Resource StructureDefinition/FHIR Server from package hl7.fhir.eu.hdr#current (1407 ms)

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StructureDefinition
composition-eu-hdr	Composition (HDR)

Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: StructureDefinition composition-obl-eu-hdr

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	CompositionEuHdr	Hospital Discharge Report composition
Slices for extension				Content/Rules for all slices
extension:presentedForm	O	0..*	DocumentPresentedForm	Composition: Presented Form Obligations Actor SHALL:handle HDRConsumer MAY:able-to-populate HDRCreator
identifier	O	0..1	Identifier	HDR business identifier Obligations Actor SHALL:handle HDRConsumer SHOULD:able-to-populate HDRCreator
status	O	1..1	code	HDR status Obligations Actor SHALL:handle HDRConsumer SHALL:able-to-populate HDRCreator
type	O	1..1	CodeableConceptIPS	Kind of composition ("Hospital Discharge Report") Obligations Actor SHALL:handle HDRConsumer SHALL:able-to-populate HDRCreator
subject	O	1..1	Reference(Patient (EU core))	Who and/or what the composition is about Obligations Actor SHALL:handle HDRConsumer SHALL:able-to-populate HDRCreator
encounter	O	0..1	Reference(Encounter (HDR))	Context of the Composition Obligations Actor SHALL:handle HDRConsumer SHALL:able-to-populate HDRCreator
date	O	1..1	dateTime	HDR date Obligations Actor SHALL:handle HDRConsumer SHALL:able-to-populate HDRCreator
author	O	1..*	Reference(Practitioner (EU core) | PractitionerRole (EU core) | Device | Organization (EU core))	Who and/or what authored the Hospital Discharge Report Obligations Actor SHALL:handle HDRConsumer SHALL:able-to-populate HDRCreator
title	O	1..1	string	Hospital Discharge Report Obligations Actor SHALL:handle HDRConsumer SHALL:able-to-populate HDRCreator
attester	O	0..*	BackboneElement	Attests to accuracy of composition Obligations Actor SHALL:handle HDRConsumer SHOULD:able-to-populate HDRCreator
mode	O	1..1	code	The type of attestation Obligations Actor SHALL:handle HDRConsumer SHALL:able-to-populate HDRCreator
time	O	0..1	dateTime	When the composition was attested. Obligations Actor SHALL:handle HDRConsumer SHALL:able-to-populate HDRCreator
party	O	0..1	Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core))	Who attested the composition. Obligations Actor SHALL:handle HDRConsumer SHALL:able-to-populate HDRCreator
section	O	1..*	BackboneElement	Sections composing the Hospital Discharge Report Obligations Actor SHALL:handle HDRConsumer SHALL:able-to-populate HDRCreator
text	O	0..1	Narrative	Text summary of the section, for human interpretation Obligations Actor SHALL:handle HDRConsumer SHALL:able-to-populate HDRCreator
Slices for section				Content/Rules for all slices
section:sectionAdmissionEvaluation	O	0..1	BackboneElement	Hospital Admission evaluation Obligations Actor SHALL:handle HDRConsumer SHOULD:able-to-populate HDRCreator
section:sectionHospitalCourse	O	1..1	BackboneElement	Significant information about course of hospital stay Obligations Actor SHALL:handle HDRConsumer SHALL:able-to-populate HDRCreator
section:sectionDiagnosticSummary	O	0..1	BackboneElement	Problem specification in narrative form Obligations Actor SHALL:handle HDRConsumer SHOULD:able-to-populate HDRCreator
entry	O	0..*	Reference(Condition (HDR))	A reference to data that supports this section Obligations Actor SHALL:handle HDRConsumer SHOULD:able-to-populate HDRCreator
section:sectionSignificantProcedures	O	0..1	BackboneElement	Significant procedures Obligations Actor SHALL:handle HDRConsumer SHOULD:able-to-populate HDRCreator
entry	O	0..*	Reference(Procedure (HDR))	A reference to data that supports this section Obligations Actor SHALL:handle HDRConsumer SHOULD:able-to-populate HDRCreator
section:sectionMedicalDevices	O	0..1	BackboneElement	Medical devices and implants Obligations Actor SHALL:handle HDRConsumer SHOULD:able-to-populate HDRCreator
entry	O	0..*	Reference(DeviceUseStatement (HDR) | Procedure (HDR))	A reference to data that supports this section Obligations Actor SHALL:handle HDRConsumer SHOULD:able-to-populate HDRCreator
section:sectionPharmacotherapy	O	0..1	BackboneElement	Pharmacotherapy Obligations Actor SHALL:handle HDRConsumer SHOULD:able-to-populate HDRCreator
entry	O	0..*	Reference(MedicationStatement (HDR) | MedicationRequest (HDR) | MedicationDispense (HDR) | MedicationAdministration (HDR))	A reference to data that supports this section Obligations Actor SHALL:handle HDRConsumer SHOULD:able-to-populate HDRCreator
section:sectionSignificantResults	O	0..1	BackboneElement	Significant Observation Results Obligations Actor SHALL:handle HDRConsumer SHOULD:able-to-populate HDRCreator
entry	O	0..*	Reference(Observation | DiagnosticReport | DocumentReference)	significant results Obligations Actor SHALL:handle HDRConsumer SHOULD:able-to-populate HDRCreator
section:sectionPlanOfCare	O	0..1	BackboneElement	Plan of Care Section Obligations Actor SHALL:handle HDRConsumer SHOULD:able-to-populate HDRCreator
section:sectionDischargeInstructions	O	0..1	BackboneElement	Hospital Discharge Instructions Obligations Actor SHALL:handle HDRConsumer SHOULD:able-to-populate HDRCreator
section:sectionDischargeMedications	O	0..1	BackboneElement	Hospital discharge medications Obligations Actor SHALL:handle HDRConsumer SHOULD:able-to-populate HDRCreator
entry	O	0..*	Reference(MedicationRequest (HDR) | MedicationDispense (HDR) | MedicationStatement (HDR))	A reference to data that supports this section Obligations Actor SHALL:handle HDRConsumer SHOULD:able-to-populate HDRCreator
section:sectionAllergies	O	0..1	BackboneElement	Allergies and Intolerances Section Obligations Actor SHALL:handle HDRConsumer SHOULD:able-to-populate HDRCreator
entry	O	0..*	Reference(Allergy Intolerance (HDR) | DocumentReference)	Relevant allergies or intolerances (conditions) for that patient. Obligations Actor SHALL:handle HDRConsumer SHOULD:able-to-populate HDRCreator
section:sectionAlert	O	0..1	BackboneElement	Alert Section Obligations Actor SHALL:handle HDRConsumer SHOULD:able-to-populate HDRCreator
entry	O	0..*	Reference(Resource)	Alerts Obligations Actor SHALL:handle HDRConsumer SHOULD:able-to-populate HDRCreator
section:sectionPatientHx	O	0..1	BackboneElement	Patient history Section Obligations Actor SHALL:handle HDRConsumer SHOULD:able-to-populate HDRCreator
section:sectionProblemList	O	0..1	BackboneElement	Problem List Section Obligations Actor SHALL:handle HDRConsumer MAY:able-to-populate HDRCreator
section:sectionHistoryMedicalDevices	O	0..1	BackboneElement	History of Medical devices and implants Obligations Actor SHALL:handle HDRConsumer MAY:able-to-populate HDRCreator
section:sectionProceduresHx	O	0..1	BackboneElement	History of Procedures Section Obligations Actor SHALL:handle HDRConsumer MAY:able-to-populate HDRCreator
section:sectionImmunizations	O	0..1	BackboneElement	Immunizations Section Obligations Actor SHALL:handle HDRConsumer MAY:able-to-populate HDRCreator
section:sectionDischargeDetails	O	0..1	BackboneElement	Discharge details Obligations Actor SHALL:handle HDRConsumer SHOULD:able-to-populate HDRCreator
section:sectionAttachments		0..1	BackboneElement	Attachments
entry	O	0..*	Reference(DocumentReference | Binary)	A reference to data that supports this section Obligations Actor SHALL:handle HDRConsumer SHALL:able-to-populate HDRCreator
Documentation for this format

Source

{
  "resourceType" : "StructureDefinition",
  "id" : "composition-obl-eu-hdr",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: StructureDefinition composition-obl-eu-hdr</b></p><a name=\"composition-obl-eu-hdr\"> </a><a name=\"hccomposition-obl-eu-hdr\"> </a><a name=\"composition-obl-eu-hdr-en-US\"> </a><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Minimum and Maximum # of times the element can appear in the instance\">Card.</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px; width: 100px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Additional information about the element\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3goXBCwdPqAP0wAAAldJREFUOMuNk0tIlFEYhp9z/vE2jHkhxXA0zJCMitrUQlq4lnSltEqCFhFG2MJFhIvIFpkEWaTQqjaWZRkp0g26URZkTpbaaOJkDqk10szoODP//7XIMUe0elcfnPd9zsfLOYplGrpRwZaqTtw3K7PtGem7Q6FoidbGgqHVy/HRb669R+56zx7eRV1L31JGxYbBtjKK93cxeqfyQHbehkZbUkK20goELEuIzEd+dHS+qz/Y8PTSif0FnGkbiwcAjHaU1+QWOptFiyCLp/LnKptpqIuXHx6rbR26kJcBX3yLgBfnd7CxwJmflpP2wUg0HIAoUUpZBmKzELGWcN8nAr6Gpu7tLU/CkwAaoKTWRSQyt89Q8w6J+oVQkKnBoblH7V0PPvUOvDYXfopE/SJmALsxnVm6LbkotrUtNowMeIrVrBcBpaMmdS0j9df7abpSuy7HWehwJdt1lhVwi/J58U5beXGAF6c3UXLycw1wdFklArBn87xdh0ZsZtArghBdAA3+OEDVubG4UEzP6x1FOWneHh2VDAHBAt80IbdXDcesNoCvs3E5AFyNSU5nbrDPZpcUEQQTFZiEVx+51fxMhhyJEAgvlriadIJZZksRuwBYMOPBbO3hePVVqgEJhFeUuFLhIPkRP6BQLIBrmMenujm/3g4zc398awIe90Zb5A1vREALqneMcYgP/xVQWlG+Ncu5vgwwlaUNx+3799rfe96u9K0JSDXcOzOTJg4B6IgmXfsygc7/Bvg9g9E58/cDVmGIBOP/zT8Bz1zqWqpbXIsd0O9hajXfL6u4BaOS6SeWAAAAAElFTkSuQmCC\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_resource.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-composition-obl-eu-hdr-definitions.html#Composition\">Composition</a><a name=\"Composition\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"StructureDefinition-composition-eu-hdr.html\">CompositionEuHdr</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Hospital Discharge Report composition</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> Slices for extension<a name=\"Composition.extension\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Content/Rules for all slices</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck124.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-composition-obl-eu-hdr-definitions.html#Composition.extension:presentedForm\" title=\"Slice presentedForm\">extension:presentedForm</a><a name=\"Composition.extension.2\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.eu/fhir/extensions/0.1.1-ballot/StructureDefinition-presentedForm.html\" title=\"Extension\">DocumentPresentedForm</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Composition: Presented Form</span><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-consumer-eu-hdr.html\">HDRConsumer</a></td></tr><tr><td style=\"font-size: 11px\"><b>MAY</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-able-to-populate\" title=\"Obligation Codes: be able to populate\">able-to-populate</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-creator-eu-hdr.html\">HDRCreator</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-composition-obl-eu-hdr-definitions.html#Composition.identifier\">identifier</a><a name=\"Composition.identifier\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#Identifier\">Identifier</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">HDR business identifier</span><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-consumer-eu-hdr.html\">HDRConsumer</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHOULD</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-able-to-populate\" title=\"Obligation Codes: be able to populate\">able-to-populate</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-creator-eu-hdr.html\">HDRCreator</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-composition-obl-eu-hdr-definitions.html#Composition.status\">status</a><a name=\"Composition.status\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">HDR status</span><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-consumer-eu-hdr.html\">HDRConsumer</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-able-to-populate\" title=\"Obligation Codes: be able to populate\">able-to-populate</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-creator-eu-hdr.html\">HDRCreator</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-composition-obl-eu-hdr-definitions.html#Composition.type\">type</a><a name=\"Composition.type\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/uv/ips/STU1.1/StructureDefinition-CodeableConcept-uv-ips.html\" title=\"CodeableConcept\">CodeableConceptIPS</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Kind of composition (&quot;Hospital Discharge Report&quot;)</span><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-consumer-eu-hdr.html\">HDRConsumer</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-able-to-populate\" title=\"Obligation Codes: be able to populate\">able-to-populate</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-creator-eu-hdr.html\">HDRCreator</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-composition-obl-eu-hdr-definitions.html#Composition.subject\">subject</a><a name=\"Composition.subject\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.eu/fhir/base/0.1.0-ballot/StructureDefinition-patient-eu-core.html\">Patient (EU core)</a>)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Who and/or what the composition is about</span><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-consumer-eu-hdr.html\">HDRConsumer</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-able-to-populate\" title=\"Obligation Codes: be able to populate\">able-to-populate</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-creator-eu-hdr.html\">HDRCreator</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-composition-obl-eu-hdr-definitions.html#Composition.encounter\">encounter</a><a name=\"Composition.encounter\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a style=\"opacity: 0.5; opacity: 0.5\" href=\"StructureDefinition-encounter-eu-hdr.html\">Encounter (HDR)</a>)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Context of the Composition</span><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-consumer-eu-hdr.html\">HDRConsumer</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-able-to-populate\" title=\"Obligation Codes: be able to populate\">able-to-populate</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-creator-eu-hdr.html\">HDRCreator</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-composition-obl-eu-hdr-definitions.html#Composition.date\">date</a><a name=\"Composition.date\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#dateTime\">dateTime</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">HDR date</span><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-consumer-eu-hdr.html\">HDRConsumer</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-able-to-populate\" title=\"Obligation Codes: be able to populate\">able-to-populate</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-creator-eu-hdr.html\">HDRCreator</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-composition-obl-eu-hdr-definitions.html#Composition.author\">author</a><a name=\"Composition.author\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.eu/fhir/base/0.1.0-ballot/StructureDefinition-practitioner-eu-core.html\">Practitioner (EU core)</a> | <a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.eu/fhir/base/0.1.0-ballot/StructureDefinition-practitionerRole-eu-core.html\">PractitionerRole (EU core)</a> | <a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/device.html\">Device</a> | <a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.eu/fhir/base/0.1.0-ballot/StructureDefinition-organization-eu-core.html\">Organization (EU core)</a>)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Who and/or what authored the Hospital Discharge Report</span><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-consumer-eu-hdr.html\">HDRConsumer</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-able-to-populate\" title=\"Obligation Codes: be able to populate\">able-to-populate</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-creator-eu-hdr.html\">HDRCreator</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-composition-obl-eu-hdr-definitions.html#Composition.title\">title</a><a name=\"Composition.title\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Hospital Discharge Report</span><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-consumer-eu-hdr.html\">HDRConsumer</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-able-to-populate\" title=\"Obligation Codes: be able to populate\">able-to-populate</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-creator-eu-hdr.html\">HDRCreator</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-composition-obl-eu-hdr-definitions.html#Composition.attester\">attester</a><a name=\"Composition.attester\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Attests to accuracy of composition</span><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-consumer-eu-hdr.html\">HDRConsumer</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHOULD</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-able-to-populate\" title=\"Obligation Codes: be able to populate\">able-to-populate</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-creator-eu-hdr.html\">HDRCreator</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-composition-obl-eu-hdr-definitions.html#Composition.attester.mode\">mode</a><a name=\"Composition.attester.mode\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">The type of attestation</span><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-consumer-eu-hdr.html\">HDRConsumer</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-able-to-populate\" title=\"Obligation Codes: be able to populate\">able-to-populate</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-creator-eu-hdr.html\">HDRCreator</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-composition-obl-eu-hdr-definitions.html#Composition.attester.time\">time</a><a name=\"Composition.attester.time\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#dateTime\">dateTime</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">When the composition was attested.</span><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-consumer-eu-hdr.html\">HDRConsumer</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-able-to-populate\" title=\"Obligation Codes: be able to populate\">able-to-populate</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-creator-eu-hdr.html\">HDRCreator</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-composition-obl-eu-hdr-definitions.html#Composition.attester.party\">party</a><a name=\"Composition.attester.party\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.eu/fhir/base/0.1.0-ballot/StructureDefinition-practitioner-eu-core.html\">Practitioner (EU core)</a> | <a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.eu/fhir/base/0.1.0-ballot/StructureDefinition-practitionerRole-eu-core.html\">PractitionerRole (EU core)</a> | <a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.eu/fhir/base/0.1.0-ballot/StructureDefinition-organization-eu-core.html\">Organization (EU core)</a>)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Who attested the composition.</span><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-consumer-eu-hdr.html\">HDRConsumer</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-able-to-populate\" title=\"Obligation Codes: be able to populate\">able-to-populate</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-creator-eu-hdr.html\">HDRCreator</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-composition-obl-eu-hdr-definitions.html#Composition.section\">section</a><a name=\"Composition.section\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Sections composing the Hospital Discharge Report</span><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-consumer-eu-hdr.html\">HDRConsumer</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-able-to-populate\" title=\"Obligation Codes: be able to populate\">able-to-populate</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-creator-eu-hdr.html\">HDRCreator</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-composition-obl-eu-hdr-definitions.html#Composition.section.text\">text</a><a name=\"Composition.section.text\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#Narrative\">Narrative</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Text summary of the section, for human interpretation</span><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-consumer-eu-hdr.html\">HDRConsumer</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-able-to-populate\" title=\"Obligation Codes: be able to populate\">able-to-populate</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-creator-eu-hdr.html\">HDRCreator</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck03.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> Slices for section<a name=\"Composition.section.2\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Content/Rules for all slices</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck034.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-composition-obl-eu-hdr-definitions.html#Composition.section:sectionAdmissionEvaluation\" title=\"Slice sectionAdmissionEvaluation\">section:sectionAdmissionEvaluation</a><a name=\"Composition.section.3\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Hospital Admission evaluation</span><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-consumer-eu-hdr.html\">HDRConsumer</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHOULD</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-able-to-populate\" title=\"Obligation Codes: be able to populate\">able-to-populate</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-creator-eu-hdr.html\">HDRCreator</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck034.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-composition-obl-eu-hdr-definitions.html#Composition.section:sectionHospitalCourse\" title=\"Slice sectionHospitalCourse\">section:sectionHospitalCourse</a><a name=\"Composition.section.4\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Significant information about course of hospital stay</span><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-consumer-eu-hdr.html\">HDRConsumer</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-able-to-populate\" title=\"Obligation Codes: be able to populate\">able-to-populate</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-creator-eu-hdr.html\">HDRCreator</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck035.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-composition-obl-eu-hdr-definitions.html#Composition.section:sectionDiagnosticSummary\" title=\"Slice sectionDiagnosticSummary\">section:sectionDiagnosticSummary</a><a name=\"Composition.section.5\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Problem specification in narrative form</span><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-consumer-eu-hdr.html\">HDRConsumer</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHOULD</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-able-to-populate\" title=\"Obligation Codes: be able to populate\">able-to-populate</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-creator-eu-hdr.html\">HDRCreator</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0340.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-composition-obl-eu-hdr-definitions.html#Composition.section:sectionDiagnosticSummary.entry\">entry</a><a name=\"Composition.section.entry\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a style=\"opacity: 0.5; opacity: 0.5\" href=\"StructureDefinition-condition-eu-hdr.html\">Condition (HDR)</a>)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">A reference to data that supports this section</span><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-consumer-eu-hdr.html\">HDRConsumer</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHOULD</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-able-to-populate\" title=\"Obligation Codes: be able to populate\">able-to-populate</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-creator-eu-hdr.html\">HDRCreator</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck035.