this specification is on patient-specific clinical statements, this resource can also apply to other healthcare-related statements such as study protocol designs, healthcare invoices and other activities that are not necessarily patient-specific or clinical.
    element definition.min:
      value: 0
    element definition.max:
      value: *
    element definition.base:
      element definition.base.path:
        value: Composition
      element definition.base.min:
        value: 0
      element definition.base.max:
        value: *
    element definition.constraint:
      index: 0
      element definition.constraint.key:
        value: dom-2
      element definition.constraint.severity:
        value: error
      element definition.constraint.human:
        value: If the resource is contained in another resource, it SHALL NOT contain nested Resources
      element definition.constraint.expression:
        value: contained.contained.empty()
      element definition.constraint.xpath:
        value: not(parent::f:contained and f:contained)
      element definition.constraint.source:
        value: http://hl7.org/fhir/StructureDefinition/DomainResource
        link: http://hl7.org/fhir/StructureDefinition/DomainResource
    element definition.constraint:
      index: 1
      element definition.constraint.key:
        value: dom-3
      element definition.constraint.severity:
        value: error
      element definition.constraint.human:
        value: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
      element definition.constraint.expression:
        value: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
      element definition.constraint.xpath:
        value: not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))
      element definition.constraint.source:
        value: http://hl7.org/fhir/StructureDefinition/DomainResource
        link: http://hl7.org/fhir/StructureDefinition/DomainResource
    element definition.constraint:
      index: 2
      element definition.constraint.key:
        value: dom-4
      element definition.constraint.severity:
        value: error
      element definition.constraint.human:
        value: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
      element definition.constraint.expression:
        value: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
      element definition.constraint.xpath:
        value: not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))
      element definition.constraint.source:
        value: http://hl7.org/fhir/StructureDefinition/DomainResource
        link: http://hl7.org/fhir/StructureDefinition/DomainResource
    element definition.constraint:
      index: 3
      element definition.constraint.key:
        value: dom-5
      element definition.constraint.severity:
        value: error
      element definition.constraint.human:
        value: If a resource is contained in another resource, it SHALL NOT have a security label
      element definition.constraint.expression:
        value: contained.meta.security.empty()
      element definition.constraint.xpath:
        value: not(exists(f:contained/*/f:meta/f:security))
      element definition.constraint.source:
        value: http://hl7.org/fhir/StructureDefinition/DomainResource
        link: http://hl7.org/fhir/StructureDefinition/DomainResource
    element definition.constraint:
      index: 4
      element.extension:
        index: 0
      element.extension:
        index: 1
      element definition.constraint.key:
        value: dom-6
      element definition.constraint.severity:
        value: warning
      element definition.constraint.human:
        value: A resource should have narrative for robust management
      element definition.constraint.expression:
        value: text.`div`.exists()
      element definition.constraint.xpath:
        value: exists(f:text/h:div)
      element definition.constraint.source:
        value: http://hl7.org/fhir/StructureDefinition/DomainResource
        link: http://hl7.org/fhir/StructureDefinition/DomainResource
    element definition.is modifier:
      value: false
    element definition.is summary:
      value: false
    element definition.mapping:
      index: 0
      element definition.mapping.identity:
        value: rim

value: true

value: When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time.

value: Entity. Role, or Act

index: 1
element definition.mapping.identity:
  value: workflow
element definition.mapping.map:
  value: Event

index: 2
element definition.mapping.identity:
  value: rim
element definition.mapping.map:
  value: Document[classCode="DOC" and moodCode="EVN" and isNormalAct()]

index: 3
element definition.mapping.identity:
  value: cda
element definition.mapping.map:
  value: ClinicalDocument

index: 4
element definition.mapping.identity:
  value: fhirdocumentreference
element definition.mapping.map:
  value: when described by DocumentReference

index: 1
element.id:
  value: Composition.id
element definition.path:
  value: Composition.id
element definition.short:
  value: Logical id of this artifact
element definition.definition:
  value: The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
element definition.comment:
  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.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Resource.id
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    extension.value url:
      value: id
  element definition.type.code:
    value: http://hl7.org/fhirpath/System.String
element definition.is modifier:
  value: false
element definition.is summary:
  value: true

index: 2
element.id:
  value: Composition.meta
element definition.path:
  value: Composition.meta
element definition.short:
  value: Metadata about the resource
element definition.definition:
  value: The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Resource.meta
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Meta
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: true

index: 3
element.id:
  value: Composition.implicitRules
element definition.path:
  value: Composition.implicitRules
element definition.short:
  value: A set of rules under which this content was created
element definition.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. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
element definition.comment:
  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. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Resource.implicitRules
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: uri
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: true
element definition.is modifier reason:
  value: This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
element definition.is summary:
  value: true

index: 4
element.id:
  value: Composition.language
element definition.path:
  value: Composition.language
element definition.short:
  value: Language of the resource content
element definition.definition:
  value: The base language in which the resource is written.
element definition.comment:
  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).
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Resource.language
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: code
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet
    extension.value canonical:
      value: http://hl7.org/fhir/ValueSet/all-languages
      link: http://hl7.org/fhir/ValueSet/all-languages
  element.extension:
    index: 1
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: Language
  element definition.binding.strength:
    value: preferred
  element definition.binding.description:
    value: A human language.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/languages
    link: http://hl7.org/fhir/ValueSet/languages

index: 5
element.id:
  value: Composition.text
element definition.path:
  value: Composition.text
element definition.short:
  value: Text summary of the resource, for human interpretation
element definition.definition:
  value: A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
element definition.comment:
  value: Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
element definition.alias:
  value: narrative
  index: 0
element definition.alias:
  value: html
  index: 1
element definition.alias:
  value: xhtml
  index: 2
element definition.alias:
  value: display
  index: 3
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: DomainResource.text
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Narrative
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: Act.text?

index: 6
element.id:
  value: Composition.contained
element definition.path:
  value: Composition.contained
element definition.short:
  value: Contained, inline Resources
element definition.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.
element definition.comment:
  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. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
element definition.alias:
  value: inline resources
  index: 0
element definition.alias:
  value: anonymous resources
  index: 1
element definition.alias:
  value: contained resources
  index: 2
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: DomainResource.contained
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Resource
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 7
element.id:
  value: Composition.extension
element definition.path:
  value: Composition.extension
element definition.slicing:
  element definition.slicing.discriminator:
    index: 0
    element definition.slicing.discriminator.type:
      value: value
    element definition.slicing.discriminator.path:
      value: url
  element definition.slicing.ordered:
    value: false
  element definition.slicing.rules:
    value: open
element definition.short:
  value: Extension
element definition.definition:
  value: An Extension
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: DomainResource.extension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 8
element.id:
  value: Composition.extension:versionNumber
element definition.path:
  value: Composition.extension
element definition.slice name:
  value: versionNumber
element definition.short:
  value: Version-specific identifier for composition
element definition.definition:
  value: Version specific identifier for the composition, assigned when each version is created/updated.
element definition.comment:
  value: While each resource, including the composition itself, has its own version identifier, this is a formal identifier for the logical version of the composition as a whole. It would remain constant if the resources were moved to a new server, and all got new individual resource versions, for example.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: DomainResource.extension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
  element definition.type.profile:
    value: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
element definition.condition:
  value: ele-1
  index: 0
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: false

index: 9
element.id:
  value: Composition.modifierExtension
element definition.path:
  value: Composition.modifierExtension
element definition.short:
  value: Extensions that cannot be ignored
element definition.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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
element definition.comment:
  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.
element definition.requirements:
  value: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/extensibility.html#modifierExtension).
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: DomainResource.modifierExtension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: true
element definition.is modifier reason:
  value: Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 10
element.id:
  value: Composition.identifier
element definition.path:
  value: Composition.identifier
element definition.short:
  value: Version-independent identifier for the Composition
element definition.definition:
  value: A version-independent identifier for the Composition. This identifier stays constant as the composition is changed over time.
element definition.comment:
  value: Similar to ClinicalDocument/setId in CDA. See discussion in resource definition for how these relate.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.identifier
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Identifier
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: workflow
  element definition.mapping.map:
    value: Event.identifier
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.identifier
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: Document.id / Document.setId
element definition.mapping:
  index: 3
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .setId
element definition.mapping:
  index: 4
  element definition.mapping.identity:
    value: fhirdocumentreference
  element definition.mapping.map:
    value: DocumentReference.masterIdentifier

index: 11
element.id:
  value: Composition.status
element definition.path:
  value: Composition.status
element definition.short:
  value: preliminary | final | amended | entered-in-error
element definition.definition:
  value: The workflow/clinical status of this composition. The status is a marker for the clinical standing of the document.
element definition.comment:
  value: If a composition is marked as withdrawn, the compositions/documents in the series, or data from the composition or document series, should never be displayed to a user without being clearly marked as untrustworthy. The flag "entered-in-error" is why this element is labeled as a modifier of other elements. Some reporting work flows require that the original narrative of a final document never be altered; instead, only new narrative can be added. The composition resource has no explicit status for explicitly noting whether this business rule is in effect. This would be handled by an extension if required.
element definition.requirements:
  value: Need to be able to mark interim, amended, or withdrawn compositions or documents.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.status
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: code
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: true
element definition.is modifier reason:
  value: This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
element definition.is summary:
  value: true
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: CompositionStatus
  element definition.binding.strength:
    value: required
  element definition.binding.description:
    value: The workflow/clinical status of the composition.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/composition-status|4.0.1
    link: 4.0
    link: .1
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: workflow
  element definition.mapping.map:
    value: Event.status
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.status
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: interim: .completionCode="IN" & ./statusCode[isNormalDatatype()]="active"; final: .completionCode="AU" && ./statusCode[isNormalDatatype()]="complete" and not(./inboundRelationship[typeCode="SUBJ" and isNormalActRelationship()]/source[subsumesCode("ActClass#CACT") and moodCode="EVN" and domainMember("ReviseComposition", code) and isNormalAct()]); amended: .completionCode="AU" && ./statusCode[isNormalDatatype()]="complete" and ./inboundRelationship[typeCode="SUBJ" and isNormalActRelationship()]/source[subsumesCode("ActClass#CACT") and moodCode="EVN" and domainMember("ReviseComposition", code) and isNormalAct() and statusCode="completed"]; withdrawn : .completionCode=NI && ./statusCode[isNormalDatatype()]="obsolete"
element definition.mapping:
  index: 3
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: n/a
element definition.mapping:
  index: 4
  element definition.mapping.identity:
    value: fhirdocumentreference
  element definition.mapping.map:
    value: DocumentReference.status

index: 12
element.id:
  value: Composition.type
element definition.path:
  value: Composition.type
element definition.short:
  value: Kind of composition ("Patient Summary")
element definition.definition:
  value: Specifies that this composition refers to a Patient Summary (Loinc "60591-5")
element definition.comment:
  value: Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
element definition.requirements:
  value: Key metadata element describing the composition, used in searching/filtering.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.type
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
  element definition.type.profile:
    value: http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips
    index: 0
    link: http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips
element definition.pattern codeable concept:
  codeable concept.coding: http://loinc.org/rdf#60591-5
    index: 0
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 60591-5
element definition.condition:
  value: ele-1
  index: 0
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: DocumentType
  element definition.binding.strength:
    value: preferred
  element definition.binding.description:
    value: Type of a composition.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/doc-typecodes
    link: http://hl7.org/fhir/ValueSet/doc-typecodes
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: v2
  element definition.mapping.map:
    value: CE/CNE/CWE
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: CD
element definition.mapping:
  index: 3
  element definition.mapping.identity:
    value: orim
  element definition.mapping.map:
    value: fhir:CodeableConcept rdfs:subClassOf dt:CD