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-composition-obl-eu-hdr-definitions.html#Composition.section:sectionSignificantProcedures\" title=\"Slice sectionSignificantProcedures\">section:sectionSignificantProcedures</a><a name=\"Composition.section.6\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Significant procedures</span><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-consumer-eu-hdr.html\">HDRConsumer</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHOULD</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-able-to-populate\" title=\"Obligation Codes: be able to populate\">able-to-populate</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-creator-eu-hdr.html\">HDRCreator</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0340.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-composition-obl-eu-hdr-definitions.html#Composition.section:sectionSignificantProcedures.entry\">entry</a><a name=\"Composition.section.entry.2\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a style=\"opacity: 0.5; opacity: 0.5\" href=\"StructureDefinition-procedure-eu-hdr.html\">Procedure (HDR)</a>)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">A reference to data that supports this section</span><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-consumer-eu-hdr.html\">HDRConsumer</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHOULD</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-able-to-populate\" title=\"Obligation Codes: be able to populate\">able-to-populate</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-creator-eu-hdr.html\">HDRCreator</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck035.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-composition-obl-eu-hdr-definitions.html#Composition.section:sectionMedicalDevices\" title=\"Slice sectionMedicalDevices\">section:sectionMedicalDevices</a><a name=\"Composition.section.7\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Medical devices and implants</span><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-consumer-eu-hdr.html\">HDRConsumer</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHOULD</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-able-to-populate\" title=\"Obligation Codes: be able to populate\">able-to-populate</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-creator-eu-hdr.html\">HDRCreator</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0340.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-composition-obl-eu-hdr-definitions.html#Composition.section:sectionMedicalDevices.entry\">entry</a><a name=\"Composition.section.entry.3\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a style=\"opacity: 0.5; opacity: 0.5\" href=\"StructureDefinition-deviceUseStatement-eu-hdr.html\">DeviceUseStatement (HDR)</a> | <a style=\"opacity: 0.5; opacity: 0.5\" href=\"StructureDefinition-procedure-eu-hdr.html\">Procedure (HDR)</a>)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">A reference to data that supports this section</span><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-consumer-eu-hdr.html\">HDRConsumer</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHOULD</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-able-to-populate\" title=\"Obligation Codes: be able to populate\">able-to-populate</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-creator-eu-hdr.html\">HDRCreator</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck035.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-composition-obl-eu-hdr-definitions.html#Composition.section:sectionPharmacotherapy\" title=\"Slice sectionPharmacotherapy\">section:sectionPharmacotherapy</a><a name=\"Composition.section.8\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Pharmacotherapy</span><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-consumer-eu-hdr.html\">HDRConsumer</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHOULD</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-able-to-populate\" title=\"Obligation Codes: be able to populate\">able-to-populate</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-creator-eu-hdr.html\">HDRCreator</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0340.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-composition-obl-eu-hdr-definitions.html#Composition.section:sectionPharmacotherapy.entry\">entry</a><a name=\"Composition.section.entry.4\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a style=\"opacity: 0.5; opacity: 0.5\" href=\"StructureDefinition-medicationStatement-eu-hdr.html\">MedicationStatement (HDR)</a> | <a style=\"opacity: 0.5; opacity: 0.5\" href=\"StructureDefinition-medicationRequest-eu-hdr.html\">MedicationRequest (HDR)</a> | <a style=\"opacity: 0.5; opacity: 0.5\" href=\"StructureDefinition-medicationDispense-eu-hdr.html\">MedicationDispense (HDR)</a> | <a style=\"opacity: 0.5; opacity: 0.5\" href=\"StructureDefinition-medicationAdministration-eu-hdr.html\">MedicationAdministration (HDR)</a>)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">A reference to data that supports this section</span><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-consumer-eu-hdr.html\">HDRConsumer</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHOULD</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-able-to-populate\" title=\"Obligation Codes: be able to populate\">able-to-populate</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-creator-eu-hdr.html\">HDRCreator</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck035.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-composition-obl-eu-hdr-definitions.html#Composition.section:sectionSignificantResults\" title=\"Slice sectionSignificantResults\">section:sectionSignificantResults</a><a name=\"Composition.section.9\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Significant Observation Results</span><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-consumer-eu-hdr.html\">HDRConsumer</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHOULD</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-able-to-populate\" title=\"Obligation Codes: be able to populate\">able-to-populate</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-creator-eu-hdr.html\">HDRCreator</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0340.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-composition-obl-eu-hdr-definitions.html#Composition.section:sectionSignificantResults.entry\">entry</a><a name=\"Composition.section.entry.5\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/observation.html\">Observation</a> | <a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/diagnosticreport.html\">DiagnosticReport</a> | <a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/documentreference.html\">DocumentReference</a>)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">significant results</span><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-consumer-eu-hdr.html\">HDRConsumer</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHOULD</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-able-to-populate\" title=\"Obligation Codes: be able to populate\">able-to-populate</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-creator-eu-hdr.html\">HDRCreator</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck034.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-composition-obl-eu-hdr-definitions.html#Composition.section:sectionPlanOfCare\" title=\"Slice sectionPlanOfCare\">section:sectionPlanOfCare</a><a name=\"Composition.section.10\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Plan of Care Section</span><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-consumer-eu-hdr.html\">HDRConsumer</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHOULD</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-able-to-populate\" title=\"Obligation Codes: be able to populate\">able-to-populate</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-creator-eu-hdr.html\">HDRCreator</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck034.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-composition-obl-eu-hdr-definitions.html#Composition.section:sectionDischargeInstructions\" title=\"Slice sectionDischargeInstructions\">section:sectionDischargeInstructions</a><a name=\"Composition.section.11\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Hospital Discharge Instructions</span><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-consumer-eu-hdr.html\">HDRConsumer</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHOULD</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-able-to-populate\" title=\"Obligation Codes: be able to populate\">able-to-populate</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-creator-eu-hdr.html\">HDRCreator</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck035.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-composition-obl-eu-hdr-definitions.html#Composition.section:sectionDischargeMedications\" title=\"Slice sectionDischargeMedications\">section:sectionDischargeMedications</a><a name=\"Composition.section.12\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Hospital discharge medications</span><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-consumer-eu-hdr.html\">HDRConsumer</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHOULD</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-able-to-populate\" title=\"Obligation Codes: be able to populate\">able-to-populate</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-creator-eu-hdr.html\">HDRCreator</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0340.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-composition-obl-eu-hdr-definitions.html#Composition.section:sectionDischargeMedications.entry\">entry</a><a name=\"Composition.section.entry.6\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a style=\"opacity: 0.5; opacity: 0.5\" href=\"StructureDefinition-medicationRequest-eu-hdr.html\">MedicationRequest (HDR)</a> | <a style=\"opacity: 0.5; opacity: 0.5\" href=\"StructureDefinition-medicationDispense-eu-hdr.html\">MedicationDispense (HDR)</a> | <a style=\"opacity: 0.5; opacity: 0.5\" href=\"StructureDefinition-medicationStatement-eu-hdr.html\">MedicationStatement (HDR)</a>)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">A reference to data that supports this section</span><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-consumer-eu-hdr.html\">HDRConsumer</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHOULD</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-able-to-populate\" title=\"Obligation Codes: be able to populate\">able-to-populate</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-creator-eu-hdr.html\">HDRCreator</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck035.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-composition-obl-eu-hdr-definitions.html#Composition.section:sectionAllergies\" title=\"Slice sectionAllergies\">section:sectionAllergies</a><a name=\"Composition.section.13\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Allergies and Intolerances Section</span><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-consumer-eu-hdr.html\">HDRConsumer</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHOULD</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-able-to-populate\" title=\"Obligation Codes: be able to populate\">able-to-populate</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-creator-eu-hdr.html\">HDRCreator</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0340.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-composition-obl-eu-hdr-definitions.html#Composition.section:sectionAllergies.entry\">entry</a><a name=\"Composition.section.entry.7\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a style=\"opacity: 0.5; opacity: 0.5\" href=\"StructureDefinition-allergyIntolerance-eu-hdr.html\">Allergy Intolerance (HDR)</a> | <a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/documentreference.html\">DocumentReference</a>)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Relevant allergies or intolerances (conditions) for that patient.</span><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-consumer-eu-hdr.html\">HDRConsumer</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHOULD</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-able-to-populate\" title=\"Obligation Codes: be able to populate\">able-to-populate</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-creator-eu-hdr.html\">HDRCreator</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck035.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-composition-obl-eu-hdr-definitions.html#Composition.section:sectionAlert\" title=\"Slice sectionAlert\">section:sectionAlert</a><a name=\"Composition.section.14\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Alert Section</span><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-consumer-eu-hdr.html\">HDRConsumer</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHOULD</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-able-to-populate\" title=\"Obligation Codes: be able to populate\">able-to-populate</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-creator-eu-hdr.html\">HDRCreator</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0340.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-composition-obl-eu-hdr-definitions.html#Composition.section:sectionAlert.entry\">entry</a><a name=\"Composition.section.entry.8\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/resource.html\">Resource</a>)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Alerts</span><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-consumer-eu-hdr.html\">HDRConsumer</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHOULD</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-able-to-populate\" title=\"Obligation Codes: be able to populate\">able-to-populate</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-creator-eu-hdr.html\">HDRCreator</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck034.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-composition-obl-eu-hdr-definitions.html#Composition.section:sectionPatientHx\" title=\"Slice sectionPatientHx\">section:sectionPatientHx</a><a name=\"Composition.section.15\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Patient history Section</span><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-consumer-eu-hdr.html\">HDRConsumer</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHOULD</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-able-to-populate\" title=\"Obligation Codes: be able to populate\">able-to-populate</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-creator-eu-hdr.html\">HDRCreator</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck034.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-composition-obl-eu-hdr-definitions.html#Composition.section:sectionProblemList\" title=\"Slice sectionProblemList\">section:sectionProblemList</a><a name=\"Composition.section.16\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Problem List Section</span><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-consumer-eu-hdr.html\">HDRConsumer</a></td></tr><tr><td style=\"font-size: 11px\"><b>MAY</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-able-to-populate\" title=\"Obligation Codes: be able to populate\">able-to-populate</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-creator-eu-hdr.html\">HDRCreator</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck034.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-composition-obl-eu-hdr-definitions.html#Composition.section:sectionHistoryMedicalDevices\" title=\"Slice sectionHistoryMedicalDevices\">section:sectionHistoryMedicalDevices</a><a name=\"Composition.section.17\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">History of Medical devices and implants</span><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-consumer-eu-hdr.html\">HDRConsumer</a></td></tr><tr><td style=\"font-size: 11px\"><b>MAY</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-able-to-populate\" title=\"Obligation Codes: be able to populate\">able-to-populate</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-creator-eu-hdr.html\">HDRCreator</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck034.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-composition-obl-eu-hdr-definitions.html#Composition.section:sectionProceduresHx\" title=\"Slice sectionProceduresHx\">section:sectionProceduresHx</a><a name=\"Composition.section.18\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">History of Procedures Section</span><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-consumer-eu-hdr.html\">HDRConsumer</a></td></tr><tr><td style=\"font-size: 11px\"><b>MAY</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-able-to-populate\" title=\"Obligation Codes: be able to populate\">able-to-populate</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-creator-eu-hdr.html\">HDRCreator</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck034.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-composition-obl-eu-hdr-definitions.html#Composition.section:sectionImmunizations\" title=\"Slice sectionImmunizations\">section:sectionImmunizations</a><a name=\"Composition.section.19\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Immunizations Section</span><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-consumer-eu-hdr.html\">HDRConsumer</a></td></tr><tr><td style=\"font-size: 11px\"><b>MAY</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-able-to-populate\" title=\"Obligation Codes: be able to populate\">able-to-populate</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-creator-eu-hdr.html\">HDRCreator</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck034.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-composition-obl-eu-hdr-definitions.html#Composition.section:sectionDischargeDetails\" title=\"Slice sectionDischargeDetails\">section:sectionDischargeDetails</a><a name=\"Composition.section.20\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Discharge details</span><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-consumer-eu-hdr.html\">HDRConsumer</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHOULD</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-able-to-populate\" title=\"Obligation Codes: be able to populate\">able-to-populate</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-creator-eu-hdr.html\">HDRCreator</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck025.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-composition-obl-eu-hdr-definitions.html#Composition.section:sectionAttachments\" title=\"Slice sectionAttachments\">section:sectionAttachments</a><a name=\"Composition.section.21\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Attachments</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0240.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-composition-obl-eu-hdr-definitions.html#Composition.section:sectionAttachments.entry\">entry</a><a name=\"Composition.section.entry.9\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/documentreference.html\">DocumentReference</a> | <a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/binary.html\">Binary</a>)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">A reference to data that supports this section</span><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-consumer-eu-hdr.html\">HDRConsumer</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-able-to-populate\" title=\"Obligation Codes: be able to populate\">able-to-populate</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-creator-eu-hdr.html\">HDRCreator</a></td></tr></table></td></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger" : 0
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode" : "informative"
    }
  ],
  "url" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr",
  "version" : "0.1.0-ballot",
  "name" : "CompositionEuHdrObligation",
  "title" : "Composition: obligations",
  "status" : "draft",
  "date" : "2025-06-01T06:10:09+00:00",
  "publisher" : "HL7 Europe",
  "contact" : [
    {
      "name" : "HL7 Europe",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://hl7.eu"
        }
      ]
    }
  ],
  "description" : "This profile defines obligations for a Hospital Discharge Report (HDR) for the scope of this guide.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "150",
          "display" : "Europe"
        }
      ]
    }
  ],
  "copyright" : "Used by permission of HL7 Europe, all rights reserved Creative Commons License",
  "fhirVersion" : "4.0.1",
  "mapping" : [
    {
      "identity" : "workflow",
      "uri" : "http://hl7.org/fhir/workflow",
      "name" : "Workflow Pattern"
    },
    {
      "identity" : "rim",
      "uri" : "http://hl7.org/v3",
      "name" : "RIM Mapping"
    },
    {
      "identity" : "cda",
      "uri" : "http://hl7.org/v3/cda",
      "name" : "CDA (R2)"
    },
    {
      "identity" : "fhirdocumentreference",
      "uri" : "http://hl7.org/fhir/documentreference",
      "name" : "FHIR DocumentReference"
    },
    {
      "identity" : "w5",
      "uri" : "http://hl7.org/fhir/fivews",
      "name" : "FiveWs Pattern Mapping"
    }
  ],
  "kind" : "resource",
  "abstract" : false,
  "type" : "Composition",
  "baseDefinition" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-eu-hdr",
  "derivation" : "constraint",
  "snapshot" : {
    "extension" : [
      {
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
        "valueString" : "0.1.0-ballot"
      }
    ],
    "element" : [
      {
        "id" : "Composition",
        "path" : "Composition",
        "short" : "Hospital Discharge Report composition",
        "definition" : "Hospital Discharge Report composition. \r\nA 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. \r\nWhile 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.",
        "comment" : "While the focus of this specification is on patient-specific clinical statements, this resource can also apply to other healthcare-related statements such as study protocol designs, healthcare invoices and other activities that are not necessarily patient-specific or clinical.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition",
          "min" : 0,
          "max" : "*"
        },
        "constraint" : [
          {
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "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",
            "expression" : "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()",
            "xpath" : "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='#'])]))",
            "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
          },
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
                "valueBoolean" : true
              },
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
                "valueMarkdown" : "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."
              }
            ],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.`div`.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
          },
          {
            "key" : "text-or-section",
            "severity" : "error",
            "human" : "A Composition SHALL have either text, at least one section, or both.",
            "expression" : "text.exists() or section.exists()",
            "source" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-eu-hdr"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Event"
          },
          {
            "identity" : "rim",
            "map" : "Document[classCode=\"DOC\" and moodCode=\"EVN\" and isNormalAct()]"
          },
          {
            "identity" : "cda",
            "map" : "ClinicalDocument"
          },
          {
            "identity" : "fhirdocumentreference",
            "map" : "when described by DocumentReference"
          }
        ]
      },
      {
        "id" : "Composition.id",
        "path" : "Composition.id",
        "short" : "Logical id of this artifact",
        "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
        "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Resource.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "id"
              }
            ],
            "code" : "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier" : false,
        "isSummary" : true
      },
      {
        "id" : "Composition.meta",
        "path" : "Composition.meta",
        "short" : "Metadata about the resource",
        "definition" : "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Resource.meta",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Meta"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : true
      },
      {
        "id" : "Composition.implicitRules",
        "path" : "Composition.implicitRules",
        "short" : "A set of rules under which this content was created",
        "definition" : "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.",
        "comment" : "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Resource.implicitRules",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "uri"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "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",
        "isSummary" : true
      },
      {
        "id" : "Composition.language",
        "path" : "Composition.language",
        "short" : "Language of the resource content",
        "definition" : "The base language in which the resource is written.",
        "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Resource.language",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            }
          ],
          "strength" : "preferred",
          "description" : "A human language.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
        }
      },
      {
        "id" : "Composition.text",
        "path" : "Composition.text",
        "short" : "Text summary of the resource, for human interpretation",
        "definition" : "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.",
        "comment" : "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.",
        "alias" : [
          "narrative",
          "html",
          "xhtml",
          "display"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "DomainResource.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Narrative"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "Act.text?"
          }
        ]
      },
      {
        "id" : "Composition.contained",
        "path" : "Composition.contained",
        "short" : "Contained, inline Resources",
        "definition" : "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.",
        "comment" : "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.",
        "alias" : [
          "inline resources",
          "anonymous resources",
          "contained resources"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "DomainResource.contained",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Resource"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Composition.extension",
        "path" : "Composition.extension",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "url"
            }
          ],
          "ordered" : false,
          "rules" : "open"
        },
        "short" : "Extension",
        "definition" : "An Extension",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "DomainResource.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false
      },
      {
        "id" : "Composition.extension:basedOn",
        "path" : "Composition.extension",
        "sliceName" : "basedOn",
        "short" : "Fulfills plan, proposal or order",
        "definition" : "A plan, proposal or order that is fulfilled in whole or in part by this event.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "DomainResource.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension",
            "profile" : [
              "http://hl7.org/fhir/StructureDefinition/event-basedOn"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "workflow",
            "map" : "Event.basedOn"
          },
          {
            "identity" : "v2",
            "map" : "ORC in proximity to EVN segment"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=FLFS].target"
          }
        ]
      },
      {
        "id" : "Composition.extension:basedOn.id",
        "path" : "Composition.extension.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "Unique id for inter-element referencing",
        "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "id"
              }
            ],
            "code" : "http://hl7.org/fhirpath/System.String"
          }
        ],
        "condition" : [
          "ele-1"
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.extension:basedOn.extension",
        "path" : "Composition.extension.extension",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "url"
            }
          ],
          "description" : "Extensions are always sliced by (at least) url",
          "rules" : "open"
        },
        "short" : "Extension",
        "definition" : "An Extension",
        "min" : 0,
        "max" : "0",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false
      },
      {
        "id" : "Composition.extension:basedOn.url",
        "path" : "Composition.extension.url",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "identifies the meaning of the extension",
        "definition" : "Source of the definition for the extension code - a logical name or a URL.",
        "comment" : "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Extension.url",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "uri"
              }
            ],
            "code" : "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri" : "http://hl7.org/fhir/StructureDefinition/event-basedOn",
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Composition.extension:basedOn.value[x]",
        "path" : "Composition.extension.value[x]",
        "short" : "Value of extension",
        "definition" : "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R5/extensibility.html) for a list).",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Extension.value[x]",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource",
              "http://hl7.org/fhir/StructureDefinition/ServiceRequest"
            ]
          }
        ],
        "condition" : [
          "ext-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Composition.extension:presentedForm",
        "extension" : [
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "MAY:able-to-populate"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Composition.extension",
        "sliceName" : "presentedForm",
        "short" : "Composition: Presented Form",
        "definition" : "Human readable representation of the entire document. Multiple formats are allowed but they SHALL be semantically equivalent.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "DomainResource.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension",
            "profile" : [
              "http://hl7.eu/fhir/StructureDefinition/presentedForm"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false
      },
      {
        "id" : "Composition.extension:presentedForm.id",
        "path" : "Composition.extension.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "Unique id for inter-element referencing",
        "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "id"
              }
            ],
            "code" : "http://hl7.org/fhirpath/System.String"
          }
        ],
        "condition" : [
          "ele-1"
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.extension:presentedForm.extension",
        "path" : "Composition.extension.extension",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "url"
            }
          ],
          "description" : "Extensions are always sliced by (at least) url",
          "rules" : "open"
        },
        "short" : "Extension",
        "definition" : "An Extension",
        "min" : 0,
        "max" : "0",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false
      },
      {
        "id" : "Composition.extension:presentedForm.url",
        "path" : "Composition.extension.url",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "identifies the meaning of the extension",
        "definition" : "Source of the definition for the extension code - a logical name or a URL.",
        "comment" : "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Extension.url",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "uri"
              }
            ],
            "code" : "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri" : "http://hl7.eu/fhir/StructureDefinition/presentedForm",
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Composition.extension:presentedForm.value[x]",
        "path" : "Composition.extension.value[x]",
        "short" : "Value of extension",
        "definition" : "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R5/extensibility.html) for a list).",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Extension.value[x]",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Attachment"
          }
        ],
        "condition" : [
          "ext-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Composition.extension:presentedForm.value[x].id",
        "path" : "Composition.extension.value[x].id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "Unique id for inter-element referencing",
        "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "string"
              }
            ],
            "code" : "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.extension:presentedForm.value[x].extension",
        "path" : "Composition.extension.value[x].extension",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "url"
            }
          ],
          "description" : "Extensions are always sliced by (at least) url",
          "rules" : "open"
        },
        "short" : "Additional content defined by implementations",
        "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.extension:presentedForm.value[x].contentType",
        "path" : "Composition.extension.value[x].contentType",
        "short" : "Mime type of the content, with charset etc.",
        "definition" : "Identifies the type of the data in the attachment and allows a method to be chosen to interpret or render the data. Includes mime type parameters such as charset where appropriate.",
        "requirements" : "Processors of the data need to be able to know how to interpret the data.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Attachment.contentType",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "example" : [
          {
            "label" : "General",
            "valueCode" : "text/plain; charset=UTF-8, image/png"
          },
          {
            "label" : "pdf",
            "valueCode" : "application/pdf"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : true,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MimeType"
            }
          ],
          "strength" : "required",
          "description" : "The mime type of an attachment. Any valid mime type is allowed.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/mimetypes|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "ED.2+ED.3/RP.2+RP.3. Note conversion may be needed if old style values are being used"
          },
          {
            "identity" : "rim",
            "map" : "./mediaType, ./charset"
          }
        ]
      },
      {
        "id" : "Composition.extension:presentedForm.value[x].language",
        "path" : "Composition.extension.value[x].language",
        "short" : "Human language of the content (BCP-47)",
        "definition" : "The human language of the content. The value can be any valid value according to BCP 47.",
        "requirements" : "Users need to be able to choose between the languages in a set of attachments.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Attachment.language",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "example" : [
          {
            "label" : "General",
            "valueCode" : "en-AU"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : true,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            }
          ],
          "strength" : "preferred",
          "description" : "A human language.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./language"
          }
        ]
      },
      {
        "id" : "Composition.extension:presentedForm.value[x].data",
        "path" : "Composition.extension.value[x].data",
        "short" : "B64 in-line data",
        "definition" : "The actual data of the attachment - a sequence of bytes, base64 encoded.",
        "comment" : "The base64-encoded data SHALL be expressed in the same character set as the base resource XML or JSON.",
        "requirements" : "The data needs to able to be transmitted inline.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Attachment.data",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "base64Binary"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "ED.5"
          },
          {
            "identity" : "rim",
            "map" : "./data"
          }
        ]
      },
      {
        "id" : "Composition.extension:presentedForm.value[x].url",
        "path" : "Composition.extension.value[x].url",
        "short" : "URL of the document",
        "definition" : "A location where the data can be accessed.",
        "comment" : "If both data and url are provided, the url SHALL point to the same content as the data contains. Urls may be relative references or may reference transient locations such as a wrapping envelope using cid: though this has ramifications for using signatures. Relative URLs are interpreted relative to the service url, like a resource reference, rather than relative to the resource itself. If a URL is provided, it SHALL resolve to actual data.",
        "requirements" : "The data needs to be transmitted by reference.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Attachment.url",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "url"
          }
        ],
        "example" : [
          {
            "label" : "General",
            "valueUrl" : "http://www.acme.com/logo-small.png"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "RP.1+RP.2 - if they refer to a URL (see v2.6)"
          },
          {
            "identity" : "rim",
            "map" : "./reference/literal"
          }
        ]
      },
      {
        "id" : "Composition.extension:presentedForm.value[x].size",
        "path" : "Composition.extension.value[x].size",
        "short" : "Number of bytes of content (if url provided)",
        "definition" : "The number of bytes of data that make up this attachment (before base64 encoding, if that is done).",
        "comment" : "The number of bytes is redundant if the data is provided as a base64binary, but is useful if the data is provided as a url reference.",
        "requirements" : "Representing the size allows applications to determine whether they should fetch the content automatically in advance, or refuse to fetch it at all.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Attachment.size",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "unsignedInt"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A (needs data type R3 proposal)"
          }
        ]
      },
      {
        "id" : "Composition.extension:presentedForm.value[x].hash",
        "path" : "Composition.extension.value[x].hash",
        "short" : "Hash of the data (sha-1, base64ed)",
        "definition" : "The calculated hash of the data using SHA-1. Represented using base64.",
        "comment" : "The hash is calculated on the data prior to base64 encoding, if the data is based64 encoded. The hash is not intended to support digital signatures. Where protection against malicious threats a digital signature should be considered, see [Provenance.signature](http://hl7.org/fhir/R4/provenance-definitions.html#Provenance.signature) for mechanism to protect a resource with a digital signature.",
        "requirements" : "Included so that applications can verify that the contents of a location have not changed due to technical failures (e.g., storage rot, transport glitch, incorrect version).",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Attachment.hash",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "base64Binary"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".integrityCheck[parent::ED/integrityCheckAlgorithm=\"SHA-1\"]"
          }
        ]
      },
      {
        "id" : "Composition.extension:presentedForm.value[x].title",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean" : true
          }
        ],
        "path" : "Composition.extension.value[x].title",
        "short" : "Label to display in place of the data",
        "definition" : "A label or set of text to display in place of the data.",
        "requirements" : "Applications need a label to display to a human user in place of the actual data if the data cannot be rendered or perceived by the viewer.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Attachment.title",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "example" : [
          {
            "label" : "General",
            "valueString" : "Official Corporate Logo"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./title/data"
          }
        ]
      },
      {
        "id" : "Composition.extension:presentedForm.value[x].creation",
        "path" : "Composition.extension.value[x].creation",
        "short" : "Date attachment was first created",
        "definition" : "The date that the attachment was first created.",
        "requirements" : "This is often tracked as an integrity issue for use of the attachment.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Attachment.creation",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "dateTime"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A (needs data type R3 proposal)"
          }
        ]
      },
      {
        "id" : "Composition.extension:compositionVersionR5",
        "path" : "Composition.extension",
        "sliceName" : "compositionVersionR5",
        "short" : "Optional Extensions Element",
        "definition" : "Optional Extension Element - found in all resources.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "DomainResource.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension",
            "profile" : [
              "http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version"
            ]
          }
        ],
        "condition" : [
          "ele-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Composition.extension:compositionVersionR5.id",
        "path" : "Composition.extension.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "Unique id for inter-element referencing",
        "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "string"
              }
            ],
            "code" : "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.extension:compositionVersionR5.extension",
        "path" : "Composition.extension.extension",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "url"
            }
          ],
          "description" : "Extensions are always sliced by (at least) url",
          "rules" : "open"
        },
        "short" : "Extension",
        "definition" : "An Extension",
        "min" : 0,
        "max" : "0",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false
      },
      {
        "id" : "Composition.extension:compositionVersionR5.url",
        "path" : "Composition.extension.url",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "identifies the meaning of the extension",
        "definition" : "Source of the definition for the extension code - a logical name or a URL.",
        "comment" : "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Extension.url",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "uri"
              }
            ],
            "code" : "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version",
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Composition.extension:compositionVersionR5.value[x]",
        "path" : "Composition.extension.value[x]",
        "short" : "Business version",
        "definition" : "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Extension.value[x]",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Composition.extension:information-recipient",
        "path" : "Composition.extension",
        "sliceName" : "information-recipient",
        "short" : "Composition: Information recipient",
        "definition" : "This extension applies to the Composition resource and is used to represent an intended recipient of the composition.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "DomainResource.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension",
            "profile" : [
              "http://hl7.eu/fhir/StructureDefinition/information-recipient"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false
      },
      {
        "id" : "Composition.extension:information-recipient.id",
        "path" : "Composition.extension.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "Unique id for inter-element referencing",
        "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "id"
              }
            ],
            "code" : "http://hl7.org/fhirpath/System.String"
          }
        ],
        "condition" : [
          "ele-1"
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.extension:information-recipient.extension",
        "path" : "Composition.extension.extension",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "url"
            }
          ],
          "description" : "Extensions are always sliced by (at least) url",
          "rules" : "open"
        },
        "short" : "Extension",
        "definition" : "An Extension",
        "min" : 0,
        "max" : "0",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false
      },
      {
        "id" : "Composition.extension:information-recipient.url",
        "path" : "Composition.extension.url",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "identifies the meaning of the extension",
        "definition" : "Source of the definition for the extension code - a logical name or a URL.",
        "comment" : "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Extension.url",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "uri"
              }
            ],
            "code" : "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri" : "http://hl7.eu/fhir/StructureDefinition/information-recipient",
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Composition.extension:information-recipient.value[x]",
        "path" : "Composition.extension.value[x]",
        "short" : "Value of extension",
        "definition" : "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R5/extensibility.html) for a list).",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Extension.value[x]",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu-core",
              "http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core",
              "http://hl7.org/fhir/StructureDefinition/Device",
              "http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core"
            ]
          }
        ],
        "condition" : [
          "ext-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Composition.modifierExtension",
        "path" : "Composition.modifierExtension",
        "short" : "Extensions that cannot be ignored",
        "definition" : "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment" : "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.",
        "requirements" : "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/R4/extensibility.html#modifierExtension).",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "DomainResource.modifierExtension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Composition.identifier",
        "extension" : [
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHOULD:able-to-populate"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Composition.identifier",
        "short" : "HDR business identifier",
        "definition" : "A version-independent identifier for the Composition. This identifier stays constant as the composition is changed over time.",
        "comment" : "Similar to ClinicalDocument/setId in CDA. See discussion in resource definition for how these relate.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.identifier",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Identifier"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : "Document.id / Document.setId"
          },
          {
            "identity" : "cda",
            "map" : ".setId"
          },
          {
            "identity" : "fhirdocumentreference",
            "map" : "DocumentReference.masterIdentifier"
          }
        ]
      },
      {
        "id" : "Composition.status",
        "extension" : [
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:able-to-populate"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Composition.status",
        "short" : "HDR status",
        "definition" : "The workflow/clinical status of this composition. The status is a marker for the clinical standing of the document.",
        "comment" : "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.   \n\nSome reporting work flows require that the original narrative of a final document never be altered; instead, only new narrative can be added. The composition resource has no explicit status for explicitly noting whether this business rule is in effect. This would be handled by an extension if required.",
        "requirements" : "Need to be able to mark interim, amended, or withdrawn compositions or documents.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.status",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "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",
        "isSummary" : true,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CompositionStatus"
            }
          ],
          "strength" : "required",
          "description" : "The workflow/clinical status of the composition.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/composition-status|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : "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\""
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          },
          {
            "identity" : "fhirdocumentreference",
            "map" : "DocumentReference.status"
          }
        ]
      },
      {
        "id" : "Composition.type",
        "extension" : [
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:able-to-populate"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Composition.type",
        "short" : "Kind of composition (\"Hospital Discharge Report\")",
        "definition" : "Specifies that this composition refer to a Hospital Discharge Report",
        "comment" : "For Composition type, LOINC is ubiquitous and strongly endorsed by HL7. Most implementation guides will require a specific LOINC code, or use LOINC as an extensible binding.",
        "requirements" : "Key metadata element describing the composition, used in searching/filtering.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.type",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept",
            "profile" : [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
            ]
          }
        ],
        "patternCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "34105-7",
              "display" : "Hospital Discharge summary"
            }
          ]
        },
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : true,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DocumentType"
            }
          ],
          "strength" : "preferred",
          "description" : "Type of a composition.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/doc-typecodes"
        },
        "mapping" : [
          {
            "identity" : "workflow",
            "map" : "Event.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : "./code"
          },
          {
            "identity" : "cda",
            "map" : ".code"
          },
          {
            "identity" : "fhirdocumentreference",
            "map" : "DocumentReference.type"
          }
        ]
      },
      {
        "id" : "Composition.category",
        "path" : "Composition.category",
        "short" : "Categorization of Composition",
        "definition" : "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.",
        "comment" : "This is a metadata field from [XDS/MHD](http://wiki.ihe.net/index.php?title=Mobile_access_to_Health_Documents_(MHD)).",
        "requirements" : "Helps humans to assess whether the composition is of interest when viewing an index of compositions or documents.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.category",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : true,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DocumentCategory"
            }
          ],
          "strength" : "example",
          "description" : "High-level kind of a clinical document at a macro level.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/document-classcodes"
        },
        "mapping" : [
          {
            "identity" : "workflow",
            "map" : "Event.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          },
          {
            "identity" : "fhirdocumentreference",
            "map" : "DocumenttReference.category"
          }
        ]
      },
      {
        "id" : "Composition.subject",
        "extension" : [
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:able-to-populate"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Composition.subject",
        "short" : "Who and/or what the composition is about",
        "definition" : "Who or what the composition is about. \r\nIn 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).\r\nFor the hdr the subject is always the patient.",
        "comment" : "For clinical documents, this is usually the patient.",
        "requirements" : "Essential metadata for searching for the composition. Identifies who and/or what the composition/document is about.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.subject",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=\"SBJ\"].role[typeCode=\"PAT\"]"
          },
          {
            "identity" : "cda",
            "map" : ".recordTarget"
          },
          {
            "identity" : "fhirdocumentreference",
            "map" : "DocumentReference.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }
        ]
      },
      {
        "id" : "Composition.encounter",
        "extension" : [
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:able-to-populate"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Composition.encounter",
        "short" : "Context of the Composition",
        "definition" : "Describes the clinical encounter or type of care this documentation is associated with.",
        "requirements" : "Provides context for the composition and supports searching.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.encounter",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.eu/fhir/hdr/StructureDefinition/encounter-eu-hdr"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "workflow",
            "map" : "Event.context"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "rim",
            "map" : "unique(highest(./outboundRelationship[typeCode=\"SUBJ\" and isNormalActRelationship()], priorityNumber)/target[moodCode=\"EVN\" and classCode=(\"ENC\", \"PCPR\") and isNormalAct])"
          },
          {
            "identity" : "cda",
            "map" : ".componentOf.encompassingEncounter"
          },
          {
            "identity" : "fhirdocumentreference",
            "map" : "DocumentReference.context.encounter"
          }
        ]
      },
      {
        "id" : "Composition.date",
        "extension" : [