index: 13
element.id:
  value: Composition.category
element definition.path:
  value: Composition.category
element definition.short:
  value: Categorization of Composition
element definition.definition:
  value: A categorization for the type of the composition - helps for indexing and searching. This may be implied by or derived from the code specified in the Composition Type.
element definition.comment:
  value: This is a metadata field from [XDS/MHD](http://wiki.ihe.net/index.php?title=Mobile_access_to_Health_Documents_(MHD)).
element definition.requirements:
  value: Helps humans to assess whether the composition is of interest when viewing an index of compositions or documents.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Composition.category
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: DocumentCategory
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: High-level kind of a clinical document at a macro level.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/document-classcodes
    link: http://hl7.org/fhir/ValueSet/document-classcodes
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: workflow
  element definition.mapping.map:
    value: Event.subject
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.class
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code
element definition.mapping:
  index: 3
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: n/a
element definition.mapping:
  index: 4
  element definition.mapping.identity:
    value: fhirdocumentreference
  element definition.mapping.map:
    value: DocumenttReference.category

index: 14
element.id:
  value: Composition.subject
element definition.path:
  value: Composition.subject
element definition.short:
  value: Who and/or what the composition is about
element definition.definition:
  value: Who or what the composition is about. In general a composition can be about a person, (patient or healthcare practitioner), a device (e.g. a machine) or even a group of subjects (such as a document about a herd of livestock, or a set of patients that share a common exposure). For the IPS the subject is always the patient.
element definition.comment:
  value: For clinical documents, this is usually the patient.
element definition.requirements:
  value: Essential metadata for searching for the composition. Identifies who and/or what the composition/document is about.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.subject
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/uv/ips/StructureDefinition/Patient-uv-ips
    index: 0
    link: http://hl7.org/fhir/uv/ips/StructureDefinition/Patient-uv-ips
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.subject[x]
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .participation[typeCode="SBJ"].role[typeCode="PAT"]
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .recordTarget
element definition.mapping:
  index: 3
  element definition.mapping.identity:
    value: fhirdocumentreference
  element definition.mapping.map:
    value: DocumentReference.subject
element definition.mapping:
  index: 4
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.subject

index: 15
element.id:
  value: Composition.subject.id
element definition.path:
  value: Composition.subject.id
element definition.representation:
  value: xmlAttr
  index: 0
element definition.short:
  value: Unique id for inter-element referencing
element definition.definition:
  value: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Element.id
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    extension.value url:
      value: string
  element definition.type.code:
    value: http://hl7.org/fhirpath/System.String
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 16
element.id:
  value: Composition.subject.extension
element definition.path:
  value: Composition.subject.extension
element definition.slicing:
  element definition.slicing.discriminator:
    index: 0
    element definition.slicing.discriminator.type:
      value: value
    element definition.slicing.discriminator.path:
      value: url
  element definition.slicing.description:
    value: Extensions are always sliced by (at least) url
  element definition.slicing.rules:
    value: open
element definition.short:
  value: Additional content defined by implementations
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
element definition.comment:
  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.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Element.extension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 17
element.id:
  value: Composition.subject.reference
element definition.path:
  value: Composition.subject.reference
element definition.short:
  value: Literal reference, Relative, internal or absolute URL
element definition.definition:
  value: A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
element definition.comment:
  value: Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Reference.reference
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: string
element definition.condition:
  value: ref-1
  index: 0
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 18
element.id:
  value: Composition.subject.type
element definition.path:
  value: Composition.subject.type
element definition.short:
  value: Type the reference refers to (e.g. "Patient")
element definition.definition:
  value: The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).
element definition.comment:
  value: This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Reference.type
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: uri
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: FHIRResourceTypeExt
  element definition.binding.strength:
    value: extensible
  element definition.binding.description:
    value: Aa resource (or, for logical models, the URI of the logical model).
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/resource-types
    link: http://hl7.org/fhir/ValueSet/resource-types
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 19
element.id:
  value: Composition.subject.identifier
element definition.path:
  value: Composition.subject.identifier
element definition.short:
  value: Logical reference, when literal reference is not known
element definition.definition:
  value: An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
element definition.comment:
  value: When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Reference.identifier
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Identifier
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .identifier

index: 20
element.id:
  value: Composition.subject.display
element.extension:
  index: 0
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
  extension.value boolean:
    value: true
element definition.path:
  value: Composition.subject.display
element definition.short:
  value: Text alternative for the resource
element definition.definition:
  value: Plain text narrative that identifies the resource in addition to the resource reference.
element definition.comment:
  value: This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Reference.display
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: string
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 21
element.id:
  value: Composition.encounter
element definition.path:
  value: Composition.encounter
element definition.short:
  value: Context of the Composition
element definition.definition:
  value: Describes the clinical encounter or type of care this documentation is associated with.
element definition.requirements:
  value: Provides context for the composition and supports searching.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.encounter
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Encounter
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/Encounter
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: workflow
  element definition.mapping.map:
    value: Event.context
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.context
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: unique(highest(./outboundRelationship[typeCode="SUBJ" and isNormalActRelationship()], priorityNumber)/target[moodCode="EVN" and classCode=("ENC", "PCPR") and isNormalAct])
element definition.mapping:
  index: 3
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .componentOf.encompassingEncounter
element definition.mapping:
  index: 4
  element definition.mapping.identity:
    value: fhirdocumentreference
  element definition.mapping.map:
    value: DocumentReference.context.encounter

index: 22
element.id:
  value: Composition.date
element definition.path:
  value: Composition.date
element definition.short:
  value: Composition editing time
element definition.definition:
  value: The composition editing time, when the composition was last logically changed by the author.
element definition.comment:
  value: The Last Modified Date on the composition may be after the date of the document was attested without being changed.
element definition.requirements:
  value: dateTime is used for tracking, organizing versions and searching. Note that this is the time of *authoring*. When packaged in a document, [Bundle.timestamp](http://hl7.org/fhir/bundle-definitions.html#Bundle.timestamp) is the date of packaging.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.date
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: dateTime
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: workflow
  element definition.mapping.map:
    value: Event.occurrence[x]
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.done[x]
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .effectiveTime[type="TS"]
element definition.mapping:
  index: 3
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .effectiveTime
element definition.mapping:
  index: 4
  element definition.mapping.identity:
    value: fhirdocumentreference
  element definition.mapping.map:
    value: DocumentReference.content.attachment.date, DocumentReference.created

index: 23
element.id:
  value: Composition.author
element definition.path:
  value: Composition.author
element definition.short:
  value: Who and/or what authored the IPS
element definition.definition:
  value: Identifies who is responsible for the information in the IPS, not necessarily who typed it in. The type of author(s) contribute to determine the "nature"of the Patient Summary: e.g. a "human-curated" IPS Vs. an "automatically generated" IPS.
element definition.requirements:
  value: Identifies who is responsible for the content.
element definition.min:
  value: 1
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Composition.author
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Practitioner
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/Practitioner
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/PractitionerRole
    index: 1
    link: http://hl7.org/fhir/StructureDefinition/PractitionerRole
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Device
    index: 2
    link: http://hl7.org/fhir/StructureDefinition/Device
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Patient
    index: 3
    link: http://hl7.org/fhir/StructureDefinition/Patient
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/RelatedPerson
    index: 4
    link: http://hl7.org/fhir/StructureDefinition/RelatedPerson
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Organization
    index: 5
    link: http://hl7.org/fhir/StructureDefinition/Organization
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: workflow
  element definition.mapping.map:
    value: Event.performer
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.author
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .participation[typeCode="AUT"].role[classCode="ASSIGNED"]
element definition.mapping:
  index: 3
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .author.assignedAuthor
element definition.mapping:
  index: 4
  element definition.mapping.identity:
    value: fhirdocumentreference
  element definition.mapping.map:
    value: DocumentReference.agent

index: 24
element.id:
  value: Composition.title
element definition.path:
  value: Composition.title
element definition.short:
  value: International Patient Summary
element definition.definition:
  value: Official human-readable label for the composition. For this document should be "International Patient Summary" or any equivalent translation
element definition.comment:
  value: For many compositions, the title is the same as the text or a display name of Composition.type (e.g. a "consultation" or "progress note"). Note that CDA does not make title mandatory, but there are no known cases where it is useful for title to be omitted, so it is mandatory here. Feedback on this requirement is welcome during the trial use period.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.title
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: string
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: ./title
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .title
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: fhirdocumentreference
  element definition.mapping.map:
    value: DocumentReference.description, DocumentReference.content.attachment.title

index: 25
element.id:
  value: Composition.confidentiality
element definition.path:
  value: Composition.confidentiality
element definition.short:
  value: As defined by affinity domain
element definition.definition:
  value: The code specifying the level of confidentiality of the Composition.
element definition.comment:
  value: The exact use of this element, and enforcement and issues related to highly sensitive documents are out of scope for the base specification, and delegated to implementation profiles (see security section). This element is labeled as a modifier because highly confidential documents must not be treated as if they are not.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.confidentiality
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: code
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: DocumentConfidentiality
  element definition.binding.strength:
    value: required
  element definition.binding.description:
    value: Codes specifying the level of confidentiality of the composition.
  element definition.binding.value set:
    value: http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26
    link: 2014
    link: -03
    link: -26
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .confidentialityCode
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .confidentialityCode
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: fhirdocumentreference
  element definition.mapping.map:
    value: DocumentReference.securityLabel

index: 26
element.id:
  value: Composition.attester
element definition.path:
  value: Composition.attester
element definition.short:
  value: Attests to accuracy of composition
element definition.definition:
  value: A participant who has attested to the accuracy of the composition/document.
element definition.comment:
  value: Only list each attester once.
element definition.requirements:
  value: Identifies responsibility for the accuracy of the composition content.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Composition.attester
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: BackboneElement
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .participation[typeCode="AUTHEN"].role[classCode="ASSIGNED"]
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .authenticator/.legalAuthenticator
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: fhirdocumentreference
  element definition.mapping.map:
    value: DocumentReference.authenticator

index: 27
element.id:
  value: Composition.attester.id
element definition.path:
  value: Composition.attester.id
element definition.representation:
  value: xmlAttr
  index: 0
element definition.short:
  value: Unique id for inter-element referencing
element definition.definition:
  value: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Element.id
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    extension.value url:
      value: string
  element definition.type.code:
    value: http://hl7.org/fhirpath/System.String
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 28
element.id:
  value: Composition.attester.extension
element definition.path:
  value: Composition.attester.extension
element definition.short:
  value: Additional content defined by implementations
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
element definition.comment:
  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.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Element.extension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 29
element.id:
  value: Composition.attester.modifierExtension
element definition.path:
  value: Composition.attester.modifierExtension
element definition.short:
  value: Extensions that cannot be ignored even if unrecognized
element definition.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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
element definition.comment:
  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.
element definition.requirements:
  value: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/extensibility.html#modifierExtension).
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.alias:
  value: modifiers
  index: 2
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: BackboneElement.modifierExtension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: true
element definition.is modifier reason:
  value: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 30
element.id:
  value: Composition.attester.mode
element definition.path:
  value: Composition.attester.mode
element definition.short:
  value: personal | professional | legal | official
element definition.definition:
  value: The type of attestation the authenticator offers.
element definition.requirements:
  value: Indicates the level of authority of the attestation.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.attester.mode
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: code
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: CompositionAttestationMode
  element definition.binding.strength:
    value: required
  element definition.binding.description:
    value: The way in which a person authenticated a composition.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
    link: 4.0
    link: .1
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: unique(./modeCode)
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: implied by .authenticator/.legalAuthenticator