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:able-to-populate"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Composition.date",
        "short" : "HDR date",
        "definition" : "The composition editing time, when the composition was last logically changed by the author.",
        "comment" : "The Last Modified Date on the composition may be after the date of the document was attested without being changed.",
        "requirements" : "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/R4/bundle-definitions.html#Bundle.timestamp) is the date of packaging.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.date",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "dateTime"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime[type=\"TS\"]"
          },
          {
            "identity" : "cda",
            "map" : ".effectiveTime"
          },
          {
            "identity" : "fhirdocumentreference",
            "map" : "DocumentReference.content.attachment.date, DocumentReference.created"
          }
        ]
      },
      {
        "id" : "Composition.author",
        "extension" : [
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:able-to-populate"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Composition.author",
        "short" : "Who and/or what authored the Hospital Discharge Report",
        "definition" : "Identifies who is responsible for the information in the Hospital Discharge Report, not necessarily who typed it in.",
        "requirements" : "Identifies who is responsible for the content.",
        "min" : 1,
        "max" : "*",
        "base" : {
          "path" : "Composition.author",
          "min" : 1,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core",
              "http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu-core",
              "http://hl7.org/fhir/StructureDefinition/Device",
              "http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "workflow",
            "map" : "Event.performer"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"
          },
          {
            "identity" : "cda",
            "map" : ".author.assignedAuthor"
          },
          {
            "identity" : "fhirdocumentreference",
            "map" : "DocumentReference.agent"
          }
        ]
      },
      {
        "id" : "Composition.title",
        "extension" : [
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:able-to-populate"
           &"code" : "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section.extension",
        "path" : "Composition.section.extension",
        "short" : "Additional content defined by implementations",
        "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section.modifierExtension",
        "path" : "Composition.section.modifierExtension",
        "short" : "Extensions that cannot be ignored even if unrecognized",
        "definition" : "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment" : "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.",
        "requirements" : "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/R4/extensibility.html#modifierExtension).",
        "alias" : [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "BackboneElement.modifierExtension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Composition.section.title",
        "path" : "Composition.section.title",
        "short" : "Label for section (e.g. for ToC)",
        "definition" : "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.",
        "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
        "requirements" : "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
        "alias" : [
          "header",
          "label",
          "caption"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.title",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./title"
          },
          {
            "identity" : "cda",
            "map" : ".title"
          }
        ]
      },
      {
        "id" : "Composition.section.code",
        "path" : "Composition.section.code",
        "short" : "Classification of section (recommended)",
        "definition" : "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
        "comment" : "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.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
        "requirements" : "Provides computable standardized labels to topics within the document.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.code",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CompositionSectionType"
            }
          ],
          "strength" : "example",
          "description" : "Classification of a section of a composition/document.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./code"
          },
          {
            "identity" : "cda",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Composition.section.author",
        "path" : "Composition.section.author",
        "short" : "Who and/or what authored the section",
        "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.",
        "requirements" : "Identifies who is responsible for the content.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.author",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
              "http://hl7.org/fhir/StructureDefinition/Device",
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"
          },
          {
            "identity" : "cda",
            "map" : ".author.assignedAuthor"
          }
        ]
      },
      {
        "id" : "Composition.section.focus",
        "path" : "Composition.section.focus",
        "short" : "Who/what the section is about, when it is not about the subject of composition",
        "definition" : "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).",
        "comment" : "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.focus",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "cda",
            "map" : ".subject? (CDA did not differentiate between subject and focus)"
          }
        ]
      },
      {
        "id" : "Composition.section.text",
        "extension" : [
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:able-to-populate"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Composition.section.text",
        "short" : "Text summary of the section, for human interpretation",
        "definition" : "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.",
        "comment" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Narrative"
          }
        ],
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".text"
          },
          {
            "identity" : "cda",
            "map" : ".text"
          }
        ]
      },
      {
        "id" : "Composition.section.mode",
        "path" : "Composition.section.mode",
        "short" : "working | snapshot | changes",
        "definition" : "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.",
        "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.",
        "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.mode",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionMode"
            }
          ],
          "strength" : "required",
          "description" : "The processing mode that applies to this section.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section.orderedBy",
        "path" : "Composition.section.orderedBy",
        "short" : "Order of section entries",
        "definition" : "Specifies the order applied to the items in the section entries.",
        "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
        "requirements" : "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.orderedBy",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEntryOrder"
            }
          ],
          "strength" : "preferred",
          "description" : "What order applies to the items in the entry.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-order"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section.entry",
        "path" : "Composition.section.entry",
        "short" : "A reference to data that supports this section",
        "definition" : "A reference to the actual resource from which the narrative in the section is derived.",
        "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.entry",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity" : "cda",
            "map" : ".entry"
          }
        ]
      },
      {
        "id" : "Composition.section.emptyReason",
        "path" : "Composition.section.emptyReason",
        "short" : "Why the section is empty",
        "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
        "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
        "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.emptyReason",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEmptyReason"
            }
          ],
          "strength" : "preferred",
          "description" : "If a section is empty, why it is empty.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section.section",
        "path" : "Composition.section.section",
        "short" : "Nested Section",
        "definition" : "A nested sub-section within this section.",
        "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.section",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAdmissionEvaluation",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Section"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHOULD:able-to-populate"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Composition.section",
        "sliceName" : "sectionAdmissionEvaluation",
        "short" : "Hospital Admission evaluation",
        "definition" : "Hospital Admission evaluation",
        "comment" : "Admission evaluation should be reported only exceptionally, if it is relevant to ensure continuity of care.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "constraint" : [
          {
            "key" : "cmp-1",
            "severity" : "error",
            "human" : "A section must contain at least one of text, entries, or sub-sections",
            "expression" : "text.exists() or entry.exists() or section.exists()",
            "xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "cmp-2",
            "severity" : "error",
            "human" : "A section can only have an emptyReason if it is empty",
            "expression" : "emptyReason.empty() or entry.empty()",
            "xpath" : "not(exists(f:emptyReason) and exists(f:entry))",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.structuredBody.component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAdmissionEvaluation.id",
        "path" : "Composition.section.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "Unique id for inter-element referencing",
        "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "string"
              }
            ],
            "code" : "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAdmissionEvaluation.extension",
        "path" : "Composition.section.extension",
        "short" : "Additional content defined by implementations",
        "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAdmissionEvaluation.modifierExtension",
        "path" : "Composition.section.modifierExtension",
        "short" : "Extensions that cannot be ignored even if unrecognized",
        "definition" : "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment" : "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.",
        "requirements" : "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/R4/extensibility.html#modifierExtension).",
        "alias" : [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "BackboneElement.modifierExtension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAdmissionEvaluation.title",
        "path" : "Composition.section.title",
        "short" : "Label for section (e.g. for ToC)",
        "definition" : "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.",
        "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
        "requirements" : "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
        "alias" : [
          "header",
          "label",
          "caption"
        ],
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.title",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./title"
          },
          {
            "identity" : "cda",
            "map" : ".title"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAdmissionEvaluation.code",
        "path" : "Composition.section.code",
        "short" : "Classification of section (recommended)",
        "definition" : "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
        "comment" : "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.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
        "requirements" : "Provides computable standardized labels to topics within the document.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.code",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept",
            "profile" : [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
            ]
          }
        ],
        "patternCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "67851-6"
            }
          ]
        },
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CompositionSectionType"
            }
          ],
          "strength" : "example",
          "description" : "Classification of a section of a composition/document.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./code"
          },
          {
            "identity" : "cda",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAdmissionEvaluation.author",
        "path" : "Composition.section.author",
        "short" : "Who and/or what authored the section",
        "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.",
        "requirements" : "Identifies who is responsible for the content.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.author",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
              "http://hl7.org/fhir/StructureDefinition/Device",
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"
          },
          {
            "identity" : "cda",
            "map" : ".author.assignedAuthor"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAdmissionEvaluation.focus",
        "path" : "Composition.section.focus",
        "short" : "Who/what the section is about, when it is not about the subject of composition",
        "definition" : "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).",
        "comment" : "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.focus",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "cda",
            "map" : ".subject? (CDA did not differentiate between subject and focus)"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAdmissionEvaluation.text",
        "path" : "Composition.section.text",
        "short" : "Text summary of the section, for human interpretation",
        "definition" : "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.",
        "comment" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Narrative"
          }
        ],
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".text"
          },
          {
            "identity" : "cda",
            "map" : ".text"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAdmissionEvaluation.mode",
        "path" : "Composition.section.mode",
        "short" : "working | snapshot | changes",
        "definition" : "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.",
        "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.",
        "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.mode",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionMode"
            }
          ],
          "strength" : "required",
          "description" : "The processing mode that applies to this section.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAdmissionEvaluation.orderedBy",
        "path" : "Composition.section.orderedBy",
        "short" : "Order of section entries",
        "definition" : "Specifies the order applied to the items in the section entries.",
        "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
        "requirements" : "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.orderedBy",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEntryOrder"
            }
          ],
          "strength" : "preferred",
          "description" : "What order applies to the items in the entry.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-order"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAdmissionEvaluation.entry",
        "path" : "Composition.section.entry",
        "short" : "A reference to data that supports this section",
        "definition" : "A reference to the actual resource from which the narrative in the section is derived.",
        "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.entry",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity" : "cda",
            "map" : ".entry"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAdmissionEvaluation.emptyReason",
        "path" : "Composition.section.emptyReason",
        "short" : "Why the section is empty",
        "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
        "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
        "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.emptyReason",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEmptyReason"
            }
          ],
          "strength" : "preferred",
          "description" : "If a section is empty, why it is empty.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAdmissionEvaluation.section",
        "path" : "Composition.section.section",
        "short" : "Nested Section",
        "definition" : "A nested sub-section within this section.",
        "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.section",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAnthropometry",
        "path" : "Composition.section",
        "sliceName" : "sectionAnthropometry",
        "short" : "Anthropometric observations",
        "definition" : "Anthropometric Observations sub-section",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "constraint" : [
          {
            "key" : "cmp-1",
            "severity" : "error",
            "human" : "A section must contain at least one of text, entries, or sub-sections",
            "expression" : "text.exists() or entry.exists() or section.exists()",
            "xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "cmp-2",
            "severity" : "error",
            "human" : "A section can only have an emptyReason if it is empty",
            "expression" : "emptyReason.empty() or entry.empty()",
            "xpath" : "not(exists(f:emptyReason) and exists(f:entry))",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.structuredBody.component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAnthropometry.id",
        "path" : "Composition.section.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "Unique id for inter-element referencing",
        "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "string"
              }
            ],
            "code" : "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAnthropometry.extension",
        "path" : "Composition.section.extension",
        "short" : "Additional content defined by implementations",
        "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAnthropometry.modifierExtension",
        "path" : "Composition.section.modifierExtension",
        "short" : "Extensions that cannot be ignored even if unrecognized",
        "definition" : "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment" : "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.",
        "requirements" : "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/R4/extensibility.html#modifierExtension).",
        "alias" : [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "BackboneElement.modifierExtension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAnthropometry.title",
        "path" : "Composition.section.title",
        "short" : "Label for section (e.g. for ToC)",
        "definition" : "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.",
        "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
        "requirements" : "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
        "alias" : [
          "header",
          "label",
          "caption"
        ],
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.title",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./title"
          },
          {
            "identity" : "cda",
            "map" : ".title"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAnthropometry.code",
        "path" : "Composition.section.code",
        "short" : "Classification of section (recommended)",
        "definition" : "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
        "comment" : "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.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
        "requirements" : "Provides computable standardized labels to topics within the document.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.code",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept",
            "profile" : [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
            ]
          }
        ],
        "patternCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://hl7.eu/fhir/hdr/CodeSystem/temporarySystem-hdr-eu",
              "code" : "anthropometry"
            }
          ]
        },
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CompositionSectionType"
            }
          ],
          "strength" : "example",
          "description" : "Classification of a section of a composition/document.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./code"
          },
          {
            "identity" : "cda",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAnthropometry.author",
        "path" : "Composition.section.author",
        "short" : "Who and/or what authored the section",
        "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.",
        "requirements" : "Identifies who is responsible for the content.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.author",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
              "http://hl7.org/fhir/StructureDefinition/Device",
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"
          },
          {
            "identity" : "cda",
            "map" : ".author.assignedAuthor"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAnthropometry.focus",
        "path" : "Composition.section.focus",
        "short" : "Who/what the section is about, when it is not about the subject of composition",
        "definition" : "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).",
        "comment" : "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.focus",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "cda",
            "map" : ".subject? (CDA did not differentiate between subject and focus)"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAnthropometry.text",
        "path" : "Composition.section.text",
        "short" : "Text summary of the section, for human interpretation",
        "definition" : "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.",
        "comment" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Narrative"
          }
        ],
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".text"
          },
          {
            "identity" : "cda",
            "map" : ".text"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAnthropometry.mode",
        "path" : "Composition.section.mode",
        "short" : "working | snapshot | changes",
        "definition" : "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.",
        "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.",
        "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.mode",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionMode"
            }
          ],
          "strength" : "required",
          "description" : "The processing mode that applies to this section.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAnthropometry.orderedBy",
        "path" : "Composition.section.orderedBy",
        "short" : "Order of section entries",
        "definition" : "Specifies the order applied to the items in the section entries.",
        "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
        "requirements" : "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.orderedBy",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEntryOrder"
            }
          ],
          "strength" : "preferred",
          "description" : "What order applies to the items in the entry.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-order"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAnthropometry.entry",
        "path" : "Composition.section.entry",
        "short" : "A reference to data that supports this section",
        "definition" : "A reference to the actual resource from which the narrative in the section is derived.",
        "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.entry",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Observation",
              "http://hl7.org/fhir/StructureDefinition/DocumentReference",
              "http://hl7.org/fhir/StructureDefinition/vitalsigns"
            ]
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity" : "cda",
            "map" : ".entry"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAnthropometry.emptyReason",
        "path" : "Composition.section.emptyReason",
        "short" : "Why the section is empty",
        "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
        "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
        "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.emptyReason",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEmptyReason"
            }
          ],
          "strength" : "preferred",
          "description" : "If a section is empty, why it is empty.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAnthropometry.section",
        "path" : "Composition.section.section",
        "short" : "Nested Section",
        "definition" : "A nested sub-section within this section.",
        "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.section",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionVitalSigns",
        "path" : "Composition.section",
        "sliceName" : "sectionVitalSigns",
        "short" : "Vital signs",
        "definition" : "The Vital signs section includes blood pressure, body temperature, heart rate, and respiratory rate. It may also include other clinical findings, such as height, weight, body mass index, head circumference, and pulse oximetry. In particular, notable vital signs or physical findings such as the most recent, maximum and/or minimum, baseline, or relevant trends may be included",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "constraint" : [
          {
            "key" : "cmp-1",
            "severity" : "error",
            "human" : "A section must contain at least one of text, entries, or sub-sections",
            "expression" : "text.exists() or entry.exists() or section.exists()",
            "xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "cmp-2",
            "severity" : "error",
            "human" : "A section can only have an emptyReason if it is empty",
            "expression" : "emptyReason.empty() or entry.empty()",
            "xpath" : "not(exists(f:emptyReason) and exists(f:entry))",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.structuredBody.component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionVitalSigns.id",
        "path" : "Composition.section.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "Unique id for inter-element referencing",
        "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "string"
              }
            ],
            "code" : "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionVitalSigns.extension",
        "path" : "Composition.section.extension",
        "short" : "Additional content defined by implementations",
        "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionVitalSigns.modifierExtension",
        "path" : "Composition.section.modifierExtension",
        "short" : "Extensions that cannot be ignored even if unrecognized",
        "definition" : "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment" : "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.",
        "requirements" : "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/R4/extensibility.html#modifierExtension).",
        "alias" : [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "BackboneElement.modifierExtension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionVitalSigns.title",
        "path" : "Composition.section.title",
        "short" : "Label for section (e.g. for ToC)",
        "definition" : "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.",
        "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
        "requirements" : "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
        "alias" : [
          "header",
          "label",
          "caption"
        ],
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.title",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./title"
          },
          {
            "identity" : "cda",
            "map" : ".title"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionVitalSigns.code",
        "path" : "Composition.section.code",
        "short" : "Classification of section (recommended)",
        "definition" : "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
        "comment" : "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.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
        "requirements" : "Provides computable standardized labels to topics within the document.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.code",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept",
            "profile" : [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
            ]
          }
        ],
        "patternCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "8716-3"
            }
          ]
        },
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CompositionSectionType"
            }
          ],
          "strength" : "example",
          "description" : "Classification of a section of a composition/document.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./code"
          },
          {
            "identity" : "cda",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionVitalSigns.author",
        "path" : "Composition.section.author",
        "short" : "Who and/or what authored the section",
        "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.",
        "requirements" : "Identifies who is responsible for the content.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.author",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
              "http://hl7.org/fhir/StructureDefinition/Device",
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"
          },
          {
            "identity" : "cda",
            "map" : ".author.assignedAuthor"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionVitalSigns.focus",
        "path" : "Composition.section.focus",
        "short" : "Who/what the section is about, when it is not about the subject of composition",
        "definition" : "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).",
        "comment" : "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.focus",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "cda",
            "map" : ".subject? (CDA did not differentiate between subject and focus)"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionVitalSigns.text",
        "path" : "Composition.section.text",
        "short" : "Text summary of the section, for human interpretation",
        "definition" : "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.",
        "comment" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Narrative"
          }
        ],
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".text"
          },
          {
            "identity" : "cda",
            "map" : ".text"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionVitalSigns.mode",
        "path" : "Composition.section.mode",
        "short" : "working | snapshot | changes",
        "definition" : "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.",
        "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.",
        "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.mode",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionMode"
            }
          ],
          "strength" : "required",
          "description" : "The processing mode that applies to this section.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionVitalSigns.orderedBy",
        "path" : "Composition.section.orderedBy",
        "short" : "Order of section entries",
        "definition" : "Specifies the order applied to the items in the section entries.",
        "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
        "requirements" : "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.orderedBy",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEntryOrder"
            }
          ],
          "strength" : "preferred",
          "description" : "What order applies to the items in the entry.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-order"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionVitalSigns.entry",
        "path" : "Composition.section.entry",
        "short" : "A reference to data that supports this section",
        "definition" : "A reference to the actual resource from which the narrative in the section is derived.",
        "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.entry",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Observation",
              "http://hl7.org/fhir/StructureDefinition/DocumentReference",
              "http://hl7.org/fhir/StructureDefinition/vitalsigns"
            ]
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity" : "cda",
            "map" : ".entry"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionVitalSigns.emptyReason",
        "path" : "Composition.section.emptyReason",
        "short" : "Why the section is empty",
        "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
        "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
        "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.emptyReason",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEmptyReason"
            }
          ],
          "strength" : "preferred",
          "description" : "If a section is empty, why it is empty.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionVitalSigns.section",
        "path" : "Composition.section.section",
        "short" : "Nested Section",
        "definition" : "A nested sub-section within this section.",
        "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.section",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPhysicalFindings",
        "path" : "Composition.section",
        "sliceName" : "sectionPhysicalFindings",
        "short" : "Physical findings",
        "definition" : "Physical findings",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "constraint" : [
          {
            "key" : "cmp-1",
            "severity" : "error",
            "human" : "A section must contain at least one of text, entries, or sub-sections",
            "expression" : "text.exists() or entry.exists() or section.exists()",
            "xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "cmp-2",
            "severity" : "error",
            "human" : "A section can only have an emptyReason if it is empty",
            "expression" : "emptyReason.empty() or entry.empty()",
            "xpath" : "not(exists(f:emptyReason) and exists(f:entry))",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.structuredBody.component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPhysicalFindings.id",
        "path" : "Composition.section.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "Unique id for inter-element referencing",
        "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "string"
              }
            ],
            "code" : "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPhysicalFindings.extension",
        "path" : "Composition.section.extension",
        "short" : "Additional content defined by implementations",
        "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPhysicalFindings.modifierExtension",
        "path" : "Composition.section.modifierExtension",
        "short" : "Extensions that cannot be ignored even if unrecognized",
        "definition" : "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment" : "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.",
        "requirements" : "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/R4/extensibility.html#modifierExtension).",
        "alias" : [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "BackboneElement.modifierExtension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPhysicalFindings.title",
        "path" : "Composition.section.title",
        "short" : "Label for section (e.g. for ToC)",
        "definition" : "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.",
        "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
        "requirements" : "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
        "alias" : [
          "header",
          "label",
          "caption"
        ],
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.title",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./title"
          },
          {
            "identity" : "cda",
            "map" : ".title"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPhysicalFindings.code",
        "path" : "Composition.section.code",
        "short" : "Classification of section (recommended)",
        "definition" : "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
        "comment" : "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.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
        "requirements" : "Provides computable standardized labels to topics within the document.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.code",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept",
            "profile" : [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
            ]
          }
        ],
        "patternCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "29545-1"
            }
          ]
        },
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CompositionSectionType"
            }
          ],
          "strength" : "example",
          "description" : "Classification of a section of a composition/document.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./code"
          },
          {
            "identity" : "cda",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPhysicalFindings.author",
        "path" : "Composition.section.author",
        "short" : "Who and/or what authored the section",
        "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.",
        "requirements" : "Identifies who is responsible for the content.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.author",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
              "http://hl7.org/fhir/StructureDefinition/Device",
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"
          },
          {
            "identity" : "cda",
            "map" : ".author.assignedAuthor"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPhysicalFindings.focus",
        "path" : "Composition.section.focus",
        "short" : "Who/what the section is about, when it is not about the subject of composition",
        "definition" : "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).",
        "comment" : "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.focus",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "cda",
            "map" : ".subject? (CDA did not differentiate between subject and focus)"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPhysicalFindings.text",
        "path" : "Composition.section.text",
        "short" : "Text summary of the section, for human interpretation",
        "definition" : "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.",
        "comment" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Narrative"
          }
        ],
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".text"
          },
          {
            "identity" : "cda",
            "map" : ".text"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPhysicalFindings.mode",
        "path" : "Composition.section.mode",
        "short" : "working | snapshot | changes",
        "definition" : "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.",
        "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.",
        "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.mode",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionMode"
            }
          ],
          "strength" : "required",
          "description" : "The processing mode that applies to this section.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPhysicalFindings.orderedBy",
        "path" : "Composition.section.orderedBy",
        "short" : "Order of section entries",
        "definition" : "Specifies the order applied to the items in the section entries.",
        "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
        "requirements" : "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.orderedBy",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEntryOrder"
            }
          ],
          "strength" : "preferred",
          "description" : "What order applies to the items in the entry.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-order"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPhysicalFindings.entry",
        "path" : "Composition.section.entry",
        "short" : "A reference to data that supports this section",
        "definition" : "A reference to the actual resource from which the narrative in the section is derived.",
        "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.entry",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity" : "cda",
            "map" : ".entry"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPhysicalFindings.emptyReason",
        "path" : "Composition.section.emptyReason",
        "short" : "Why the section is empty",
        "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
        "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
        "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.emptyReason",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEmptyReason"
            }
          ],
          "strength" : "preferred",
          "description" : "If a section is empty, why it is empty.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPhysicalFindings.section",
        "path" : "Composition.section.section",
        "short" : "Nested Section",
        "definition" : "A nested sub-section within this section.",
        "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.section",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionFunctionalStatus",
        "path" : "Composition.section",
        "sliceName" : "sectionFunctionalStatus",
        "short" : "Functional status",
        "definition" : "The functional status section shall contain a narrative description of capability of the patient to perform acts of daily living, including possible needs of the patient to be continuously assessed by third parties. The invalidity status may in fact influence decisions about how to administer treatments.\r\nProfiles to express disabilities and functional assessments will be specified by future versions of this guide.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "constraint" : [
          {
            "key" : "cmp-1",
            "severity" : "error",
            "human" : "A section must contain at least one of text, entries, or sub-sections",
            "expression" : "text.exists() or entry.exists() or section.exists()",
            "xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "cmp-2",
            "severity" : "error",
            "human" : "A section can only have an emptyReason if it is empty",
            "expression" : "emptyReason.empty() or entry.empty()",
            "xpath" : "not(exists(f:emptyReason) and exists(f:entry))",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.structuredBody.component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionFunctionalStatus.id",
        "path" : "Composition.section.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "Unique id for inter-element referencing",
        "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "string"
              }
            ],
            "code" : "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionFunctionalStatus.extension",
        "path" : "Composition.section.extension",
        "short" : "Additional content defined by implementations",
        "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionFunctionalStatus.modifierExtension",
        "path" : "Composition.section.modifierExtension",
        "short" : "Extensions that cannot be ignored even if unrecognized",
        "definition" : "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment" : "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.",
        "requirements" : "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/R4/extensibility.html#modifierExtension).",
        "alias" : [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "BackboneElement.modifierExtension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionFunctionalStatus.title",
        "path" : "Composition.section.title",
        "short" : "Label for section (e.g. for ToC)",
        "definition" : "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.",
        "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
        "requirements" : "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
        "alias" : [
          "header",
          "label",
          "caption"
        ],
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.title",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./title"
          },
          {
            "identity" : "cda",
            "map" : ".title"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionFunctionalStatus.code",
        "path" : "Composition.section.code",
        "short" : "Classification of section (recommended)",
        "definition" : "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
        "comment" : "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.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
        "requirements" : "Provides computable standardized labels to topics within the document.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.code",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept",
            "profile" : [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
            ]
          }
        ],
        "patternCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "47420-5"
            }
          ]
        },
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CompositionSectionType"
            }
          ],
          "strength" : "example",
          "description" : "Classification of a section of a composition/document.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./code"
          },
          {
            "identity" : "cda",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionFunctionalStatus.author",
        "path" : "Composition.section.author",
        "short" : "Who and/or what authored the section",
        "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.",
        "requirements" : "Identifies who is responsible for the content.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.author",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
              "http://hl7.org/fhir/StructureDefinition/Device",
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"
          },
          {
            "identity" : "cda",
            "map" : ".author.assignedAuthor"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionFunctionalStatus.focus",
        "path" : "Composition.section.focus",
        "short" : "Who/what the section is about, when it is not about the subject of composition",
        "definition" : "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).",
        "comment" : "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.focus",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "cda",
            "map" : ".subject? (CDA did not differentiate between subject and focus)"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionFunctionalStatus.text",
        "path" : "Composition.section.text",
        "short" : "Text summary of the section, for human interpretation",
        "definition" : "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.",
        "comment" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Narrative"
          }
        ],
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".text"
          },
          {
            "identity" : "cda",
            "map" : ".text"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionFunctionalStatus.mode",
        "path" : "Composition.section.mode",
        "short" : "working | snapshot | changes",
        "definition" : "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.",
        "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.",
        "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.mode",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionMode"
            }
          ],
          "strength" : "required",
          "description" : "The processing mode that applies to this section.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionFunctionalStatus.orderedBy",
        "path" : "Composition.section.orderedBy",
        "short" : "Order of section entries",
        "definition" : "Specifies the order applied to the items in the section entries.",
        "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
        "requirements" : "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.orderedBy",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEntryOrder"
            }
          ],
          "strength" : "preferred",
          "description" : "What order applies to the items in the entry.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-order"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionFunctionalStatus.entry",
        "path" : "Composition.section.entry",
        "short" : "Optional entry used to represent disabilities and functional assessments",
        "definition" : "It describes capabilities of the patient to perform acts of daily living, including possible needs of the patient to be continuously assessed by third parties. The invalidity status may in fact influence decisions about how to administer treatments.\r\nProfiles to express disabilities and functional assessments will be specified by future versions of this guide.",
        "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.entry",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Condition",
              "http://hl7.org/fhir/StructureDefinition/ClinicalImpression",
              "http://hl7.org/fhir/StructureDefinition/Observation",
              "http://hl7.org/fhir/StructureDefinition/DocumentReference",
              "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"
            ]
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity" : "cda",
            "map" : ".entry"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionFunctionalStatus.emptyReason",
        "path" : "Composition.section.emptyReason",
        "short" : "Why the section is empty",
        "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
        "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
        "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.emptyReason",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEmptyReason"
            }
          ],
          "strength" : "preferred",
          "description" : "If a section is empty, why it is empty.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionFunctionalStatus.section",
        "path" : "Composition.section.section",
        "short" : "Nested Section",
        "definition" : "A nested sub-section within this section.",
        "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.section",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionHospitalCourse",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Section"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:able-to-populate"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Composition.section",
        "sliceName" : "sectionHospitalCourse",
        "short" : "Significant information about course of hospital stay",
        "definition" : "This section includes basic information about hospital staty (encounter), diagnostic summary in narrative form, pharmacotherapy, major procedures, medical devices, significant findings during hospital stay and clinical synthesis.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "constraint" : [
          {
            "key" : "cmp-1",
            "severity" : "error",
            "human" : "A section must contain at least one of text, entries, or sub-sections",
            "expression" : "text.exists() or entry.exists() or section.exists()",
            "xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "cmp-2",
            "severity" : "error",
            "human" : "A section can only have an emptyReason if it is empty",
            "expression" : "emptyReason.empty() or entry.empty()",
            "xpath" : "not(exists(f:emptyReason) and exists(f:entry))",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.structuredBody.component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionHospitalCourse.id",
        "path" : "Composition.section.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "Unique id for inter-element referencing",
        "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "string"
              }
            ],
            "code" : "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionHospitalCourse.extension",
        "path" : "Composition.section.extension",
        "short" : "Additional content defined by implementations",
        "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionHospitalCourse.modifierExtension",
        "path" : "Composition.section.modifierExtension",
        "short" : "Extensions that cannot be ignored even if unrecognized",
        "definition" : "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment" : "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.",
        "requirements" : "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/R4/extensibility.html#modifierExtension).",
        "alias" : [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "BackboneElement.modifierExtension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionHospitalCourse.title",
        "path" : "Composition.section.title",
        "short" : "Label for section (e.g. for ToC)",
        "definition" : "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.",
        "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
        "requirements" : "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
        "alias" : [
          "header",
          "label",
          "caption"
        ],
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.title",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./title"
          },
          {
            "identity" : "cda",
            "map" : ".title"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionHospitalCourse.code",
        "path" : "Composition.section.code",
        "short" : "Classification of section (recommended)",
        "definition" : "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
        "comment" : "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.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
        "requirements" : "Provides computable standardized labels to topics within the document.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.code",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept",
            "profile" : [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
            ]
          }
        ],
        "patternCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "8648-8"
            }
          ]
        },
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CompositionSectionType"
            }
          ],
          "strength" : "example",
          "description" : "Classification of a section of a composition/document.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./code"
          },
          {
            "identity" : "cda",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionHospitalCourse.author",
        "path" : "Composition.section.author",
        "short" : "Who and/or what authored the section",
        "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.",
        "requirements" : "Identifies who is responsible for the content.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.author",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
              "http://hl7.org/fhir/StructureDefinition/Device",
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"
          },
          {
            "identity" : "cda",
            "map" : ".author.assignedAuthor"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionHospitalCourse.focus",
        "path" : "Composition.section.focus",
        "short" : "Who/what the section is about, when it is not about the subject of composition",
        "definition" : "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).",
        "comment" : "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.focus",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "cda",
            "map" : ".subject? (CDA did not differentiate between subject and focus)"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionHospitalCourse.text",
        "path" : "Composition.section.text",
        "short" : "Text summary of the section, for human interpretation",
        "definition" : "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.",
        "comment" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Narrative"
          }
        ],
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".text"
          },
          {
            "identity" : "cda",
            "map" : ".text"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionHospitalCourse.mode",
        "path" : "Composition.section.mode",
        "short" : "working | snapshot | changes",
        "definition" : "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.",
        "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.",
        "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.mode",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionMode"
            }
          ],
          "strength" : "required",
          "description" : "The processing mode that applies to this section.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionHospitalCourse.orderedBy",
        "path" : "Composition.section.orderedBy",
        "short" : "Order of section entries",
        "definition" : "Specifies the order applied to the items in the section entries.",
        "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
        "requirements" : "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.orderedBy",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEntryOrder"
            }
          ],
          "strength" : "preferred",
          "description" : "What order applies to the items in the entry.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-order"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionHospitalCourse.entry",
        "path" : "Composition.section.entry",
        "short" : "A reference to data that supports this section",
        "definition" : "A reference to the actual resource from which the narrative in the section is derived.",
        "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.entry",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity" : "cda",
            "map" : ".entry"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionHospitalCourse.emptyReason",
        "path" : "Composition.section.emptyReason",
        "short" : "Why the section is empty",
        "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
        "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
        "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.emptyReason",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEmptyReason"
            }
          ],
          "strength" : "preferred",
          "description" : "If a section is empty, why it is empty.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionHospitalCourse.section",
        "path" : "Composition.section.section",
        "short" : "Nested Section",
        "definition" : "A nested sub-section within this section.",
        "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.section",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDiagnosticSummary",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Section"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHOULD:able-to-populate"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Composition.section",
        "sliceName" : "sectionDiagnosticSummary",
        "short" : "Problem specification in narrative form",
        "definition" : "All problems/diagnoses that affect care during the inpatient case or are important to be recorded to ensure continuity of care. The diagnostic summary differentiates, in accordance with the international recommendation, between problems treated during hospital stay and other (untreated) problems. Treated problems are problems that were the subject of diagnostics, therapy, nursing, or (continuous) monitoring during the hospitalisation. Furthermore problems could be divided into three categories: problems present on admission (POA), conditions acquired during hospital stay (HAC) and problems that cannot be classified as being of any of the two (N/A). The diagnostic summary contains all conditions as they were recognised at the end of hospitalisation, after all examinations. This section contains concise, well specified, codeable, summary of problems. Problems are ordered by importance (main problems first) during hospital stay. Description of the problem might be completed with additional details in the medical history section and/or in the Synthesis section.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "constraint" : [
          {
            "key" : "cmp-1",
            "severity" : "error",
            "human" : "A section must contain at least one of text, entries, or sub-sections",
            "expression" : "text.exists() or entry.exists() or section.exists()",
            "xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "cmp-2",
            "severity" : "error",
            "human" : "A section can only have an emptyReason if it is empty",
            "expression" : "emptyReason.empty() or entry.empty()",
            "xpath" : "not(exists(f:emptyReason) and exists(f:entry))",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.structuredBody.component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDiagnosticSummary.id",
        "path" : "Composition.section.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "Unique id for inter-element referencing",
        "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "string"
              }
            ],
            "code" : "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDiagnosticSummary.extension",
        "path" : "Composition.section.extension",
        "short" : "Additional content defined by implementations",
        "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDiagnosticSummary.modifierExtension",
        "path" : "Composition.section.modifierExtension",
        "short" : "Extensions that cannot be ignored even if unrecognized",
        "definition" : "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment" : "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.",
        "requirements" : "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/R4/extensibility.html#modifierExtension).",
        "alias" : [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "BackboneElement.modifierExtension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDiagnosticSummary.title",
        "path" : "Composition.section.title",
        "short" : "Label for section (e.g. for ToC)",
        "definition" : "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.",
        "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
        "requirements" : "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
        "alias" : [
          "header",
          "label",
          "caption"
        ],
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.title",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./title"
          },
          {
            "identity" : "cda",
            "map" : ".title"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDiagnosticSummary.code",
        "path" : "Composition.section.code",
        "short" : "Classification of section (recommended)",
        "definition" : "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
        "comment" : "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.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
        "requirements" : "Provides computable standardized labels to topics within the document.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.code",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept",
            "profile" : [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
            ]
          }
        ],
        "patternCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "11535-2"