index: 31
element.id:
  value: Composition.attester.time
element definition.path:
  value: Composition.attester.time
element definition.short:
  value: When the composition was attested
element definition.definition:
  value: When the composition was attested by the party.
element definition.requirements:
  value: Identifies when the information in the composition was deemed accurate. (Things may have changed since then.).
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.attester.time
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: dateTime
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: ./time[type="TS" and isNormalDatatype()]
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .authenticator.time

index: 32
element.id:
  value: Composition.attester.party
element definition.path:
  value: Composition.attester.party
element definition.short:
  value: Who attested the composition
element definition.definition:
  value: Who attested the composition in the specified way.
element definition.requirements:
  value: Identifies who has taken on the responsibility for accuracy of the composition content.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.attester.party
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Patient
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/Patient
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/RelatedPerson
    index: 1
    link: http://hl7.org/fhir/StructureDefinition/RelatedPerson
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Practitioner
    index: 2
    link: http://hl7.org/fhir/StructureDefinition/Practitioner
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/PractitionerRole
    index: 3
    link: http://hl7.org/fhir/StructureDefinition/PractitionerRole
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Organization
    index: 4
    link: http://hl7.org/fhir/StructureDefinition/Organization
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.witness
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: ./role[classCode="ASSIGNED" and isNormalRole]/player[determinerCode="INST" and classCode=("DEV", "PSN") and isNormalEntity()] or ./role[classCode="ASSIGNED" and isNormalRole and not(player)]/scoper[determinerCode="INST" and classCode="ORG" and isNormalEntity()]
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .authenticator.assignedEnttty

index: 33
element.id:
  value: Composition.custodian
element definition.path:
  value: Composition.custodian
element definition.short:
  value: Organization which maintains the composition
element definition.definition:
  value: Identifies the organization or group who is responsible for ongoing maintenance of and access to the composition/document information.
element definition.comment:
  value: This is useful when documents are derived from a composition - provides guidance for how to get the latest version of the document. This is optional because this is sometimes not known by the authoring system, and can be inferred by context. However, it is important that this information be known when working with a derived document, so providing a custodian is encouraged.
element definition.requirements:
  value: Identifies where to go to find the current version, where to report issues, etc.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.custodian
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Organization
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/Organization
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .participation[typeCode="RCV"].role[classCode="CUST"].scoper[classCode="ORG" and determinerCode="INST"]
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .custodian.assignedCustodian
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: fhirdocumentreference
  element definition.mapping.map:
    value: DocumentReference.custodian

index: 34
element.id:
  value: Composition.relatesTo
element definition.path:
  value: Composition.relatesTo
element definition.short:
  value: Relationships to other compositions/documents
element definition.definition:
  value: Relationships that this composition has with other compositions or documents that already exist.
element definition.comment:
  value: A document is a version specific composition.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Composition.relatesTo
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: BackboneElement
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .outboundRelationship
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .relatedDocument
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: fhirdocumentreference
  element definition.mapping.map:
    value: DocumentReference.relatesTo

index: 35
element.id:
  value: Composition.relatesTo.id
element definition.path:
  value: Composition.relatesTo.id
element definition.representation:
  value: xmlAttr
  index: 0
element definition.short:
  value: Unique id for inter-element referencing
element definition.definition:
  value: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Element.id
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    extension.value url:
      value: string
  element definition.type.code:
    value: http://hl7.org/fhirpath/System.String
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 36
element.id:
  value: Composition.relatesTo.extension
element definition.path:
  value: Composition.relatesTo.extension
element definition.short:
  value: Additional content defined by implementations
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
element definition.comment:
  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.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Element.extension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 37
element.id:
  value: Composition.relatesTo.modifierExtension
element definition.path:
  value: Composition.relatesTo.modifierExtension
element definition.short:
  value: Extensions that cannot be ignored even if unrecognized
element definition.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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
element definition.comment:
  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.
element definition.requirements:
  value: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/extensibility.html#modifierExtension).
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.alias:
  value: modifiers
  index: 2
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: BackboneElement.modifierExtension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: true
element definition.is modifier reason:
  value: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 38
element.id:
  value: Composition.relatesTo.code
element definition.path:
  value: Composition.relatesTo.code
element definition.short:
  value: replaces | transforms | signs | appends
element definition.definition:
  value: The type of relationship that this composition has with anther composition or document.
element definition.comment:
  value: If this document appends another document, then the document cannot be fully understood without also accessing the referenced document.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.relatesTo.code
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: code
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: DocumentRelationshipType
  element definition.binding.strength:
    value: required
  element definition.binding.description:
    value: The type of relationship between documents.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
    link: 4.0
    link: .1
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .outboundRelationship.typeCode
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .relatedDocument.typeCode
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: fhirdocumentreference
  element definition.mapping.map:
    value: DocumentReference.relatesTo.code

index: 39
element.id:
  value: Composition.relatesTo.target[x]
element definition.path:
  value: Composition.relatesTo.target[x]
element definition.short:
  value: Target of the relationship
element definition.definition:
  value: The target composition/document of this relationship.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.relatesTo.target[x]
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Identifier
element definition.type:
  index: 1
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Composition
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/Composition
  element definition.type.target profile:
    value: http://hl7.org/fhir/uv/ips/StructureDefinition/Composition-uv-ips
    index: 1
    link: http://hl7.org/fhir/uv/ips/StructureDefinition/Composition-uv-ips
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .target[classCode="DOC", moodCode="EVN"].id
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .relatedDocument.id
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: fhirdocumentreference
  element definition.mapping.map:
    value: DocumentReference.relatesTo.target

index: 40
element.id:
  value: Composition.event
element definition.path:
  value: Composition.event
element definition.slicing:
  element definition.slicing.discriminator:
    index: 0
    element definition.slicing.discriminator.type:
      value: pattern
    element definition.slicing.discriminator.path:
      value: code
  element definition.slicing.rules:
    value: open
element definition.short:
  value: The clinical service(s) being documented
element definition.definition:
  value: The main activity being described by a IPS is the provision of healthcare over a period of time. In the CDA representation of the IPS this is shown by setting the value of serviceEvent/@classCode to “PCPR” (care provision) and indicating the duration over which care was provided in serviceEvent/effectiveTime. In the FHIR representation at least one event should be used to record this information. Additional data from outside this duration may also be included if it is relevant to care provided during that time range (e.g., reviewed during the stated time range). For example if the IPS is generated by a GP based on information recorded in his/her EHR-S, then the start value should represent the date when the treatment relationship between the patient and the GP started; and the end value the date of the latest care event.
element definition.comment:
  value: The event needs to be consistent with the type element, though can provide further information if desired.
element definition.requirements:
  value: Provides context for the composition and creates a linkage between a resource describing an event and the composition created describing the event.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Composition.event
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: BackboneElement
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: outboundRelationship[typeCode="SUBJ"].target[classCode<'ACT']
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .documentationOf.serviceEvent
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: fhirdocumentreference
  element definition.mapping.map:
    value: DocumentReference.event

index: 41
element.id:
  value: Composition.event.id
element definition.path:
  value: Composition.event.id
element definition.representation:
  value: xmlAttr
  index: 0
element definition.short:
  value: Unique id for inter-element referencing
element definition.definition:
  value: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Element.id
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    extension.value url:
      value: string
  element definition.type.code:
    value: http://hl7.org/fhirpath/System.String
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 42
element.id:
  value: Composition.event.extension
element definition.path:
  value: Composition.event.extension
element definition.short:
  value: Additional content defined by implementations
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
element definition.comment:
  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.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Element.extension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 43
element.id:
  value: Composition.event.modifierExtension
element definition.path:
  value: Composition.event.modifierExtension
element definition.short:
  value: Extensions that cannot be ignored even if unrecognized
element definition.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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
element definition.comment:
  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.
element definition.requirements:
  value: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/extensibility.html#modifierExtension).
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.alias:
  value: modifiers
  index: 2
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: BackboneElement.modifierExtension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: true
element definition.is modifier reason:
  value: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 44
element.id:
  value: Composition.event.code
element definition.path:
  value: Composition.event.code
element definition.short:
  value: Code(s) that apply to the event being documented
element definition.definition:
  value: This list of codes represents the main clinical acts, such as a colonoscopy or an appendectomy, being documented. In some cases, the event is inherent in the typeCode, such as a "History and Physical Report" in which the procedure being documented is necessarily a "History and Physical" act.
element definition.comment:
  value: An event can further specialize the act inherent in the typeCode, such as where it is simply "Procedure Report" and the procedure was a "colonoscopy". If one or more eventCodes are included, they SHALL NOT conflict with the values inherent in the classCode, practiceSettingCode or typeCode, as such a conflict would create an ambiguous situation. This short list of codes is provided to be used as key words for certain types of queries.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Composition.event.code
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: DocumentEventType
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: This list of codes represents the main clinical acts being documented.
  element definition.binding.value set:
    value: http://terminology.hl7.org/ValueSet/v3-ActCode
    link: http://terminology.hl7.org/ValueSet/v3-ActCode
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .code
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .code
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: fhirdocumentreference
  element definition.mapping.map:
    value: DocumentReference.event.code

index: 45
element.id:
  value: Composition.event.period
element definition.path:
  value: Composition.event.period
element definition.short:
  value: The period covered by the documentation
element definition.definition:
  value: The period of time covered by the documentation. There is no assertion that the documentation is a complete representation for this period, only that it documents events during this time.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.event.period
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Period
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .effectiveTime
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .effectiveTime
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: fhirdocumentreference
  element definition.mapping.map:
    value: DocumentReference.event.period

index: 46
element.id:
  value: Composition.event.detail
element definition.path:
  value: Composition.event.detail
element definition.short:
  value: The event(s) being documented
element definition.definition:
  value: The description and/or reference of the event(s) being documented. For example, this could be used to document such a colonoscopy or an appendectomy.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Composition.event.detail
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Resource
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/Resource
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .outboundRelationship[typeCode="SUBJ"].target
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: n/a

index: 47
element.id:
  value: Composition.event:careProvisioningEvent
element definition.path:
  value: Composition.event
element definition.slice name:
  value: careProvisioningEvent
element definition.short:
  value: The care provisioning being documented
element definition.definition:
  value: The provision of healthcare over a period of time this IPS is documenting.
element definition.comment:
  value: The event needs to be consistent with the type element, though can provide further information if desired.
element definition.requirements:
  value: Provides context for the composition and creates a linkage between a resource describing an event and the composition created describing the event.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.event
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: BackboneElement
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: outboundRelationship[typeCode="SUBJ"].target[classCode<'ACT']
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .documentationOf.serviceEvent
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: fhirdocumentreference
  element definition.mapping.map:
    value: DocumentReference.event

index: 48
element.id:
  value: Composition.event:careProvisioningEvent.id
element definition.path:
  value: Composition.event.id
element definition.representation:
  value: xmlAttr
  index: 0
element definition.short:
  value: Unique id for inter-element referencing
element definition.definition:
  value: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Element.id
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    extension.value url:
      value: string
  element definition.type.code:
    value: http://hl7.org/fhirpath/System.String
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 49
element.id:
  value: Composition.event:careProvisioningEvent.extension
element definition.path:
  value: Composition.event.extension
element definition.short:
  value: Additional content defined by implementations
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
element definition.comment:
  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.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Element.extension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 50
element.id:
  value: Composition.event:careProvisioningEvent.modifierExtension
element definition.path:
  value: Composition.event.modifierExtension
element definition.short:
  value: Extensions that cannot be ignored even if unrecognized
element definition.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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
element definition.comment:
  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.
element definition.requirements:
  value: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/extensibility.html#modifierExtension).
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.alias:
  value: modifiers
  index: 2
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: BackboneElement.modifierExtension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: true
element definition.is modifier reason:
  value: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 51
element.id:
  value: Composition.event:careProvisioningEvent.code
element definition.path:
  value: Composition.event.code
element definition.short:
  value: Code(s) that apply to the event being documented
element definition.definition:
  value: This list of codes represents the main clinical acts, such as a colonoscopy or an appendectomy, being documented. In some cases, the event is inherent in the typeCode, such as a "History and Physical Report" in which the procedure being documented is necessarily a "History and Physical" act.
element definition.comment:
  value: An event can further specialize the act inherent in the typeCode, such as where it is simply "Procedure Report" and the procedure was a "colonoscopy". If one or more eventCodes are included, they SHALL NOT conflict with the values inherent in the classCode, practiceSettingCode or typeCode, as such a conflict would create an ambiguous situation. This short list of codes is provided to be used as key words for certain types of queries.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.event.code
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.pattern codeable concept:
  codeable concept.coding:
    index: 0
    coding.system:
      value: http://terminology.hl7.org/CodeSystem/v3-ActClass
    coding.code:
      value: PCPR
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: DocumentEventType
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: This list of codes represents the main clinical acts being documented.
  element definition.binding.value set:
    value: http://terminology.hl7.org/ValueSet/v3-ActCode
    link: http://terminology.hl7.org/ValueSet/v3-ActCode
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .code
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .code
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: fhirdocumentreference
  element definition.mapping.map:
    value: DocumentReference.event.code

index: 52
element.id:
  value: Composition.event:careProvisioningEvent.period
element definition.path:
  value: Composition.event.period
element definition.short:
  value: The period covered by the documentation
element definition.definition:
  value: The period of time covered by the documentation. There is no assertion that the documentation is a complete representation for this period, only that it documents events during this time.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.event.period
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Period
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .effectiveTime
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .effectiveTime
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: fhirdocumentreference
  element definition.mapping.map:
    value: DocumentReference.event.period

index: 53
element.id:
  value: Composition.event:careProvisioningEvent.detail
element definition.path:
  value: Composition.event.detail
element definition.short:
  value: The event(s) being documented
element definition.definition:
  value: The description and/or reference of the event(s) being documented. For example, this could be used to document such a colonoscopy or an appendectomy.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Composition.event.detail
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Resource
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/Resource
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .outboundRelationship[typeCode="SUBJ"].target
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: n/a

index: 54
element.id:
  value: Composition.section
element definition.path:
  value: Composition.section
element definition.slicing:
  element definition.slicing.discriminator:
    index: 0
    element definition.slicing.discriminator.type:
      value: pattern
    element definition.slicing.discriminator.path:
      value: code
  element definition.slicing.ordered:
    value: false
  element definition.slicing.rules:
    value: open
element definition.short:
  value: Sections composing the IPS
element definition.definition:
  value: The root of the sections that make up the IPS composition.
element definition.min:
  value: 4
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Composition.section
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: BackboneElement
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: cmp-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: A section must contain at least one of text, entries, or sub-sections
  element definition.constraint.expression:
    value: text.exists() or entry.exists() or section.exists()
  element definition.constraint.xpath:
    value: exists(f:text) or exists(f:entry) or exists(f:section)
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/clinicaldocument
    link: http://hl7.org/fhir/StructureDefinition/clinicaldocument
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: cmp-2
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: A section can only have an emptyReason if it is empty
  element definition.constraint.expression:
    value: emptyReason.empty() or entry.empty()
  element definition.constraint.xpath:
    value: not(exists(f:emptyReason) and exists(f:entry))
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/clinicaldocument
    link: http://hl7.org/fhir/StructureDefinition/clinicaldocument
element definition.constraint:
  index: 2
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .component.structuredBody.component.section

index: 55
element.id:
  value: Composition.section.id
element definition.path:
  value: Composition.section.id
element definition.representation:
  value: xmlAttr
  index: 0
element definition.short:
  value: Unique id for inter-element referencing
element definition.definition:
  value: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Element.id
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    extension.value url:
      value: string
  element definition.type.code:
    value: http://hl7.org/fhirpath/System.String
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 56
element.id:
  value: Composition.section.extension
element definition.path:
  value: Composition.section.extension
element definition.short:
  value: Additional content defined by implementations
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
element definition.comment:
  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.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Element.extension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 57
element.id:
  value: Composition.section.modifierExtension
element definition.path:
  value: Composition.section.modifierExtension
element definition.short:
  value: Extensions that cannot be ignored even if unrecognized
element definition.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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
element definition.comment:
  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.
element definition.requirements:
  value: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/extensibility.html#modifierExtension).
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.alias:
  value: modifiers
  index: 2
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: BackboneElement.modifierExtension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: true
element definition.is modifier reason:
  value: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 58
element.id:
  value: Composition.section.title
element definition.path:
  value: Composition.section.title
element definition.short:
  value: Label for section (e.g. for ToC)
element definition.definition:
  value: The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.
element definition.comment:
  value: The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.
element definition.requirements:
  value: Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.
element definition.alias:
  value: header
  index: 0
element definition.alias:
  value: label
  index: 1
element definition.alias:
  value: caption
  index: 2
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.section.title
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: string
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: ./title
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .title

index: 59
element.id:
  value: Composition.section.code
element definition.path:
  value: Composition.section.code
element definition.short:
  value: Concept - reference to a terminology or just text
element definition.definition:
  value: A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text.
element definition.comment:
  value: Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
element definition.requirements:
  value: Provides computable standardized labels to topics within the document.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.section.code
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
  element definition.type.profile:
    value: http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips
    index: 0
    link: http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips
element definition.condition:
  value: ele-1
  index: 0
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: CompositionSectionType
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Classification of a section of a composition/document.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/doc-section-codes
    link: http://hl7.org/fhir/ValueSet/doc-section-codes
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: v2
  element definition.mapping.map:
    value: CE/CNE/CWE
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: CD
element definition.mapping:
  index: 3
  element definition.mapping.identity:
    value: orim
  element definition.mapping.map:
    value: fhir:CodeableConcept rdfs:subClassOf dt:CD

index: 60
element.id:
  value: Composition.section.author
element definition.path:
  value: Composition.section.author
element definition.short:
  value: Who and/or what authored the section
element definition.definition:
  value: Identifies who is responsible for the information in this section, not necessarily who typed it in.
element definition.requirements:
  value: Identifies who is responsible for the content.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Composition.section.author
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Practitioner
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/Practitioner
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/PractitionerRole
    index: 1
    link: http://hl7.org/fhir/StructureDefinition/PractitionerRole
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Device
    index: 2
    link: http://hl7.org/fhir/StructureDefinition/Device
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Patient
    index: 3
    link: http://hl7.org/fhir/StructureDefinition/Patient
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/RelatedPerson
    index: 4
    link: http://hl7.org/fhir/StructureDefinition/RelatedPerson
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Organization
    index: 5
    link: http://hl7.org/fhir/StructureDefinition/Organization
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.author
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .participation[typeCode="AUT"].role[classCode="ASSIGNED"]
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .author.assignedAuthor

index: 61
element.id:
  value: Composition.section.focus
element definition.path:
  value: Composition.section.focus
element definition.short:
  value: Who/what the section is about, when it is not about the subject of composition
element definition.definition:
  value: The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).
element definition.comment:
  value: Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.section.focus
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Resource
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/Resource
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .subject? (CDA did not differentiate between subject and focus)

index: 62
element.id:
  value: Composition.section.text
element definition.path:
  value: Composition.section.text
element definition.short:
  value: Text summary of the section, for human interpretation
element definition.definition:
  value: A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.
element definition.comment:
  value: Document profiles may define what content should be represented in the narrative to ensure clinical safety.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.section.text
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Narrative
element definition.condition:
  value: cmp-1
  index: 0
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .text
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .text

index: 63
element.id:
  value: Composition.section.mode
element definition.path:
  value: Composition.section.mode
element definition.short:
  value: working | snapshot | changes
element definition.definition:
  value: How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.
element definition.comment:
  value: This element is labeled as a modifier because a change list must not be misunderstood as a complete list.
element definition.requirements:
  value: Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.section.mode
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: code
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: SectionMode
  element definition.binding.strength:
    value: required
  element definition.binding.description:
    value: The processing mode that applies to this section.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/list-mode|4.0.1
    link: 4.0
    link: .1
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.class
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: n/a

index: 64
element.id:
  value: Composition.section.orderedBy
element definition.path:
  value: Composition.section.orderedBy
element definition.short:
  value: Order of section entries
element definition.definition:
  value: Specifies the order applied to the items in the section entries.
element definition.comment:
  value: Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.
element definition.requirements:
  value: Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.section.orderedBy
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: SectionEntryOrder
  element definition.binding.strength:
    value: preferred
  element definition.binding.description:
    value: What order applies to the items in the entry.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/list-order
    link: http://hl7.org/fhir/ValueSet/list-order
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .outboundRelationship[typeCode=COMP].sequenceNumber > 1
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: n/a

index: 65
element.id:
  value: Composition.section.entry
element definition.path:
  value: Composition.section.entry
element definition.short:
  value: A reference to data that supports this section
element definition.definition:
  value: A reference to the actual resource from which the narrative in the section is derived.
element definition.comment:
  value: If there are no entries in the list, an emptyReason SHOULD be provided.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Composition.section.entry
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Resource
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/Resource
element definition.condition:
  value: cmp-2
  index: 0
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .entry

index: 66
element.id:
  value: Composition.section.emptyReason
element definition.path:
  value: Composition.section.emptyReason
element definition.short:
  value: Why the section is empty
element definition.definition:
  value: If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.
element definition.comment:
  value: The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.
element definition.requirements:
  value: Allows capturing things like "none exist" or "not asked" which can be important for most lists.
element definition.min:
  value: 0
element definition.max:
  value: 0
element definition.base:
  element definition.base.path:
    value: Composition.section.emptyReason
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.condition:
  value: cmp-2
  index: 0
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: false
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: SectionEmptyReason
  element definition.binding.strength:
    value: preferred
  element definition.binding.description:
    value: If a section is empty, why it is empty.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/list-empty-reason
    link: http://hl7.org/fhir/ValueSet/list-empty-reason
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: n/a

index: 67
element.id:
  value: Composition.section.section
element definition.path:
  value: Composition.section.section
element definition.short:
  value: Nested Section
element definition.definition:
  value: A nested sub-section within this section.
element definition.comment:
  value: Nested sections are primarily used to help human readers navigate to particular portions of the document.
element definition.min:
  value: 0
element definition.max:
  value: 0
element definition.base:
  element definition.base.path:
    value: Composition.section.section
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.content reference:
  value: http://hl7.org/fhir/StructureDefinition/Composition#Composition.section
element definition.condition:
  value: cmp-1
  index: 0
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: false
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .component.section

index: 68
element.id:
  value: Composition.section:sectionMedications
element.extension:
  index: 0
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name
  extension.value string:
    value: Section
element definition.path:
  value: Composition.section
element definition.slice name:
  value: sectionMedications
element definition.short:
  value: IPS Medication Summary Section
element definition.definition:
  value: The medication summary section contains a description of the patient's medications relevant for the scope of the patient summary. The actual content could depend on the jurisdiction, it could report: - the currently active medications; - the current and past medications considered relevant by the authoring GP; - the patient prescriptions or dispensations automatically extracted by a regional or a national EHR. In those cases medications are documented in the Patient Summary as medication statements or medication requests. This section requires either an entry indicating the subject is known not to be on any relevant medication; either an entry indicating that no information is available about medications; or entries summarizing the subject's relevant medications.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.section
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: BackboneElement
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: cmp-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: A section must contain at least one of text, entries, or sub-sections
  element definition.constraint.expression:
    value: text.exists() or entry.exists() or section.exists()
  element definition.constraint.xpath:
    value: exists(f:text) or exists(f:entry) or exists(f:section)
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/clinicaldocument
    link: http://hl7.org/fhir/StructureDefinition/clinicaldocument
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: cmp-2
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: A section can only have an emptyReason if it is empty
  element definition.constraint.expression:
    value: emptyReason.empty() or entry.empty()
  element definition.constraint.xpath:
    value: not(exists(f:emptyReason) and exists(f:entry))
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/clinicaldocument
    link: http://hl7.org/fhir/StructureDefinition/clinicaldocument
element definition.constraint:
  index: 2
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .component.structuredBody.component.section