            }
          ]
        },
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CompositionSectionType"
            }
          ],
          "strength" : "example",
          "description" : "Classification of a section of a composition/document.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./code"
          },
          {
            "identity" : "cda",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDiagnosticSummary.author",
        "path" : "Composition.section.author",
        "short" : "Who and/or what authored the section",
        "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.",
        "requirements" : "Identifies who is responsible for the content.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.author",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
              "http://hl7.org/fhir/StructureDefinition/Device",
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"
          },
          {
            "identity" : "cda",
            "map" : ".author.assignedAuthor"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDiagnosticSummary.focus",
        "path" : "Composition.section.focus",
        "short" : "Who/what the section is about, when it is not about the subject of composition",
        "definition" : "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).",
        "comment" : "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.focus",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "cda",
            "map" : ".subject? (CDA did not differentiate between subject and focus)"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDiagnosticSummary.text",
        "path" : "Composition.section.text",
        "short" : "Text summary of the section, for human interpretation",
        "definition" : "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.",
        "comment" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Narrative"
          }
        ],
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".text"
          },
          {
            "identity" : "cda",
            "map" : ".text"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDiagnosticSummary.mode",
        "path" : "Composition.section.mode",
        "short" : "working | snapshot | changes",
        "definition" : "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.",
        "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.",
        "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.mode",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionMode"
            }
          ],
          "strength" : "required",
          "description" : "The processing mode that applies to this section.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDiagnosticSummary.orderedBy",
        "path" : "Composition.section.orderedBy",
        "short" : "Order of section entries",
        "definition" : "Specifies the order applied to the items in the section entries.",
        "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
        "requirements" : "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.orderedBy",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEntryOrder"
            }
          ],
          "strength" : "preferred",
          "description" : "What order applies to the items in the entry.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-order"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDiagnosticSummary.entry",
        "extension" : [
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHOULD:able-to-populate"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Composition.section.entry",
        "short" : "A reference to data that supports this section",
        "definition" : "A reference to the actual resource from which the narrative in the section is derived.",
        "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.entry",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.eu/fhir/hdr/StructureDefinition/condition-eu-hdr"
            ]
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity" : "cda",
            "map" : ".entry"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDiagnosticSummary.emptyReason",
        "path" : "Composition.section.emptyReason",
        "short" : "Why the section is empty",
        "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
        "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
        "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.emptyReason",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEmptyReason"
            }
          ],
          "strength" : "preferred",
          "description" : "If a section is empty, why it is empty.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDiagnosticSummary.section",
        "path" : "Composition.section.section",
        "short" : "Nested Section",
        "definition" : "A nested sub-section within this section.",
        "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.section",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSignificantProcedures",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Section"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHOULD:able-to-populate"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Composition.section",
        "sliceName" : "sectionSignificantProcedures",
        "short" : "Significant procedures",
        "definition" : "Significant surgical and non-surgical procedures performed during hospitalisation which are significant for continuity of care, e.g. surgeries and other \"instrumental\"interventions (endoscopic, intravascular), chemotherapy, radiotherapy, purification methods (dialysis, hemoperfusion), circulation support methods (counterpulsation, etc.), administration of blood derivatives or others.\r\nThis section does not include purely diagnostic procedures (MRI, CT, etc.). If no significant performance has been performed, this fact must be explicitly stated using the IPS Absent and Unknown Data.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "constraint" : [
          {
            "key" : "cmp-1",
            "severity" : "error",
            "human" : "A section must contain at least one of text, entries, or sub-sections",
            "expression" : "text.exists() or entry.exists() or section.exists()",
            "xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "cmp-2",
            "severity" : "error",
            "human" : "A section can only have an emptyReason if it is empty",
            "expression" : "emptyReason.empty() or entry.empty()",
            "xpath" : "not(exists(f:emptyReason) and exists(f:entry))",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.structuredBody.component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSignificantProcedures.id",
        "path" : "Composition.section.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "Unique id for inter-element referencing",
        "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "string"
              }
            ],
            "code" : "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSignificantProcedures.extension",
        "path" : "Composition.section.extension",
        "short" : "Additional content defined by implementations",
        "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSignificantProcedures.modifierExtension",
        "path" : "Composition.section.modifierExtension",
        "short" : "Extensions that cannot be ignored even if unrecognized",
        "definition" : "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment" : "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.",
        "requirements" : "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/R4/extensibility.html#modifierExtension).",
        "alias" : [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "BackboneElement.modifierExtension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSignificantProcedures.title",
        "path" : "Composition.section.title",
        "short" : "Label for section (e.g. for ToC)",
        "definition" : "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.",
        "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
        "requirements" : "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
        "alias" : [
          "header",
          "label",
          "caption"
        ],
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.title",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./title"
          },
          {
            "identity" : "cda",
            "map" : ".title"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSignificantProcedures.code",
        "path" : "Composition.section.code",
        "short" : "Classification of section (recommended)",
        "definition" : "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
        "comment" : "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.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
        "requirements" : "Provides computable standardized labels to topics within the document.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.code",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept",
            "profile" : [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
            ]
          }
        ],
        "patternCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "10185-7"
            }
          ]
        },
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CompositionSectionType"
            }
          ],
          "strength" : "example",
          "description" : "Classification of a section of a composition/document.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./code"
          },
          {
            "identity" : "cda",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSignificantProcedures.author",
        "path" : "Composition.section.author",
        "short" : "Who and/or what authored the section",
        "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.",
        "requirements" : "Identifies who is responsible for the content.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.author",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
              "http://hl7.org/fhir/StructureDefinition/Device",
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"
          },
          {
            "identity" : "cda",
            "map" : ".author.assignedAuthor"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSignificantProcedures.focus",
        "path" : "Composition.section.focus",
        "short" : "Who/what the section is about, when it is not about the subject of composition",
        "definition" : "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).",
        "comment" : "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.focus",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "cda",
            "map" : ".subject? (CDA did not differentiate between subject and focus)"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSignificantProcedures.text",
        "path" : "Composition.section.text",
        "short" : "Text summary of the section, for human interpretation",
        "definition" : "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.",
        "comment" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Narrative"
          }
        ],
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".text"
          },
          {
            "identity" : "cda",
            "map" : ".text"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSignificantProcedures.mode",
        "path" : "Composition.section.mode",
        "short" : "working | snapshot | changes",
        "definition" : "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.",
        "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.",
        "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.mode",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
    &
      {
        "id" : "Composition.section:sectionPharmacotherapy.modifierExtension",
        "path" : "Composition.section.modifierExtension",
        "short" : "Extensions that cannot be ignored even if unrecognized",
        "definition" : "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment" : "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.",
        "requirements" : "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/R4/extensibility.html#modifierExtension).",
        "alias" : [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "BackboneElement.modifierExtension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPharmacotherapy.title",
        "path" : "Composition.section.title",
        "short" : "Label for section (e.g. for ToC)",
        "definition" : "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.",
        "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
        "requirements" : "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
        "alias" : [
          "header",
          "label",
          "caption"
        ],
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.title",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./title"
          },
          {
            "identity" : "cda",
            "map" : ".title"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPharmacotherapy.code",
        "path" : "Composition.section.code",
        "short" : "Classification of section (recommended)",
        "definition" : "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
        "comment" : "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.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
        "requirements" : "Provides computable standardized labels to topics within the document.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.code",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept",
            "profile" : [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
            ]
          }
        ],
        "patternCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "87232-5"
            }
          ]
        },
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CompositionSectionType"
            }
          ],
          "strength" : "example",
          "description" : "Classification of a section of a composition/document.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./code"
          },
          {
            "identity" : "cda",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPharmacotherapy.author",
        "path" : "Composition.section.author",
        "short" : "Who and/or what authored the section",
        "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.",
        "requirements" : "Identifies who is responsible for the content.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.author",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
              "http://hl7.org/fhir/StructureDefinition/Device",
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"
          },
          {
            "identity" : "cda",
            "map" : ".author.assignedAuthor"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPharmacotherapy.focus",
        "path" : "Composition.section.focus",
        "short" : "Who/what the section is about, when it is not about the subject of composition",
        "definition" : "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).",
        "comment" : "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.focus",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "cda",
            "map" : ".subject? (CDA did not differentiate between subject and focus)"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPharmacotherapy.text",
        "path" : "Composition.section.text",
        "short" : "Text summary of the section, for human interpretation",
        "definition" : "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.",
        "comment" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Narrative"
          }
        ],
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".text"
          },
          {
            "identity" : "cda",
            "map" : ".text"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPharmacotherapy.mode",
        "path" : "Composition.section.mode",
        "short" : "working | snapshot | changes",
        "definition" : "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.",
        "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.",
        "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.mode",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionMode"
            }
          ],
          "strength" : "required",
          "description" : "The processing mode that applies to this section.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPharmacotherapy.orderedBy",
        "path" : "Composition.section.orderedBy",
        "short" : "Order of section entries",
        "definition" : "Specifies the order applied to the items in the section entries.",
        "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
        "requirements" : "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.orderedBy",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEntryOrder"
            }
          ],
          "strength" : "preferred",
          "description" : "What order applies to the items in the entry.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-order"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPharmacotherapy.entry",
        "extension" : [
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHOULD:able-to-populate"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Composition.section.entry",
        "short" : "A reference to data that supports this section",
        "definition" : "A reference to the actual resource from which the narrative in the section is derived.",
        "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.entry",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.eu/fhir/hdr/StructureDefinition/medicationStatement-eu-hdr",
              "http://hl7.eu/fhir/hdr/StructureDefinition/medicationRequest-eu-hdr",
              "http://hl7.eu/fhir/hdr/StructureDefinition/medicationDispense-eu-hdr",
              "http://hl7.eu/fhir/hdr/StructureDefinition/medicationAdministration-eu-hdr"
            ]
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity" : "cda",
            "map" : ".entry"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPharmacotherapy.emptyReason",
        "path" : "Composition.section.emptyReason",
        "short" : "Why the section is empty",
        "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
        "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
        "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.emptyReason",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEmptyReason"
            }
          ],
          "strength" : "preferred",
          "description" : "If a section is empty, why it is empty.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPharmacotherapy.section",
        "path" : "Composition.section.section",
        "short" : "Nested Section",
        "definition" : "A nested sub-section within this section.",
        "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.section",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSignificantResults",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Section"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHOULD:able-to-populate"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Composition.section",
        "sliceName" : "sectionSignificantResults",
        "short" : "Significant Observation Results",
        "definition" : "Results of significant functional, diagnostic, and imaging examinations to ensure continuity of care, performed during hospitalisation. Results of examinations ordered but not yet delivered should be presented separately from results already delivered.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "constraint" : [
          {
            "key" : "cmp-1",
            "severity" : "error",
            "human" : "A section must contain at least one of text, entries, or sub-sections",
            "expression" : "text.exists() or entry.exists() or section.exists()",
            "xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "cmp-2",
            "severity" : "error",
            "human" : "A section can only have an emptyReason if it is empty",
            "expression" : "emptyReason.empty() or entry.empty()",
            "xpath" : "not(exists(f:emptyReason) and exists(f:entry))",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.structuredBody.component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSignificantResults.id",
        "path" : "Composition.section.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "Unique id for inter-element referencing",
        "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "string"
              }
            ],
            "code" : "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSignificantResults.extension",
        "path" : "Composition.section.extension",
        "short" : "Additional content defined by implementations",
        "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSignificantResults.modifierExtension",
        "path" : "Composition.section.modifierExtension",
        "short" : "Extensions that cannot be ignored even if unrecognized",
        "definition" : "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment" : "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.",
        "requirements" : "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/R4/extensibility.html#modifierExtension).",
        "alias" : [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "BackboneElement.modifierExtension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSignificantResults.title",
        "path" : "Composition.section.title",
        "short" : "Label for section (e.g. for ToC)",
        "definition" : "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.",
        "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
        "requirements" : "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
        "alias" : [
          "header",
          "label",
          "caption"
        ],
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.title",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./title"
          },
          {
            "identity" : "cda",
            "map" : ".title"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSignificantResults.code",
        "path" : "Composition.section.code",
        "short" : "Classification of section (recommended)",
        "definition" : "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
        "comment" : "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.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
        "requirements" : "Provides computable standardized labels to topics within the document.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.code",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept",
            "profile" : [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
            ]
          }
        ],
        "patternCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "30954-2"
            }
          ]
        },
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CompositionSectionType"
            }
          ],
          "strength" : "example",
          "description" : "Classification of a section of a composition/document.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./code"
          },
          {
            "identity" : "cda",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSignificantResults.author",
        "path" : "Composition.section.author",
        "short" : "Who and/or what authored the section",
        "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.",
        "requirements" : "Identifies who is responsible for the content.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.author",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
              "http://hl7.org/fhir/StructureDefinition/Device",
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"
          },
          {
            "identity" : "cda",
            "map" : ".author.assignedAuthor"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSignificantResults.focus",
        "path" : "Composition.section.focus",
        "short" : "Who/what the section is about, when it is not about the subject of composition",
        "definition" : "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).",
        "comment" : "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.focus",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "cda",
            "map" : ".subject? (CDA did not differentiate between subject and focus)"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSignificantResults.text",
        "path" : "Composition.section.text",
        "short" : "Text summary of the section, for human interpretation",
        "definition" : "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.",
        "comment" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Narrative"
          }
        ],
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".text"
          },
          {
            "identity" : "cda",
            "map" : ".text"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSignificantResults.mode",
        "path" : "Composition.section.mode",
        "short" : "working | snapshot | changes",
        "definition" : "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.",
        "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.",
        "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.mode",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionMode"
            }
          ],
          "strength" : "required",
          "description" : "The processing mode that applies to this section.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSignificantResults.orderedBy",
        "path" : "Composition.section.orderedBy",
        "short" : "Order of section entries",
        "definition" : "Specifies the order applied to the items in the section entries.",
        "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
        "requirements" : "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.orderedBy",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEntryOrder"
            }
          ],
          "strength" : "preferred",
          "description" : "What order applies to the items in the entry.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-order"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSignificantResults.entry",
        "extension" : [
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHOULD:able-to-populate"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Composition.section.entry",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "profile",
              "path" : "resolve()"
            }
          ],
          "ordered" : false,
          "rules" : "open"
        },
        "short" : "significant results",
        "definition" : "significant results",
        "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.entry",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Observation",
              "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
              "http://hl7.org/fhir/StructureDefinition/DocumentReference"
            ]
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity" : "cda",
            "map" : ".entry"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSignificantResults.entry:labResult",
        "path" : "Composition.section.entry",
        "sliceName" : "labResult",
        "short" : "Laboratory Result",
        "definition" : "Laboratory Result",
        "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.entry",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
            ]
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity" : "cda",
            "map" : ".entry"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSignificantResults.entry:radResult",
        "path" : "Composition.section.entry",
        "sliceName" : "radResult",
        "short" : "Radiology Result",
        "definition" : "Radiology Result",
        "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.entry",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.eu/fhir/hdr/StructureDefinition/observation-imgFinding-eu-hdr"
            ]
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity" : "cda",
            "map" : ".entry"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSignificantResults.emptyReason",
        "path" : "Composition.section.emptyReason",
        "short" : "Why the section is empty",
        "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
        "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
        "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.emptyReason",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEmptyReason"
            }
          ],
          "strength" : "preferred",
          "description" : "If a section is empty, why it is empty.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSignificantResults.section",
        "path" : "Composition.section.section",
        "short" : "Nested Section",
        "definition" : "A nested sub-section within this section.",
        "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.section",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSynthesis",
        "path" : "Composition.section",
        "sliceName" : "sectionSynthesis",
        "short" : "Synthesis",
        "definition" : "This section provides clinical synthesis (e.g. description of reasons and course of hospital stay) clustered by managed conditions. Clinical synthesis may include clinical reasoning (differential diagnostics, explanation of clinical context) in clinically complex conditions.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "constraint" : [
          {
            "key" : "cmp-1",
            "severity" : "error",
            "human" : "A section must contain at least one of text, entries, or sub-sections",
            "expression" : "text.exists() or entry.exists() or section.exists()",
            "xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "cmp-2",
            "severity" : "error",
            "human" : "A section can only have an emptyReason if it is empty",
            "expression" : "emptyReason.empty() or entry.empty()",
            "xpath" : "not(exists(f:emptyReason) and exists(f:entry))",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.structuredBody.component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSynthesis.id",
        "path" : "Composition.section.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "Unique id for inter-element referencing",
        "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "string"
              }
            ],
            "code" : "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSynthesis.extension",
        "path" : "Composition.section.extension",
        "short" : "Additional content defined by implementations",
        "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSynthesis.modifierExtension",
        "path" : "Composition.section.modifierExtension",
        "short" : "Extensions that cannot be ignored even if unrecognized",
        "definition" : "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment" : "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.",
        "requirements" : "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/R4/extensibility.html#modifierExtension).",
        "alias" : [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "BackboneElement.modifierExtension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSynthesis.title",
        "path" : "Composition.section.title",
        "short" : "Label for section (e.g. for ToC)",
        "definition" : "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.",
        "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
        "requirements" : "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
        "alias" : [
          "header",
          "label",
          "caption"
        ],
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.title",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./title"
          },
          {
            "identity" : "cda",
            "map" : ".title"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSynthesis.code",
        "path" : "Composition.section.code",
        "short" : "Classification of section (recommended)",
        "definition" : "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
        "comment" : "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.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
        "requirements" : "Provides computable standardized labels to topics within the document.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.code",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept",
            "profile" : [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
            ]
          }
        ],
        "patternCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "67781-5"
            }
          ]
        },