index: 69
element.id:
  value: Composition.section:sectionMedications.id
element definition.path:
  value: Composition.section.id
element definition.representation:
  value: xmlAttr
  index: 0
element definition.short:
  value: Unique id for inter-element referencing
element definition.definition:
  value: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Element.id
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    extension.value url:
      value: string
  element definition.type.code:
    value: http://hl7.org/fhirpath/System.String
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 70
element.id:
  value: Composition.section:sectionMedications.extension
element definition.path:
  value: Composition.section.extension
element definition.short:
  value: Additional content defined by implementations
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
element definition.comment:
  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.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Element.extension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 71
element.id:
  value: Composition.section:sectionMedications.modifierExtension
element definition.path:
  value: Composition.section.modifierExtension
element definition.short:
  value: Extensions that cannot be ignored even if unrecognized
element definition.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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
element definition.comment:
  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.
element definition.requirements:
  value: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/extensibility.html#modifierExtension).
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.alias:
  value: modifiers
  index: 2
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: BackboneElement.modifierExtension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: true
element definition.is modifier reason:
  value: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 72
element.id:
  value: Composition.section:sectionMedications.title
element definition.path:
  value: Composition.section.title
element definition.short:
  value: Medication Summary section
element definition.definition:
  value: The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents. Medication Summary
element definition.comment:
  value: The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.
element definition.requirements:
  value: Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.
element definition.alias:
  value: header
  index: 0
element definition.alias:
  value: label
  index: 1
element definition.alias:
  value: caption
  index: 2
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.section.title
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: string
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: ./title
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .title

index: 73
element.id:
  value: Composition.section:sectionMedications.code
element definition.path:
  value: Composition.section.code
element definition.short:
  value: Classification of section (recommended)
element definition.definition:
  value: A code identifying the kind of content contained within the section. This must be consistent with the section title.
element definition.comment:
  value: The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.
element definition.requirements:
  value: Provides computable standardized labels to topics within the document.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.section.code
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.pattern codeable concept:
  codeable concept.coding: http://loinc.org/rdf#10160-0
    index: 0
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 10160-0
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: CompositionSectionType
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Classification of a section of a composition/document.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/doc-section-codes
    link: http://hl7.org/fhir/ValueSet/doc-section-codes
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: ./code
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .code

index: 74
element.id:
  value: Composition.section:sectionMedications.author
element definition.path:
  value: Composition.section.author
element definition.short:
  value: Who and/or what authored the section
element definition.definition:
  value: Identifies who is responsible for the information in this section, not necessarily who typed it in.
element definition.requirements:
  value: Identifies who is responsible for the content.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Composition.section.author
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Practitioner
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/Practitioner
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/PractitionerRole
    index: 1
    link: http://hl7.org/fhir/StructureDefinition/PractitionerRole
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Device
    index: 2
    link: http://hl7.org/fhir/StructureDefinition/Device
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Patient
    index: 3
    link: http://hl7.org/fhir/StructureDefinition/Patient
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/RelatedPerson
    index: 4
    link: http://hl7.org/fhir/StructureDefinition/RelatedPerson
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Organization
    index: 5
    link: http://hl7.org/fhir/StructureDefinition/Organization
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.author
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .participation[typeCode="AUT"].role[classCode="ASSIGNED"]
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .author.assignedAuthor

index: 75
element.id:
  value: Composition.section:sectionMedications.focus
element definition.path:
  value: Composition.section.focus
element definition.short:
  value: Who/what the section is about, when it is not about the subject of composition
element definition.definition:
  value: The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).
element definition.comment:
  value: Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.section.focus
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Resource
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/Resource
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .subject? (CDA did not differentiate between subject and focus)

index: 76
element.id:
  value: Composition.section:sectionMedications.text
element definition.path:
  value: Composition.section.text
element definition.short:
  value: Text summary of the section, for human interpretation
element definition.definition:
  value: A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.
element definition.comment:
  value: Document profiles may define what content should be represented in the narrative to ensure clinical safety.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.section.text
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Narrative
element definition.condition:
  value: cmp-1
  index: 0
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .text
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .text

index: 77
element.id:
  value: Composition.section:sectionMedications.mode
element definition.path:
  value: Composition.section.mode
element definition.short:
  value: working | snapshot | changes
element definition.definition:
  value: How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.
element definition.comment:
  value: This element is labeled as a modifier because a change list must not be misunderstood as a complete list.
element definition.requirements:
  value: Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.section.mode
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: code
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: SectionMode
  element definition.binding.strength:
    value: required
  element definition.binding.description:
    value: The processing mode that applies to this section.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/list-mode|4.0.1
    link: 4.0
    link: .1
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.class
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: n/a

index: 78
element.id:
  value: Composition.section:sectionMedications.orderedBy
element definition.path:
  value: Composition.section.orderedBy
element definition.short:
  value: Order of section entries
element definition.definition:
  value: Specifies the order applied to the items in the section entries.
element definition.comment:
  value: Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.
element definition.requirements:
  value: Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.section.orderedBy
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: SectionEntryOrder
  element definition.binding.strength:
    value: preferred
  element definition.binding.description:
    value: What order applies to the items in the entry.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/list-order
    link: http://hl7.org/fhir/ValueSet/list-order
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .outboundRelationship[typeCode=COMP].sequenceNumber > 1
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: n/a

index: 79
element.id:
  value: Composition.section:sectionMedications.entry
element definition.path:
  value: Composition.section.entry
element definition.slicing:
  element definition.slicing.discriminator:
    index: 0
    element definition.slicing.discriminator.type:
      value: profile
    element definition.slicing.discriminator.path:
      value: resolve()
  element definition.slicing.rules:
    value: open
element definition.short:
  value: Medications relevant for the scope of the patient summary
element definition.definition:
  value: This list the medications relevant for the scope of the patient summary or it is used to indicate that the subject is known not to be on any relevant medication; either that no information is available about medications.
element definition.comment:
  value: If there are no entries in the list, an emptyReason SHOULD be provided.
element definition.min:
  value: 1
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Composition.section.entry
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/MedicationStatement
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/MedicationStatement
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/MedicationRequest
    index: 1
    link: http://hl7.org/fhir/StructureDefinition/MedicationRequest
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/MedicationAdministration
    index: 2
    link: http://hl7.org/fhir/StructureDefinition/MedicationAdministration
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/MedicationDispense
    index: 3
    link: http://hl7.org/fhir/StructureDefinition/MedicationDispense
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/DocumentReference
    index: 4
    link: http://hl7.org/fhir/StructureDefinition/DocumentReference
element definition.condition:
  value: cmp-2
  index: 0
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .entry

index: 80
element.id:
  value: Composition.section:sectionMedications.entry:medicationStatement
element definition.path:
  value: Composition.section.entry
element definition.slice name:
  value: medicationStatement
element definition.short:
  value: A reference to data that supports this section
element definition.definition:
  value: A reference to the actual resource from which the narrative in the section is derived.
element definition.comment:
  value: If there are no entries in the list, an emptyReason SHOULD be provided.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Composition.section.entry
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationStatement-uv-ips
    index: 0
    link: http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationStatement-uv-ips
element definition.condition:
  value: cmp-2
  index: 0
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .entry

index: 81
element.id:
  value: Composition.section:sectionMedications.entry:medicationRequest
element definition.path:
  value: Composition.section.entry
element definition.slice name:
  value: medicationRequest
element definition.short:
  value: A reference to data that supports this section
element definition.definition:
  value: A reference to the actual resource from which the narrative in the section is derived.
element definition.comment:
  value: If there are no entries in the list, an emptyReason SHOULD be provided.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Composition.section.entry
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationRequest-uv-ips
    index: 0
    link: http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationRequest-uv-ips
element definition.condition:
  value: cmp-2
  index: 0
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .entry

index: 82
element.id:
  value: Composition.section:sectionMedications.emptyReason
element definition.path:
  value: Composition.section.emptyReason
element definition.short:
  value: Why the section is empty
element definition.definition:
  value: If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.
element definition.comment:
  value: The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.
element definition.requirements:
  value: Allows capturing things like "none exist" or "not asked" which can be important for most lists.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.section.emptyReason
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.condition:
  value: cmp-2
  index: 0
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: SectionEmptyReason
  element definition.binding.strength:
    value: preferred
  element definition.binding.description:
    value: If a section is empty, why it is empty.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/list-empty-reason
    link: http://hl7.org/fhir/ValueSet/list-empty-reason
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: n/a

index: 83
element.id:
  value: Composition.section:sectionMedications.section
element definition.path:
  value: Composition.section.section
element definition.short:
  value: Nested Section
element definition.definition:
  value: A nested sub-section within this section.
element definition.comment:
  value: Nested sections are primarily used to help human readers navigate to particular portions of the document.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Composition.section.section
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.content reference:
  value: http://hl7.org/fhir/StructureDefinition/Composition#Composition.section
element definition.condition:
  value: cmp-1
  index: 0
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .component.section

index: 84
element.id:
  value: Composition.section:sectionAllergies
element.extension:
  index: 0
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name
  extension.value string:
    value: Section
element definition.path:
  value: Composition.section
element definition.slice name:
  value: sectionAllergies
element definition.short:
  value: IPS Allergies and Intolerances Section
element definition.definition:
  value: This section documents the relevant allergies or intolerances (conditions) for that patient, describing the kind of reaction (e.g. rash, anaphylaxis,..); preferably the agents that cause it; and optionally the criticality and the certainty of the allergy. At a minimum, it should list currently active and any relevant historical allergies and adverse reactions. If no information about allergies is available, or if no allergies are known this should be clearly documented in the section.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.section
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: BackboneElement
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: cmp-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: A section must contain at least one of text, entries, or sub-sections
  element definition.constraint.expression:
    value: text.exists() or entry.exists() or section.exists()
  element definition.constraint.xpath:
    value: exists(f:text) or exists(f:entry) or exists(f:section)
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/clinicaldocument
    link: http://hl7.org/fhir/StructureDefinition/clinicaldocument
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: cmp-2
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: A section can only have an emptyReason if it is empty
  element definition.constraint.expression:
    value: emptyReason.empty() or entry.empty()
  element definition.constraint.xpath:
    value: not(exists(f:emptyReason) and exists(f:entry))
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/clinicaldocument
    link: http://hl7.org/fhir/StructureDefinition/clinicaldocument
element definition.constraint:
  index: 2
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .component.structuredBody.component.section

index: 85
element.id:
  value: Composition.section:sectionAllergies.id
element definition.path:
  value: Composition.section.id
element definition.representation:
  value: xmlAttr
  index: 0
element definition.short:
  value: Unique id for inter-element referencing
element definition.definition:
  value: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Element.id
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    extension.value url:
      value: string
  element definition.type.code:
    value: http://hl7.org/fhirpath/System.String
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 86
element.id:
  value: Composition.section:sectionAllergies.extension
element definition.path:
  value: Composition.section.extension
element definition.short:
  value: Additional content defined by implementations
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
element definition.comment:
  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.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Element.extension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 87
element.id:
  value: Composition.section:sectionAllergies.modifierExtension
element definition.path:
  value: Composition.section.modifierExtension
element definition.short:
  value: Extensions that cannot be ignored even if unrecognized
element definition.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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
element definition.comment:
  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.
element definition.requirements:
  value: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/extensibility.html#modifierExtension).
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.alias:
  value: modifiers
  index: 2
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: BackboneElement.modifierExtension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: true
element definition.is modifier reason:
  value: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 88
element.id:
  value: Composition.section:sectionAllergies.title
element definition.path:
  value: Composition.section.title
element definition.short:
  value: Label for section (e.g. for ToC)
element definition.definition:
  value: The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.
element definition.comment:
  value: The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.
element definition.requirements:
  value: Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.
element definition.alias:
  value: header
  index: 0
element definition.alias:
  value: label
  index: 1
element definition.alias:
  value: caption
  index: 2
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.section.title
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: string
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: ./title
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .title

index: 89
element.id:
  value: Composition.section:sectionAllergies.code
element definition.path:
  value: Composition.section.code
element definition.short:
  value: Classification of section (recommended)
element definition.definition:
  value: A code identifying the kind of content contained within the section. This must be consistent with the section title.
element definition.comment:
  value: The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.
element definition.requirements:
  value: Provides computable standardized labels to topics within the document.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.section.code
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.pattern codeable concept:
  codeable concept.coding: http://loinc.org/rdf#48765-2
    index: 0
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 48765-2
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: CompositionSectionType
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Classification of a section of a composition/document.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/doc-section-codes
    link: http://hl7.org/fhir/ValueSet/doc-section-codes
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: ./code
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .code

index: 90
element.id:
  value: Composition.section:sectionAllergies.author
element definition.path:
  value: Composition.section.author
element definition.short:
  value: Who and/or what authored the section
element definition.definition:
  value: Identifies who is responsible for the information in this section, not necessarily who typed it in.
element definition.requirements:
  value: Identifies who is responsible for the content.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Composition.section.author
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Practitioner
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/Practitioner
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/PractitionerRole
    index: 1
    link: http://hl7.org/fhir/StructureDefinition/PractitionerRole
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Device
    index: 2
    link: http://hl7.org/fhir/StructureDefinition/Device
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Patient
    index: 3
    link: http://hl7.org/fhir/StructureDefinition/Patient
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/RelatedPerson
    index: 4
    link: http://hl7.org/fhir/StructureDefinition/RelatedPerson
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Organization
    index: 5
    link: http://hl7.org/fhir/StructureDefinition/Organization
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.author
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .participation[typeCode="AUT"].role[classCode="ASSIGNED"]
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .author.assignedAuthor

index: 91
element.id:
  value: Composition.section:sectionAllergies.focus
element definition.path:
  value: Composition.section.focus
element definition.short:
  value: Who/what the section is about, when it is not about the subject of composition
element definition.definition:
  value: The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).
element definition.comment:
  value: Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.section.focus
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Resource
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/Resource
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .subject? (CDA did not differentiate between subject and focus)

index: 92
element.id:
  value: Composition.section:sectionAllergies.text
element definition.path:
  value: Composition.section.text
element definition.short:
  value: Text summary of the section, for human interpretation
element definition.definition:
  value: A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.
element definition.comment:
  value: Document profiles may define what content should be represented in the narrative to ensure clinical safety.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.section.text
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Narrative
element definition.condition:
  value: cmp-1
  index: 0
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .text
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .text

index: 93
element.id:
  value: Composition.section:sectionAllergies.mode
element definition.path:
  value: Composition.section.mode
element definition.short:
  value: working | snapshot | changes
element definition.definition:
  value: How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.
element definition.comment:
  value: This element is labeled as a modifier because a change list must not be misunderstood as a complete list.
element definition.requirements:
  value: Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.section.mode
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: code
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: SectionMode
  element definition.binding.strength:
    value: required
  element definition.binding.description:
    value: The processing mode that applies to this section.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/list-mode|4.0.1
    link: 4.0
    link: .1
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.class
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: n/a

index: 94
element.id:
  value: Composition.section:sectionAllergies.orderedBy
element definition.path:
  value: Composition.section.orderedBy
element definition.short:
  value: Order of section entries
element definition.definition:
  value: Specifies the order applied to the items in the section entries.
element definition.comment:
  value: Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.
element definition.requirements:
  value: Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.section.orderedBy
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: SectionEntryOrder
  element definition.binding.strength:
    value: preferred
  element definition.binding.description:
    value: What order applies to the items in the entry.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/list-order
    link: http://hl7.org/fhir/ValueSet/list-order
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .outboundRelationship[typeCode=COMP].sequenceNumber > 1
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: n/a

index: 95
element.id:
  value: Composition.section:sectionAllergies.entry
element definition.path:
  value: Composition.section.entry
element definition.slicing:
  element definition.slicing.discriminator:
    index: 0
    element definition.slicing.discriminator.type:
      value: profile
    element definition.slicing.discriminator.path:
      value: resolve()
  element definition.slicing.rules:
    value: open
element definition.short:
  value: Relevant allergies or intolerances (conditions) for that patient.
element definition.definition:
  value: It lists the relevant allergies or intolerances (conditions) for that patient, describing the kind of reaction (e.g. rash, anaphylaxis,..); preferably the agents that cause it; and optionally the criticality and the certainty of the allergy. At a minimum, it should list currently active and any relevant historical allergies and adverse reactions. This entry shall be used to document that no information about allergies is available, or that no allergies are known .
element definition.comment:
  value: If there are no entries in the list, an emptyReason SHOULD be provided.
element definition.min:
  value: 1
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Composition.section.entry
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/AllergyIntolerance
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/AllergyIntolerance
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/DocumentReference
    index: 1
    link: http://hl7.org/fhir/StructureDefinition/DocumentReference
element definition.condition:
  value: cmp-2
  index: 0
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .entry

index: 96
element.id:
  value: Composition.section:sectionAllergies.entry:allergyOrIntolerance
element definition.path:
  value: Composition.section.entry
element definition.slice name:
  value: allergyOrIntolerance
element definition.short:
  value: A reference to data that supports this section
element definition.definition:
  value: A reference to the actual resource from which the narrative in the section is derived.
element definition.comment:
  value: If there are no entries in the list, an emptyReason SHOULD be provided.
element definition.min:
  value: 1
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Composition.section.entry
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/uv/ips/StructureDefinition/AllergyIntolerance-uv-ips
    index: 0
    link: http://hl7.org/fhir/uv/ips/StructureDefinition/AllergyIntolerance-uv-ips
element definition.condition:
  value: cmp-2
  index: 0
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .entry

index: 97
element.id:
  value: Composition.section:sectionAllergies.emptyReason
element definition.path:
  value: Composition.section.emptyReason
element definition.short:
  value: Why the section is empty
element definition.definition:
  value: If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.
element definition.comment:
  value: The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.
element definition.requirements:
  value: Allows capturing things like "none exist" or "not asked" which can be important for most lists.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.section.emptyReason
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.condition:
  value: cmp-2
  index: 0
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: SectionEmptyReason
  element definition.binding.strength:
    value: preferred
  element definition.binding.description:
    value: If a section is empty, why it is empty.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/list-empty-reason
    link: http://hl7.org/fhir/ValueSet/list-empty-reason
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: n/a

index: 98
element.id:
  value: Composition.section:sectionAllergies.section
element definition.path:
  value: Composition.section.section
element definition.short:
  value: Nested Section
element definition.definition:
  value: A nested sub-section within this section.
element definition.comment:
  value: Nested sections are primarily used to help human readers navigate to particular portions of the document.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Composition.section.section
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.content reference:
  value: http://hl7.org/fhir/StructureDefinition/Composition#Composition.section
element definition.condition:
  value: cmp-1
  index: 0
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .component.section

index: 99
element.id:
  value: Composition.section:sectionProblems
element.extension:
  index: 0
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name
  extension.value string:
    value: Section
element definition.path:
  value: Composition.section
element definition.slice name:
  value: sectionProblems
element definition.short:
  value: IPS Problems Section
element definition.definition:
  value: The IPS problem section lists and describes clinical problems or conditions currently being monitored for the patient.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.section
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: BackboneElement
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: cmp-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: A section must contain at least one of text, entries, or sub-sections
  element definition.constraint.expression:
    value: text.exists() or entry.exists() or section.exists()
  element definition.constraint.xpath:
    value: exists(f:text) or exists(f:entry) or exists(f:section)
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/clinicaldocument
    link: http://hl7.org/fhir/StructureDefinition/clinicaldocument
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: cmp-2
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: A section can only have an emptyReason if it is empty
  element definition.constraint.expression:
    value: emptyReason.empty() or entry.empty()
  element definition.constraint.xpath:
    value: not(exists(f:emptyReason) and exists(f:entry))
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/clinicaldocument
    link: http://hl7.org/fhir/StructureDefinition/clinicaldocument
element definition.constraint:
  index: 2
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .component.structuredBody.component.section

index: 100
element.id:
  value: Composition.section:sectionProblems.id
element definition.path:
  value: Composition.section.id
element definition.representation:
  value: xmlAttr
  index: 0
element definition.short:
  value: Unique id for inter-element referencing
element definition.definition:
  value: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Element.id
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    extension.value url:
      value: string
  element definition.type.code:
    value: http://hl7.org/fhirpath/System.String
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 101
element.id:
  value: Composition.section:sectionProblems.extension
element definition.path:
  value: Composition.section.extension
element definition.short:
  value: Additional content defined by implementations
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
element definition.comment:
  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.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Element.extension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 102
element.id:
  value: Composition.section:sectionProblems.modifierExtension
element definition.path:
  value: Composition.section.modifierExtension
element definition.short:
  value: Extensions that cannot be ignored even if unrecognized
element definition.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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
element definition.comment:
  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.
element definition.requirements:
  value: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/extensibility.html#modifierExtension).
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.alias:
  value: modifiers
  index: 2
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: BackboneElement.modifierExtension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: true
element definition.is modifier reason:
  value: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 103
element.id:
  value: Composition.section:sectionProblems.title
element definition.path:
  value: Composition.section.title
element definition.short:
  value: Label for section (e.g. for ToC)
element definition.definition:
  value: The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.
element definition.comment:
  value: The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.
element definition.requirements:
  value: Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.
element definition.alias:
  value: header
  index: 0
element definition.alias:
  value: label
  index: 1
element definition.alias:
  value: caption
  index: 2
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.section.title
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: string
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: ./title
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .title

index: 104
element.id:
  value: Composition.section:sectionProblems.code
element definition.path:
  value: Composition.section.code
element definition.short:
  value: Classification of section (recommended)
element definition.definition:
  value: A code identifying the kind of content contained within the section. This must be consistent with the section title.
element definition.comment:
  value: The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.
element definition.requirements:
  value: Provides computable standardized labels to topics within the document.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.section.code
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.pattern codeable concept:
  codeable concept.coding: http://loinc.org/rdf#11450-4
    index: 0
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 11450-4
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: CompositionSectionType
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Classification of a section of a composition/document.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/doc-section-codes
    link: http://hl7.org/fhir/ValueSet/doc-section-codes
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: ./code
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .code

index: 105
element.id:
  value: Composition.section:sectionProblems.author
element definition.path:
  value: Composition.section.author
element definition.short:
  value: Who and/or what authored the section
element definition.definition:
  value: Identifies who is responsible for the information in this section, not necessarily who typed it in.
element definition.requirements:
  value: Identifies who is responsible for the content.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Composition.section.author
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Practitioner
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/Practitioner
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/PractitionerRole
    index: 1
    link: http://hl7.org/fhir/StructureDefinition/PractitionerRole
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Device
    index: 2
    link: http://hl7.org/fhir/StructureDefinition/Device
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Patient
    index: 3
    link: http://hl7.org/fhir/StructureDefinition/Patient
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/RelatedPerson
    index: 4
    link: http://hl7.org/fhir/StructureDefinition/RelatedPerson
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Organization
    index: 5
    link: http://hl7.org/fhir/StructureDefinition/Organization
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.author
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .participation[typeCode="AUT"].role[classCode="ASSIGNED"]
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .author.assignedAuthor