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CompositionSectionType"
            }
          ],
          "strength" : "example",
          "description" : "Classification of a section of a composition/document.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./code"
          },
          {
            "identity" : "cda",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSynthesis.author",
        "path" : "Composition.section.author",
        "short" : "Who and/or what authored the section",
        "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.",
        "requirements" : "Identifies who is responsible for the content.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.author",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
              "http://hl7.org/fhir/StructureDefinition/Device",
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"
          },
          {
            "identity" : "cda",
            "map" : ".author.assignedAuthor"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSynthesis.focus",
        "path" : "Composition.section.focus",
        "short" : "Who/what the section is about, when it is not about the subject of composition",
        "definition" : "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).",
        "comment" : "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.focus",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "cda",
            "map" : ".subject? (CDA did not differentiate between subject and focus)"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSynthesis.text",
        "path" : "Composition.section.text",
        "short" : "Text summary of the section, for human interpretation",
        "definition" : "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.",
        "comment" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Narrative"
          }
        ],
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".text"
          },
          {
            "identity" : "cda",
            "map" : ".text"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSynthesis.mode",
        "path" : "Composition.section.mode",
        "short" : "working | snapshot | changes",
        "definition" : "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.",
        "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.",
        "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.mode",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionMode"
            }
          ],
          "strength" : "required",
          "description" : "The processing mode that applies to this section.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSynthesis.orderedBy",
        "path" : "Composition.section.orderedBy",
        "short" : "Order of section entries",
        "definition" : "Specifies the order applied to the items in the section entries.",
        "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
        "requirements" : "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.orderedBy",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEntryOrder"
            }
          ],
          "strength" : "preferred",
          "description" : "What order applies to the items in the entry.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-order"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSynthesis.entry",
        "path" : "Composition.section.entry",
        "short" : "A reference to data that supports this section",
        "definition" : "A reference to the actual resource from which the narrative in the section is derived.",
        "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.entry",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity" : "cda",
            "map" : ".entry"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSynthesis.emptyReason",
        "path" : "Composition.section.emptyReason",
        "short" : "Why the section is empty",
        "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
        "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
        "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.emptyReason",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEmptyReason"
            }
          ],
          "strength" : "preferred",
          "description" : "If a section is empty, why it is empty.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSynthesis.section",
        "path" : "Composition.section.section",
        "short" : "Nested Section",
        "definition" : "A nested sub-section within this section.",
        "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.section",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPlanOfCare",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Section"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHOULD:able-to-populate"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Composition.section",
        "sliceName" : "sectionPlanOfCare",
        "short" : "Plan of Care Section",
        "definition" : "The plan of care section contains a narrative description of the expectations for care including proposals, goals, and order requests for monitoring, tracking, or improving the condition of the patient.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "constraint" : [
          {
            "key" : "cmp-1",
            "severity" : "error",
            "human" : "A section must contain at least one of text, entries, or sub-sections",
            "expression" : "text.exists() or entry.exists() or section.exists()",
            "xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "cmp-2",
            "severity" : "error",
            "human" : "A section can only have an emptyReason if it is empty",
            "expression" : "emptyReason.empty() or entry.empty()",
            "xpath" : "not(exists(f:emptyReason) and exists(f:entry))",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.structuredBody.component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPlanOfCare.id",
        "path" : "Composition.section.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "Unique id for inter-element referencing",
        "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "string"
              }
            ],
            "code" : "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPlanOfCare.extension",
        "path" : "Composition.section.extension",
        "short" : "Additional content defined by implementations",
        "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPlanOfCare.modifierExtension",
        "path" : "Composition.section.modifierExtension",
        "short" : "Extensions that cannot be ignored even if unrecognized",
        "definition" : "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment" : "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.",
        "requirements" : "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/R4/extensibility.html#modifierExtension).",
        "alias" : [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "BackboneElement.modifierExtension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPlanOfCare.title",
        "path" : "Composition.section.title",
        "short" : "Label for section (e.g. for ToC)",
        "definition" : "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.",
        "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
        "requirements" : "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
        "alias" : [
          "header",
          "label",
          "caption"
        ],
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.title",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./title"
          },
          {
            "identity" : "cda",
            "map" : ".title"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPlanOfCare.code",
        "path" : "Composition.section.code",
        "short" : "Classification of section (recommended)",
        "definition" : "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
        "comment" : "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.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
        "requirements" : "Provides computable standardized labels to topics within the document.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.code",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept",
            "profile" : [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
            ]
          }
        ],
        "patternCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "18776-5"
            }
          ]
        },
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CompositionSectionType"
            }
          ],
          "strength" : "example",
          "description" : "Classification of a section of a composition/document.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./code"
          },
          {
            "identity" : "cda",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPlanOfCare.author",
        "path" : "Composition.section.author",
        "short" : "Who and/or what authored the section",
        "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.",
        "requirements" : "Identifies who is responsible for the content.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.author",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
              "http://hl7.org/fhir/StructureDefinition/Device",
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"
          },
          {
            "identity" : "cda",
            "map" : ".author.assignedAuthor"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPlanOfCare.focus",
        "path" : "Composition.section.focus",
        "short" : "Who/what the section is about, when it is not about the subject of composition",
        "definition" : "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).",
        "comment" : "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.focus",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "cda",
            "map" : ".subject? (CDA did not differentiate between subject and focus)"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPlanOfCare.text",
        "path" : "Composition.section.text",
        "short" : "Text summary of the section, for human interpretation",
        "definition" : "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.",
        "comment" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Narrative"
          }
        ],
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".text"
          },
          {
            "identity" : "cda",
            "map" : ".text"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPlanOfCare.mode",
        "path" : "Composition.section.mode",
        "short" : "working | snapshot | changes",
        "definition" : "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.",
        "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.",
        "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.mode",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionMode"
            }
          ],
          "strength" : "required",
          "description" : "The processing mode that applies to this section.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPlanOfCare.orderedBy",
        "path" : "Composition.section.orderedBy",
        "short" : "Order of section entries",
        "definition" : "Specifies the order applied to the items in the section entries.",
        "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
        "requirements" : "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.orderedBy",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEntryOrder"
            }
          ],
          "strength" : "preferred",
          "description" : "What order applies to the items in the entry.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-order"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPlanOfCare.entry",
        "path" : "Composition.section.entry",
        "short" : "A reference to data that supports this section",
        "definition" : "A reference to the actual resource from which the narrative in the section is derived.",
        "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.entry",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.eu/fhir/hdr/StructureDefinition/carePlan-eu-hdr",
              "http://hl7.org/fhir/StructureDefinition/DocumentReference"
            ]
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity" : "cda",
            "map" : ".entry"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPlanOfCare.emptyReason",
        "path" : "Composition.section.emptyReason",
        "short" : "Why the section is empty",
        "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
        "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
        "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.emptyReason",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEmptyReason"
            }
          ],
          "strength" : "preferred",
          "description" : "If a section is empty, why it is empty.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPlanOfCare.section",
        "path" : "Composition.section.section",
        "short" : "Nested Section",
        "definition" : "A nested sub-section within this section.",
        "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.section",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDischargeInstructions",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Section"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHOULD:able-to-populate"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Composition.section",
        "sliceName" : "sectionDischargeInstructions",
        "short" : "Hospital Discharge Instructions",
        "definition" : "Hospital Discharge Instructions",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "constraint" : [
          {
            "key" : "cmp-1",
            "severity" : "error",
            "human" : "A section must contain at least one of text, entries, or sub-sections",
            "expression" : "text.exists() or entry.exists() or section.exists()",
            "xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "cmp-2",
            "severity" : "error",
            "human" : "A section can only have an emptyReason if it is empty",
            "expression" : "emptyReason.empty() or entry.empty()",
            "xpath" : "not(exists(f:emptyReason) and exists(f:entry))",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.structuredBody.component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDischargeInstructions.id",
        "path" : "Composition.section.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "Unique id for inter-element referencing",
        "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "string"
              }
            ],
            "code" : "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDischargeInstructions.extension",
        "path" : "Composition.section.extension",
        "short" : "Additional content defined by implementations",
        "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDischargeInstructions.modifierExtension",
        "path" : "Composition.section.modifierExtension",
        "short" : "Extensions that cannot be ignored even if unrecognized",
        "definition" : "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment" : "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.",
        "requirements" : "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/R4/extensibility.html#modifierExtension).",
        "alias" : [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "BackboneElement.modifierExtension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDischargeInstructions.title",
        "path" : "Composition.section.title",
        "short" : "Label for section (e.g. for ToC)",
        "definition" : "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.",
        "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
        "requirements" : "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
        "alias" : [
          "header",
          "label",
          "caption"
        ],
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.title",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./title"
          },
          {
            "identity" : "cda",
            "map" : ".title"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDischargeInstructions.code",
        "path" : "Composition.section.code",
        "short" : "Classification of section (recommended)",
        "definition" : "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
        "comment" : "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.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
        "requirements" : "Provides computable standardized labels to topics within the document.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.code",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept",
            "profile" : [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
            ]
          }
        ],
        "patternCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "8653-8"
            }
          ]
        },
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CompositionSectionType"
            }
          ],
          "strength" : "example",
          "description" : "Classification of a section of a composition/document.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./code"
          },
          {
            "identity" : "cda",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDischargeInstructions.author",
        "path" : "Composition.section.author",
        "short" : "Who and/or what authored the section",
        "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.",
        "requirements" : "Identifies who is responsible for the content.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.author",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
              "http://hl7.org/fhir/StructureDefinition/Device",
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"
          },
          {
            "identity" : "cda",
            "map" : ".author.assignedAuthor"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDischargeInstructions.focus",
        "path" : "Composition.section.focus",
        "short" : "Who/what the section is about, when it is not about the subject of composition",
        "definition" : "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).",
        "comment" : "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.focus",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "cda",
            "map" : ".subject? (CDA did not differentiate between subject and focus)"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDischargeInstructions.text",
        "path" : "Composition.section.text",
        "short" : "Text summary of the section, for human interpretation",
        "definition" : "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.",
        "comment" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Narrative"
          }
        ],
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".text"
          },
          {
            "identity" : "cda",
            "map" : ".text"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDischargeInstructions.mode",
        "path" : "Composition.section.mode",
        "short" : "working | snapshot | changes",
        "definition" : "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.",
        "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.",
        "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.mode",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionMode"
            }
          ],
          "strength" : "required",
          "description" : "The processing mode that applies to this section.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDischargeInstructions.orderedBy",
        "path" : "Composition.section.orderedBy",
        "short" : "Order of section entries",
        "definition" : "Specifies the order applied to the items in the section entries.",
        "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
        "requirements" : "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.orderedBy",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEntryOrder"
            }
          ],
          "strength" : "preferred",
          "description" : "What order applies to the items in the entry.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-order"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDischargeInstructions.entry",
        "path" : "Composition.section.entry",
        "short" : "A reference to data that supports this section",
        "definition" : "A reference to the actual resource from which the narrative in the section is derived.",
        "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.entry",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity" : "cda",
            "map" : ".entry"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDischargeInstructions.emptyReason",
        "path" : "Composition.section.emptyReason",
        "short" : "Why the section is empty",
        "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
        "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
        "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.emptyReason",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEmptyReason"
            }
          ],
          "strength" : "preferred",
          "description" : "If a section is empty, why it is empty.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDischargeInstructions.section",
        "path" : "Composition.section.section",
        "short" : "Nested Section",
        "definition" : "A nested sub-section within this section.",
        "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.section",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDischargeMedications",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Section"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHOULD:able-to-populate"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Composition.section",
        "sliceName" : "sectionDischargeMedications",
        "short" : "Hospital discharge medications",
        "definition" : "Hospital discharge medications defines the medications that the patient is intended to take, or stop, after discharge",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "constraint" : [
          {
            "key" : "cmp-1",
            "severity" : "error",
            "human" : "A section must contain at least one of text, entries, or sub-sections",
            "expression" : "text.exists() or entry.exists() or section.exists()",
            "xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "cmp-2",
            "severity" : "error",
            "human" : "A section can only have an emptyReason if it is empty",
            "expression" : "emptyReason.empty() or entry.empty()",
            "xpath" : "not(exists(f:emptyReason) and exists(f:entry))",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.structuredBody.component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDischargeMedications.id",
        "path" : "Composition.section.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "Unique id for inter-element referencing",
        "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "string"
              }
            ],
            "code" : "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDischargeMedications.extension",
        "path" : "Composition.section.extension",
        "short" : "Additional content defined by implementations",
        "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDischargeMedications.modifierExtension",
        "path" : "Composition.section.modifierExtension",
        "short" : "Extensions that cannot be ignored even if unrecognized",
        "definition" : "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment" : "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.",
        "requirements" : "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/R4/extensibility.html#modifierExtension).",
        "alias" : [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "BackboneElement.modifierExtension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDischargeMedications.title",
        "path" : "Composition.section.title",
        "short" : "Label for section (e.g. for ToC)",
        "definition" : "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.",
        "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
        "requirements" : "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
        "alias" : [
          "header",
          "label",
          "caption"
        ],
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.title",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./title"
          },
          {
            "identity" : "cda",
            "map" : ".title"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDischargeMedications.code",
        "path" : "Composition.section.code",
        "short" : "Classification of section (recommended)",
        "definition" : "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
        "comment" : "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.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
        "requirements" : "Provides computable standardized labels to topics within the document.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.code",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept",
            "profile" : [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
            ]
          }
        ],
        "patternCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "75311-1"
            }
          ]
        },
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CompositionSectionType"
            }
          ],
          "strength" : "example",
          "description" : "Classification of a section of a composition/document.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./code"
          },
          {
            "identity" : "cda",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDischargeMedications.author",
        "path" : "Composition.section.author",
        "short" : "Who and/or what authored the section",
        "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.",
        "requirements" : "Identifies who is responsible for the content.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.author",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
              "http://hl7.org/fhir/StructureDefinition/Device",
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"
          },
          {
            "identity" : "cda",
            "map" : ".author.assignedAuthor"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDischargeMedications.focus",
        "path" : "Composition.section.focus",
        "short" : "Who/what the section is about, when it is not about the subject of composition",
        "definition" : "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).",
        "comment" : "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.focus",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "cda",
            "map" : ".subject? (CDA did not differentiate between subject and focus)"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDischargeMedications.text",
        "path" : "Composition.section.text",
        "short" : "Text summary of the section, for human interpretation",
        "definition" : "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.",
        "comment" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Narrative"
          }
        ],
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".text"
          },
          {
            "identity" : "cda",
            "map" : ".text"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDischargeMedications.mode",
        "path" : "Composition.section.mode",
        "short" : "working | snapshot | changes",
        "definition" : "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.",
        "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.",
        "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.mode",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionMode"
            }
          ],
          "strength" : "required",
          "description" : "The processing mode that applies to this section.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDischargeMedications.orderedBy",
        "path" : "Composition.section.orderedBy",
        "short" : "Order of section entries",
        "definition" : "Specifies the order applied to the items in the section entries.",
        "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
        "requirements" : "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.orderedBy",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEntryOrder"
            }
          ],
          "strength" : "preferred",
          "description" : "What order applies to the items in the entry.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-order"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDischargeMedications.entry",
        "extension" : [
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHOULD:able-to-populate"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Composition.section.entry",
        "short" : "A reference to data that supports this section",
        "definition" : "A reference to the actual resource from which the narrative in the section is derived.",
        "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.entry",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.eu/fhir/hdr/StructureDefinition/medicationRequest-eu-hdr",
              "http://hl7.eu/fhir/hdr/StructureDefinition/medicationDispense-eu-hdr",
              "http://hl7.eu/fhir/hdr/StructureDefinition/medicationStatement-eu-hdr"
            ]
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity" : "cda",
            "map" : ".entry"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDischargeMedications.emptyReason",
        "path" : "Composition.section.emptyReason",
        "short" : "Why the section is empty",
        "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
        "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
        "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.emptyReason",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEmptyReason"
            }
          ],
          "strength" : "preferred",
          "description" : "If a section is empty, why it is empty.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDischargeMedications.section",
        "path" : "Composition.section.section",
        "short" : "Nested Section",
        "definition" : "A nested sub-section within this section.",
        "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.section",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAllergies",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Section"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHOULD:able-to-populate"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Composition.section",
        "sliceName" : "sectionAllergies",
        "short" : "Allergies and Intolerances Section",
        "definition" : "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.\r\nAt a minimum, it should list currently active and any relevant historical allergies and adverse reactions.\r\nIf no information about allergies is available, or if no allergies are known this should be clearly documented in the section.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "constraint" : [
          {
            "key" : "cmp-1",
            "severity" : "error",
            "human" : "A section must contain at least one of text, entries, or sub-sections",
            "expression" : "text.exists() or entry.exists() or section.exists()",
            "xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "cmp-2",
            "severity" : "error",
            "human" : "A section can only have an emptyReason if it is empty",
            "expression" : "emptyReason.empty() or entry.empty()",
            "xpath" : "not(exists(f:emptyReason) and exists(f:entry))",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.structuredBody.component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAllergies.id",
        "path" : "Composition.section.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "Unique id for inter-element referencing",
        "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "string"
              }
            ],
            "code" : "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAllergies.extension",
        "path" : "Composition.section.extension",
        "short" : "Additional content defined by implementations",
        "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAllergies.modifierExtension",
        "path" : "Composition.section.modifierExtension",
        "short" : "Extensions that cannot be ignored even if unrecognized",
        "definition" : "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment" : "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.",