index: 106
element.id:
  value: Composition.section:sectionProblems.focus
element definition.path:
  value: Composition.section.focus
element definition.short:
  value: Who/what the section is about, when it is not about the subject of composition
element definition.definition:
  value: The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).
element definition.comment:
  value: Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.section.focus
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Resource
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/Resource
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .subject? (CDA did not differentiate between subject and focus)

index: 107
element.id:
  value: Composition.section:sectionProblems.text
element definition.path:
  value: Composition.section.text
element definition.short:
  value: Text summary of the section, for human interpretation
element definition.definition:
  value: A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.
element definition.comment:
  value: Document profiles may define what content should be represented in the narrative to ensure clinical safety.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.section.text
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Narrative
element definition.condition:
  value: cmp-1
  index: 0
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .text
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .text

index: 108
element.id:
  value: Composition.section:sectionProblems.mode
element definition.path:
  value: Composition.section.mode
element definition.short:
  value: working | snapshot | changes
element definition.definition:
  value: How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.
element definition.comment:
  value: This element is labeled as a modifier because a change list must not be misunderstood as a complete list.
element definition.requirements:
  value: Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.section.mode
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: code
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: SectionMode
  element definition.binding.strength:
    value: required
  element definition.binding.description:
    value: The processing mode that applies to this section.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/list-mode|4.0.1
    link: 4.0
    link: .1
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.class
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: n/a

index: 109
element.id:
  value: Composition.section:sectionProblems.orderedBy
element definition.path:
  value: Composition.section.orderedBy
element definition.short:
  value: Order of section entries
element definition.definition:
  value: Specifies the order applied to the items in the section entries.
element definition.comment:
  value: Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.
element definition.requirements:
  value: Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.section.orderedBy
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: SectionEntryOrder
  element definition.binding.strength:
    value: preferred
  element definition.binding.description:
    value: What order applies to the items in the entry.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/list-order
    link: http://hl7.org/fhir/ValueSet/list-order
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .outboundRelationship[typeCode=COMP].sequenceNumber > 1
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: n/a

index: 110
element.id:
  value: Composition.section:sectionProblems.entry
element definition.path:
  value: Composition.section.entry
element definition.slicing:
  element definition.slicing.discriminator:
    index: 0
    element definition.slicing.discriminator.type:
      value: profile
    element definition.slicing.discriminator.path:
      value: resolve()
  element definition.slicing.rules:
    value: open
element definition.short:
  value: Clinical problems or conditions currently being monitored for the patient.
element definition.definition:
  value: It lists and describes clinical problems or conditions currently being monitored for the patient. This entry shall be used to document that no information about problems is available, or that no relevant problems are known.
element definition.comment:
  value: If there are no entries in the list, an emptyReason SHOULD be provided.
element definition.min:
  value: 1
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Composition.section.entry
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Condition
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/Condition
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/DocumentReference
    index: 1
    link: http://hl7.org/fhir/StructureDefinition/DocumentReference
element definition.condition:
  value: cmp-2
  index: 0
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .entry

index: 111
element.id:
  value: Composition.section:sectionProblems.entry:problem
element definition.path:
  value: Composition.section.entry
element definition.slice name:
  value: problem
element definition.short:
  value: A reference to data that supports this section
element definition.definition:
  value: A reference to the actual resource from which the narrative in the section is derived.
element definition.comment:
  value: If there are no entries in the list, an emptyReason SHOULD be provided.
element definition.min:
  value: 1
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Composition.section.entry
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/uv/ips/StructureDefinition/Condition-uv-ips
    index: 0
    link: http://hl7.org/fhir/uv/ips/StructureDefinition/Condition-uv-ips
element definition.condition:
  value: cmp-2
  index: 0
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .entry

index: 112
element.id:
  value: Composition.section:sectionProblems.emptyReason
element definition.path:
  value: Composition.section.emptyReason
element definition.short:
  value: Why the section is empty
element definition.definition:
  value: If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.
element definition.comment:
  value: The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.
element definition.requirements:
  value: Allows capturing things like "none exist" or "not asked" which can be important for most lists.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.section.emptyReason
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.condition:
  value: cmp-2
  index: 0
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: SectionEmptyReason
  element definition.binding.strength:
    value: preferred
  element definition.binding.description:
    value: If a section is empty, why it is empty.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/list-empty-reason
    link: http://hl7.org/fhir/ValueSet/list-empty-reason
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: n/a

index: 113
element.id:
  value: Composition.section:sectionProblems.section
element definition.path:
  value: Composition.section.section
element definition.short:
  value: Nested Section
element definition.definition:
  value: A nested sub-section within this section.
element definition.comment:
  value: Nested sections are primarily used to help human readers navigate to particular portions of the document.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Composition.section.section
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.content reference:
  value: http://hl7.org/fhir/StructureDefinition/Composition#Composition.section
element definition.condition:
  value: cmp-1
  index: 0
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .component.section

index: 114
element.id:
  value: Composition.section:sectionProceduresHx
element.extension:
  index: 0
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name
  extension.value string:
    value: Section
element definition.path:
  value: Composition.section
element definition.slice name:
  value: sectionProceduresHx
element definition.short:
  value: IPS History of Procedures Section
element definition.definition:
  value: The History of Procedures Section contains a description of the patient past procedures that are pertinent to the scope of this document. Procedures may refer for example to: 1. Invasive Diagnostic procedure:e.g. Cardiac catheterization; (the results of these procedure are documented in the results section) 2. Therapeutic procedure: e.g. dialysis; 3. Surgical procedure: e.g. appendectomy
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.section
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: BackboneElement
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: cmp-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: A section must contain at least one of text, entries, or sub-sections
  element definition.constraint.expression:
    value: text.exists() or entry.exists() or section.exists()
  element definition.constraint.xpath:
    value: exists(f:text) or exists(f:entry) or exists(f:section)
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/clinicaldocument
    link: http://hl7.org/fhir/StructureDefinition/clinicaldocument
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: cmp-2
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: A section can only have an emptyReason if it is empty
  element definition.constraint.expression:
    value: emptyReason.empty() or entry.empty()
  element definition.constraint.xpath:
    value: not(exists(f:emptyReason) and exists(f:entry))
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/clinicaldocument
    link: http://hl7.org/fhir/StructureDefinition/clinicaldocument
element definition.constraint:
  index: 2
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .component.structuredBody.component.section

index: 115
element.id:
  value: Composition.section:sectionProceduresHx.id
element definition.path:
  value: Composition.section.id
element definition.representation:
  value: xmlAttr
  index: 0
element definition.short:
  value: Unique id for inter-element referencing
element definition.definition:
  value: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Element.id
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    extension.value url:
      value: string
  element definition.type.code:
    value: http://hl7.org/fhirpath/System.String
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 116
element.id:
  value: Composition.section:sectionProceduresHx.extension
element definition.path:
  value: Composition.section.extension
element definition.short:
  value: Additional content defined by implementations
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
element definition.comment:
  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.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Element.extension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 117
element.id:
  value: Composition.section:sectionProceduresHx.modifierExtension
element definition.path:
  value: Composition.section.modifierExtension
element definition.short:
  value: Extensions that cannot be ignored even if unrecognized
element definition.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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
element definition.comment:
  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.
element definition.requirements:
  value: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/extensibility.html#modifierExtension).
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.alias:
  value: modifiers
  index: 2
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: BackboneElement.modifierExtension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: true
element definition.is modifier reason:
  value: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 118
element.id:
  value: Composition.section:sectionProceduresHx.title
element definition.path:
  value: Composition.section.title
element definition.short:
  value: Label for section (e.g. for ToC)
element definition.definition:
  value: The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.
element definition.comment:
  value: The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.
element definition.requirements:
  value: Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.
element definition.alias:
  value: header
  index: 0
element definition.alias:
  value: label
  index: 1
element definition.alias:
  value: caption
  index: 2
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.section.title
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: string
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: ./title
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .title

index: 119
element.id:
  value: Composition.section:sectionProceduresHx.code
element definition.path:
  value: Composition.section.code
element definition.short:
  value: Classification of section (recommended)
element definition.definition:
  value: A code identifying the kind of content contained within the section. This must be consistent with the section title.
element definition.comment:
  value: The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.
element definition.requirements:
  value: Provides computable standardized labels to topics within the document.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.section.code
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.pattern codeable concept:
  codeable concept.coding: http://loinc.org/rdf#47519-4
    index: 0
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 47519-4
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: CompositionSectionType
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Classification of a section of a composition/document.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/doc-section-codes
    link: http://hl7.org/fhir/ValueSet/doc-section-codes
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: ./code
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .code

index: 120
element.id:
  value: Composition.section:sectionProceduresHx.author
element definition.path:
  value: Composition.section.author
element definition.short:
  value: Who and/or what authored the section
element definition.definition:
  value: Identifies who is responsible for the information in this section, not necessarily who typed it in.
element definition.requirements:
  value: Identifies who is responsible for the content.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Composition.section.author
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Practitioner
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/Practitioner
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/PractitionerRole
    index: 1
    link: http://hl7.org/fhir/StructureDefinition/PractitionerRole
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Device
    index: 2
    link: http://hl7.org/fhir/StructureDefinition/Device
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Patient
    index: 3
    link: http://hl7.org/fhir/StructureDefinition/Patient
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/RelatedPerson
    index: 4
    link: http://hl7.org/fhir/StructureDefinition/RelatedPerson
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Organization
    index: 5
    link: http://hl7.org/fhir/StructureDefinition/Organization
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.author
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .participation[typeCode="AUT"].role[classCode="ASSIGNED"]
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .author.assignedAuthor

index: 121
element.id:
  value: Composition.section:sectionProceduresHx.focus
element definition.path:
  value: Composition.section.focus
element definition.short:
  value: Who/what the section is about, when it is not about the subject of composition
element definition.definition:
  value: The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).
element definition.comment:
  value: Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.section.focus
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Resource
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/Resource
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .subject? (CDA did not differentiate between subject and focus)

index: 122
element.id:
  value: Composition.section:sectionProceduresHx.text
element definition.path:
  value: Composition.section.text
element definition.short:
  value: Text summary of the section, for human interpretation
element definition.definition:
  value: A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.
element definition.comment:
  value: Document profiles may define what content should be represented in the narrative to ensure clinical safety.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.section.text
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Narrative
element definition.condition:
  value: cmp-1
  index: 0
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .text
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .text

index: 123
element.id:
  value: Composition.section:sectionProceduresHx.mode
element definition.path:
  value: Composition.section.mode
element definition.short:
  value: working | snapshot | changes
element definition.definition:
  value: How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.
element definition.comment:
  value: This element is labeled as a modifier because a change list must not be misunderstood as a complete list.
element definition.requirements:
  value: Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.section.mode
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: code
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: SectionMode
  element definition.binding.strength:
    value: required
  element definition.binding.description:
    value: The processing mode that applies to this section.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/list-mode|4.0.1
    link: 4.0
    link: .1
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.class
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: n/a

index: 124
element.id:
  value: Composition.section:sectionProceduresHx.orderedBy
element definition.path:
  value: Composition.section.orderedBy
element definition.short:
  value: Order of section entries
element definition.definition:
  value: Specifies the order applied to the items in the section entries.
element definition.comment:
  value: Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.
element definition.requirements:
  value: Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.section.orderedBy
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: SectionEntryOrder
  element definition.binding.strength:
    value: preferred
  element definition.binding.description:
    value: What order applies to the items in the entry.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/list-order
    link: http://hl7.org/fhir/ValueSet/list-order
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .outboundRelationship[typeCode=COMP].sequenceNumber > 1
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: n/a