        "requirements" : "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/R4/extensibility.html#modifierExtension).",
        "alias" : [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "BackboneElement.modifierExtension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAllergies.title",
        "path" : "Composition.section.title",
        "short" : "Label for section (e.g. for ToC)",
        "definition" : "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.",
        "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
        "requirements" : "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
        "alias" : [
          "header",
          "label",
          "caption"
        ],
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.title",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./title"
          },
          {
            "identity" : "cda",
            "map" : ".title"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAllergies.code",
        "path" : "Composition.section.code",
        "short" : "Classification of section (recommended)",
        "definition" : "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
        "comment" : "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.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
        "requirements" : "Provides computable standardized labels to topics within the document.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.code",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept",
            "profile" : [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
            ]
          }
        ],
        "patternCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "48765-2"
            }
          ]
        },
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CompositionSectionType"
            }
          ],
          "strength" : "example",
          "description" : "Classification of a section of a composition/document.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./code"
          },
          {
            "identity" : "cda",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAllergies.author",
        "path" : "Composition.section.author",
        "short" : "Who and/or what authored the section",
        "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.",
        "requirements" : "Identifies who is responsible for the content.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.author",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
              "http://hl7.org/fhir/StructureDefinition/Device",
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"
          },
          {
            "identity" : "cda",
            "map" : ".author.assignedAuthor"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAllergies.focus",
        "path" : "Composition.section.focus",
        "short" : "Who/what the section is about, when it is not about the subject of composition",
        "definition" : "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).",
        "comment" : "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.focus",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "cda",
            "map" : ".subject? (CDA did not differentiate between subject and focus)"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAllergies.text",
        "path" : "Composition.section.text",
        "short" : "Text summary of the section, for human interpretation",
        "definition" : "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.",
        "comment" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Narrative"
          }
        ],
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".text"
          },
          {
            "identity" : "cda",
            "map" : ".text"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAllergies.mode",
        "path" : "Composition.section.mode",
        "short" : "working | snapshot | changes",
        "definition" : "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.",
        "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.",
        "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.mode",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionMode"
            }
          ],
          "strength" : "required",
          "description" : "The processing mode that applies to this section.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAllergies.orderedBy",
        "path" : "Composition.section.orderedBy",
        "short" : "Order of section entries",
        "definition" : "Specifies the order applied to the items in the section entries.",
        "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
        "requirements" : "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.orderedBy",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEntryOrder"
            }
          ],
          "strength" : "preferred",
          "description" : "What order applies to the items in the entry.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-order"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAllergies.entry",
        "extension" : [
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHOULD:able-to-populate"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Composition.section.entry",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "type",
              "path" : "resolve()"
            }
          ],
          "ordered" : false,
          "rules" : "open"
        },
        "short" : "Relevant allergies or intolerances (conditions) for that patient.",
        "definition" : "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.\r\nAt a minimum, it should list currently active and any relevant historical allergies and adverse reactions.\r\n This entry shall be used to document that no information about allergies is available, or that no allergies are known .",
        "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.entry",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.eu/fhir/hdr/StructureDefinition/allergyIntolerance-eu-hdr",
              "http://hl7.org/fhir/StructureDefinition/DocumentReference"
            ]
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity" : "cda",
            "map" : ".entry"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAllergies.entry:allergyIntolerance",
        "path" : "Composition.section.entry",
        "sliceName" : "allergyIntolerance",
        "short" : "Allergy entry",
        "definition" : "Allergy entry",
        "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.entry",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.eu/fhir/hdr/StructureDefinition/allergyIntolerance-eu-hdr"
            ]
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity" : "cda",
            "map" : ".entry"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAllergies.emptyReason",
        "path" : "Composition.section.emptyReason",
        "short" : "Why the section is empty",
        "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
        "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
        "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.emptyReason",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEmptyReason"
            }
          ],
          "strength" : "preferred",
          "description" : "If a section is empty, why it is empty.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAllergies.section",
        "path" : "Composition.section.section",
        "short" : "Nested Section",
        "definition" : "A nested sub-section within this section.",
        "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.section",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAlert",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Section"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHOULD:able-to-populate"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Composition.section",
        "sliceName" : "sectionAlert",
        "short" : "Alert Section",
        "definition" : "// SHORT\n    A warning, other than included in allergies.\n    The warning can be entered in code there are codes for frequently used alerts but seeing the dynamic nature of the warnings, these alerts will often be entered as free text.\n    Any clinical information that is imperative to know so that the life or health of the patient does not come under threat. \n    Example 1: the patient has a rare disease that requires special treatment \n    Example 2: Airway Alert / Difficult Intubation\n    Example 3: Diagnoses such as malignant hyperthermia, porphyria, and bleeding disorders; special treatments like anticoagulants or immunosuppressants; implanted devices. \n    Example 4: transplanted organs illustrate other information that has to be taken into account in a healthcare contact. \n    Example 5: participation in a clinical trial that has to be taken into account in a healthcare contact.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "constraint" : [
          {
            "key" : "cmp-1",
            "severity" : "error",
            "human" : "A section must contain at least one of text, entries, or sub-sections",
            "expression" : "text.exists() or entry.exists() or section.exists()",
            "xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "cmp-2",
            "severity" : "error",
            "human" : "A section can only have an emptyReason if it is empty",
            "expression" : "emptyReason.empty() or entry.empty()",
            "xpath" : "not(exists(f:emptyReason) and exists(f:entry))",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.structuredBody.component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAlert.id",
        "path" : "Composition.section.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "Unique id for inter-element referencing",
        "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "string"
              }
            ],
            "code" : "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAlert.extension",
        "path" : "Composition.section.extension",
        "short" : "Additional content defined by implementations",
        "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAlert.modifierExtension",
        "path" : "Composition.section.modifierExtension",
        "short" : "Extensions that cannot be ignored even if unrecognized",
        "definition" : "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment" : "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.",
        "requirements" : "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/R4/extensibility.html#modifierExtension).",
        "alias" : [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "BackboneElement.modifierExtension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAlert.title",
        "path" : "Composition.section.title",
        "short" : "Label for section (e.g. for ToC)",
        "definition" : "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.",
        "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
        "requirements" : "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
        "alias" : [
          "header",
          "label",
          "caption"
        ],
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.title",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./title"
          },
          {
            "identity" : "cda",
            "map" : ".title"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAlert.code",
        "path" : "Composition.section.code",
        "short" : "Classification of section (recommended)",
        "definition" : "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
        "comment" : "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.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
        "requirements" : "Provides computable standardized labels to topics within the document.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.code",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept",
            "profile" : [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
            ]
          }
        ],
        "patternCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "104605-1"
            }
          ]
        },
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CompositionSectionType"
            }
          ],
          "strength" : "example",
          "description" : "Classification of a section of a composition/document.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./code"
          },
          {
            "identity" : "cda",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAlert.author",
        "path" : "Composition.section.author",
        "short" : "Who and/or what authored the section",
        "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.",
        "requirements" : "Identifies who is responsible for the content.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.author",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
              "http://hl7.org/fhir/StructureDefinition/Device",
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"
          },
          {
            "identity" : "cda",
            "map" : ".author.assignedAuthor"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAlert.focus",
        "path" : "Composition.section.focus",
        "short" : "Who/what the section is about, when it is not about the subject of composition",
        "definition" : "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).",
        "comment" : "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.focus",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "cda",
            "map" : ".subject? (CDA did not differentiate between subject and focus)"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAlert.text",
        "path" : "Composition.section.text",
        "short" : "Text summary of the section, for human interpretation",
        "definition" : "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.",
        "comment" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Narrative"
          }
        ],
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".text"
          },
          {
            "identity" : "cda",
            "map" : ".text"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAlert.mode",
        "path" : "Composition.section.mode",
        "short" : "working | snapshot | changes",
        "definition" : "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.",
        "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.",
        "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.mode",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionMode"
            }
          ],
          "strength" : "required",
          "description" : "The processing mode that applies to this section.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAlert.orderedBy",
        "path" : "Composition.section.orderedBy",
        "short" : "Order of section entries",
        "definition" : "Specifies the order applied to the items in the section entries.",
        "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
        "requirements" : "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.orderedBy",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEntryOrder"
            }
          ],
          "strength" : "preferred",
          "description" : "What order applies to the items in the entry.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-order"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAlert.entry",
        "extension" : [
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHOULD:able-to-populate"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Composition.section.entry",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "type",
              "path" : "resolve()"
            }
          ],
          "ordered" : false,
          "rules" : "open"
        },
        "short" : "Alerts",
        "definition" : "Alerts",
        "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.entry",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity" : "cda",
            "map" : ".entry"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAlert.entry:flag",
        "path" : "Composition.section.entry",
        "sliceName" : "flag",
        "short" : "Flags",
        "definition" : "Flags",
        "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.entry",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Flag"
            ]
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity" : "cda",
            "map" : ".entry"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAlert.emptyReason",
        "path" : "Composition.section.emptyReason",
        "short" : "Why the section is empty",
        "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
        "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
        "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.emptyReason",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEmptyReason"
            }
          ],
          "strength" : "preferred",
          "description" : "If a section is empty, why it is empty.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAlert.section",
        "path" : "Composition.section.section",
        "short" : "Nested Section",
        "definition" : "A nested sub-section within this section.",
        "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.section",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPayers",
        "path" : "Composition.section",
        "sliceName" : "sectionPayers",
        "short" : "Health insurance and payment information.",
        "definition" : "This section includes heath insurance and payment information.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "constraint" : [
          {
            "key" : "cmp-1",
            "severity" : "error",
            "human" : "A section must contain at least one of text, entries, or sub-sections",
            "expression" : "text.exists() or entry.exists() or section.exists()",
            "xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "cmp-2",
            "severity" : "error",
            "human" : "A section can only have an emptyReason if it is empty",
            "expression" : "emptyReason.empty() or entry.empty()",
            "xpath" : "not(exists(f:emptyReason) and exists(f:entry))",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.structuredBody.component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPayers.id",
        "path" : "Composition.section.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "Unique id for inter-element referencing",
        "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "string"
              }
            ],
            "code" : "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPayers.extension",
        "path" : "Composition.section.extension",
        "short" : "Additional content defined by implementations",
        "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPayers.modifierExtension",
        "path" : "Composition.section.modifierExtension",
        "short" : "Extensions that cannot be ignored even if unrecognized",
        "definition" : "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment" : "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.",
        "requirements" : "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/R4/extensibility.html#modifierExtension).",
        "alias" : [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "BackboneElement.modifierExtension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPayers.title",
        "path" : "Composition.section.title",
        "short" : "Label for section (e.g. for ToC)",
        "definition" : "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.",
        "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
        "requirements" : "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
        "alias" : [
          "header",
          "label",
          "caption"
        ],
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.title",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./title"
          },
          {
            "identity" : "cda",
            "map" : ".title"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPayers.code",
        "path" : "Composition.section.code",
        "short" : "Classification of section (recommended)",
        "definition" : "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
        "comment" : "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.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
        "requirements" : "Provides computable standardized labels to topics within the document.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.code",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept",
            "profile" : [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
            ]
          }
        ],
        "patternCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "48768-6"
            }
          ]
        },
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CompositionSectionType"
            }
          ],
          "strength" : "example",
          "description" : "Classification of a section of a composition/document.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./code"
          },
          {
            "identity" : "cda",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPayers.author",
        "path" : "Composition.section.author",
        "short" : "Who and/or what authored the section",
        "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.",
        "requirements" : "Identifies who is responsible for the content.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.author",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
              "http://hl7.org/fhir/StructureDefinition/Device",
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"
          },
          {
            "identity" : "cda",
            "map" : ".author.assignedAuthor"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPayers.focus",
        "path" : "Composition.section.focus",
        "short" : "Who/what the section is about, when it is not about the subject of composition",
        "definition" : "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).",
        "comment" : "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.focus",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "cda",
            "map" : ".subject? (CDA did not differentiate between subject and focus)"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPayers.text",
        "path" : "Composition.section.text",
        "short" : "Text summary of the section, for human interpretation",
        "definition" : "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.",
        "comment" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Narrative"
          }
        ],
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".text"
          },
          {
            "identity" : "cda",
            "map" : ".text"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPayers.mode",
        "path" : "Composition.section.mode",
        "short" : "working | snapshot | changes",
        "definition" : "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.",
        "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.",
        "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.mode",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionMode"
            }
          ],
          "strength" : "required",
          "description" : "The processing mode that applies to this section.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPayers.orderedBy",
        "path" : "Composition.section.orderedBy",
        "short" : "Order of section entries",
        "definition" : "Specifies the order applied to the items in the section entries.",
        "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
        "requirements" : "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.orderedBy",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEntryOrder"
            }
          ],
          "strength" : "preferred",
          "description" : "What order applies to the items in the entry.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-order"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPayers.entry",
        "path" : "Composition.section.entry",
        "short" : "A reference to data that supports this section",
        "definition" : "A reference to the actual resource from which the narrative in the section is derived.",
        "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.entry",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Coverage"
            ]
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity" : "cda",
            "map" : ".entry"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPayers.emptyReason",
        "path" : "Composition.section.emptyReason",
        "short" : "Why the section is empty",
        "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
        "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
        "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.emptyReason",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEmptyReason"
            }
          ],
          "strength" : "preferred",
          "description" : "If a section is empty, why it is empty.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPayers.section",
        "path" : "Composition.section.section",
        "short" : "Nested Section",
        "definition" : "A nested sub-section within this section.",
        "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.section",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPatientHx",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Section"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHOULD:able-to-populate"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Composition.section",
        "sliceName" : "sectionPatientHx",
        "short" : "Patient history Section",
        "definition" : "This Section describes all aspects of the medical history of the patient even if not pertinent to the current procedure, and may include chief complaint, past medical history, social history, family history, surgical or procedure history, medication history, and other history information. The history may be limited to information pertinent to the current procedure or may be more comprehensive. The history may be reported as a collection of random clinical statements or it may be reported categorically. Categorical report formats may be divided into multiple subsections including Past Medical History, Social History.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "constraint" : [
          {
            "key" : "cmp-1",
            "severity" : "error",
            "human" : "A section must contain at least one of text, entries, or sub-sections",
            "expression" : "text.exists() or entry.exists() or section.exists()",
            "xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "cmp-2",
            "severity" : "error",
            "human" : "A section can only have an emptyReason if it is empty",
            "expression" : "emptyReason.empty() or entry.empty()",
            "xpath" : "not(exists(f:emptyReason) and exists(f:entry))",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.structuredBody.component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPatientHx.id",
        "path" : "Composition.section.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "Unique id for inter-element referencing",
        "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "string"
              }
            ],
            "code" : "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPatientHx.extension",
        "path" : "Composition.section.extension",
        "short" : "Additional content defined by implementations",
        "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPatientHx.modifierExtension",
        "path" : "Composition.section.modifierExtension",
        "short" : "Extensions that cannot be ignored even if unrecognized",
        "definition" : "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment" : "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.",
        "requirements" : "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/R4/extensibility.html#modifierExtension).",
        "alias" : [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "BackboneElement.modifierExtension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPatientHx.title",
        "path" : "Composition.section.title",
        "short" : "Label for section (e.g. for ToC)",
        "definition" : "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.",
        "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
        "requirements" : "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
        "alias" : [
          "header",
          "label",
          "caption"
        ],
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.title",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./title"
          },
          {
            "identity" : "cda",
            "map" : ".title"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPatientHx.code",
        "path" : "Composition.section.code",
        "short" : "Classification of section (recommended)",
        "definition" : "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
        "comment" : "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.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
        "requirements" : "Provides computable standardized labels to topics within the document.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.code",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept",
            "profile" : [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
            ]
          }
        ],
        "patternCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "35090-0"
            }
          ]
        },
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CompositionSectionType"
            }
          ],
          "strength" : "example",
          "description" : "Classification of a section of a composition/document.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./code"
          },
          {
            "identity" : "cda",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPatientHx.author",
        "path" : "Composition.section.author",
        "short" : "Who and/or what authored the section",
        "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.",
        "requirements" : "Identifies who is responsible for the content.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.author",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
              "http://hl7.org/fhir/StructureDefinition/Device",
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"
          },
          {
            "identity" : "cda",
            "map" : ".author.assignedAuthor"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPatientHx.focus",
        "path" : "Composition.section.focus",
        "short" : "Who/what the section is about, when it is not about the subject of composition",
        "definition" : "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).",
        "comment" : "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.focus",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "cda",
            "map" : ".subject? (CDA did not differentiate between subject and focus)"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPatientHx.text",
        "path" : "Composition.section.text",
        "short" : "Text summary of the section, for human interpretation",
        "definition" : "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.",
        "comment" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Narrative"
          }
        ],
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".text"
          },
          {
            "identity" : "cda",
            "map" : ".text"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPatientHx.mode",
        "path" : "Composition.section.mode",
        "short" : "working | snapshot | changes",
        "definition" : "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.",
        "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.",
        "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.mode",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionMode"
            }
          ],
          "strength" : "required",
          "description" : "The processing mode that applies to this section.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPatientHx.orderedBy",
        "path" : "Composition.section.orderedBy",
        "short" : "Order of section entries",
        "definition" : "Specifies the order applied to the items in the section entries.",
        "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
        "requirements" : "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.orderedBy",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEntryOrder"
            }
          ],
          "strength" : "preferred",
          "description" : "What order applies