index: 125
element.id:
  value: Composition.section:sectionProceduresHx.entry
element definition.path:
  value: Composition.section.entry
element definition.slicing:
  element definition.slicing.discriminator:
    index: 0
    element definition.slicing.discriminator.type:
      value: profile
    element definition.slicing.discriminator.path:
      value: resolve()
  element definition.slicing.rules:
    value: open
element definition.short:
  value: Patient past procedures pertinent to the scope of this document.
element definition.definition:
  value: It lists the patient past procedures that are pertinent to the scope of this document. Procedures may refer for example to: 1. Invasive Diagnostic procedure:e.g. Cardiac catheterization; (the results of these procedure are documented in the results section) 2. Therapeutic procedure: e.g. dialysis; 3. Surgical procedure: e.g. appendectomy. This entry shall be used to document that no information about past procedures is available, or that no relevant past procedures are known.
element definition.comment:
  value: If there are no entries in the list, an emptyReason SHOULD be provided.
element definition.min:
  value: 1
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Composition.section.entry
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Procedure
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/Procedure
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/DocumentReference
    index: 1
    link: http://hl7.org/fhir/StructureDefinition/DocumentReference
element definition.condition:
  value: cmp-2
  index: 0
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .entry

index: 126
element.id:
  value: Composition.section:sectionProceduresHx.entry:procedure
element definition.path:
  value: Composition.section.entry
element definition.slice name:
  value: procedure
element definition.short:
  value: A reference to data that supports this section
element definition.definition:
  value: A reference to the actual resource from which the narrative in the section is derived.
element definition.comment:
  value: If there are no entries in the list, an emptyReason SHOULD be provided.
element definition.min:
  value: 1
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Composition.section.entry
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/uv/ips/StructureDefinition/Procedure-uv-ips
    index: 0
    link: http://hl7.org/fhir/uv/ips/StructureDefinition/Procedure-uv-ips
element definition.condition:
  value: cmp-2
  index: 0
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .entry

index: 127
element.id:
  value: Composition.section:sectionProceduresHx.emptyReason
element definition.path:
  value: Composition.section.emptyReason
element definition.short:
  value: Why the section is empty
element definition.definition:
  value: If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.
element definition.comment:
  value: The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.
element definition.requirements:
  value: Allows capturing things like "none exist" or "not asked" which can be important for most lists.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.section.emptyReason
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.condition:
  value: cmp-2
  index: 0
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: SectionEmptyReason
  element definition.binding.strength:
    value: preferred
  element definition.binding.description:
    value: If a section is empty, why it is empty.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/list-empty-reason
    link: http://hl7.org/fhir/ValueSet/list-empty-reason
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: n/a

index: 128
element.id:
  value: Composition.section:sectionProceduresHx.section
element definition.path:
  value: Composition.section.section
element definition.short:
  value: Nested Section
element definition.definition:
  value: A nested sub-section within this section.
element definition.comment:
  value: Nested sections are primarily used to help human readers navigate to particular portions of the document.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Composition.section.section
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.content reference:
  value: http://hl7.org/fhir/StructureDefinition/Composition#Composition.section
element definition.condition:
  value: cmp-1
  index: 0
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .component.section

index: 129
element.id:
  value: Composition.section:sectionImmunizations
element.extension:
  index: 0
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name
  extension.value string:
    value: Section
element definition.path:
  value: Composition.section
element definition.slice name:
  value: sectionImmunizations
element definition.short:
  value: IPS Immunizations Section
element definition.definition:
  value: The Immunizations Section defines a patient's current immunization status and pertinent immunization history. The primary use case for the Immunization Section is to enable communication of a patient's immunization status. The section includes the current immunization status, and may contain the entire immunization history that is relevant to the period of time being summarized.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.section
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: BackboneElement
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: cmp-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: A section must contain at least one of text, entries, or sub-sections
  element definition.constraint.expression:
    value: text.exists() or entry.exists() or section.exists()
  element definition.constraint.xpath:
    value: exists(f:text) or exists(f:entry) or exists(f:section)
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/clinicaldocument
    link: http://hl7.org/fhir/StructureDefinition/clinicaldocument
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: cmp-2
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: A section can only have an emptyReason if it is empty
  element definition.constraint.expression:
    value: emptyReason.empty() or entry.empty()
  element definition.constraint.xpath:
    value: not(exists(f:emptyReason) and exists(f:entry))
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/clinicaldocument
    link: http://hl7.org/fhir/StructureDefinition/clinicaldocument
element definition.constraint:
  index: 2
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .component.structuredBody.component.section

index: 130
element.id:
  value: Composition.section:sectionImmunizations.id
element definition.path:
  value: Composition.section.id
element definition.representation:
  value: xmlAttr
  index: 0
element definition.short:
  value: Unique id for inter-element referencing
element definition.definition:
  value: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Element.id
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    extension.value url:
      value: string
  element definition.type.code:
    value: http://hl7.org/fhirpath/System.String
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 131
element.id:
  value: Composition.section:sectionImmunizations.extension
element definition.path:
  value: Composition.section.extension
element definition.short:
  value: Additional content defined by implementations
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
element definition.comment:
  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.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Element.extension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 132
element.id:
  value: Composition.section:sectionImmunizations.modifierExtension
element definition.path:
  value: Composition.section.modifierExtension
element definition.short:
  value: Extensions that cannot be ignored even if unrecognized
element definition.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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
element definition.comment:
  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.
element definition.requirements:
  value: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/extensibility.html#modifierExtension).
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.alias:
  value: modifiers
  index: 2
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: BackboneElement.modifierExtension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: true
element definition.is modifier reason:
  value: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 133
element.id:
  value: Composition.section:sectionImmunizations.title
element definition.path:
  value: Composition.section.title
element definition.short:
  value: Label for section (e.g. for ToC)
element definition.definition:
  value: The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.
element definition.comment:
  value: The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.
element definition.requirements:
  value: Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.
element definition.alias:
  value: header
  index: 0
element definition.alias:
  value: label
  index: 1
element definition.alias:
  value: caption
  index: 2
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.section.title
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: string
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: ./title
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .title

index: 134
element.id:
  value: Composition.section:sectionImmunizations.code
element definition.path:
  value: Composition.section.code
element definition.short:
  value: Classification of section (recommended)
element definition.definition:
  value: A code identifying the kind of content contained within the section. This must be consistent with the section title.
element definition.comment:
  value: The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.
element definition.requirements:
  value: Provides computable standardized labels to topics within the document.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.section.code
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.pattern codeable concept:
  codeable concept.coding: http://loinc.org/rdf#11369-6
    index: 0
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 11369-6
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: CompositionSectionType
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Classification of a section of a composition/document.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/doc-section-codes
    link: http://hl7.org/fhir/ValueSet/doc-section-codes
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: ./code
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .code

index: 135
element.id:
  value: Composition.section:sectionImmunizations.author
element definition.path:
  value: Composition.section.author
element definition.short:
  value: Who and/or what authored the section
element definition.definition:
  value: Identifies who is responsible for the information in this section, not necessarily who typed it in.
element definition.requirements:
  value: Identifies who is responsible for the content.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Composition.section.author
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Practitioner
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/Practitioner
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/PractitionerRole
    index: 1
    link: http://hl7.org/fhir/StructureDefinition/PractitionerRole
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Device
    index: 2
    link: http://hl7.org/fhir/StructureDefinition/Device
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Patient
    index: 3
    link: http://hl7.org/fhir/StructureDefinition/Patient
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/RelatedPerson
    index: 4
    link: http://hl7.org/fhir/StructureDefinition/RelatedPerson
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Organization
    index: 5
    link: http://hl7.org/fhir/StructureDefinition/Organization
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.author
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .participation[typeCode="AUT"].role[classCode="ASSIGNED"]
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .author.assignedAuthor

index: 136
element.id:
  value: Composition.section:sectionImmunizations.focus
element definition.path:
  value: Composition.section.focus
element definition.short:
  value: Who/what the section is about, when it is not about the subject of composition
element definition.definition:
  value: The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).
element definition.comment:
  value: Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.section.focus
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Resource
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/Resource
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .subject? (CDA did not differentiate between subject and focus)

index: 137
element.id:
  value: Composition.section:sectionImmunizations.text
element definition.path:
  value: Composition.section.text
element definition.short:
  value: Text summary of the section, for human interpretation
element definition.definition:
  value: A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.
element definition.comment:
  value: Document profiles may define what content should be represented in the narrative to ensure clinical safety.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.section.text
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Narrative
element definition.condition:
  value: cmp-1
  index: 0
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .text
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .text

index: 138
element.id:
  value: Composition.section:sectionImmunizations.mode
element definition.path:
  value: Composition.section.mode
element definition.short:
  value: working | snapshot | changes
element definition.definition:
  value: How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.
element definition.comment:
  value: This element is labeled as a modifier because a change list must not be misunderstood as a complete list.
element definition.requirements:
  value: Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.section.mode
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: code
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: SectionMode
  element definition.binding.strength:
    value: required
  element definition.binding.description:
    value: The processing mode that applies to this section.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/list-mode|4.0.1
    link: 4.0
    link: .1
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.class
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: n/a

index: 139
element.id:
  value: Composition.section:sectionImmunizations.orderedBy
element definition.path:
  value: Composition.section.orderedBy
element definition.short:
  value: Order of section entries
element definition.definition:
  value: Specifies the order applied to the items in the section entries.
element definition.comment:
  value: Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.
element definition.requirements:
  value: Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Composition.section.orderedBy
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: SectionEntryOrder
  element definition.binding.strength:
    value: preferred
  element definition.binding.description:
    value: What order applies to the items in the entry.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/list-order
    link: http://hl7.org/fhir/ValueSet/list-order
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .outboundRelationship[typeCode=COMP].sequenceNumber > 1
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: n/a

index: 140
element.id:
  value: Composition.section:sectionImmunizations.entry
element definition.path:
  value: Composition.section.entry
element definition.slicing:
  element definition.slicing.discriminator:
    index: 0
    element definition.slicing.discriminator.type:
      value: profile
    element definition.slicing.discriminator.path:
      value: resolve()
  element definition.slicing.rules:
    value: open
element definition.short:
  value: Patient's immunization status and pertinent history.
element definition.definition:
  value: It defines the patient's current immunization status and pertinent immunization history. The primary use case for the Immunization Section is to enable communication of a patient's immunization status. It may contain the entire immunization history that is relevant to the period of time being summarized. This entry shall be used to document that no information about immunizations is available, or that no immunizations are known.
element definition.comment:
  value: If there are no entries in the list, an emptyReason SHOULD be provided.
element definition.min:
  value: 1
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Composition.section.entry
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Immunization
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/Immunization
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/DocumentReference
    index: 1
    link: http://hl7.org/fhir/StructureDefinition/DocumentReference
element definition.condition:
  value: cmp-2
  index: 0
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: cda
  element definition.mapping.map:
    value: .entry

index: 141
element.id:
  value: Composition.section:sectionImmunizations.entry:immunization
element definition.path:
  value: Composition.section.entry
element definition.slice name:
  value: immunization
element definition.short:
  value: A reference to data that supports this section
element definition.definition:
  value: A reference to the actual resource from which the narrative in the section is derived.
element definition.comment:
  value: If there are no entries in the list, an emptyReason SHOULD be provided.
element definition.min:
  value: 1
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Composition.section.entry
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/uv/ips/StructureDefinition/Immunization-uv-ips
    index: 0
    link: http://hl7.org/fhir/uv/ips/StructureDefinition/Immunization-uv-ips
element definition.condition:
  value: cmp-2
  index: 0
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim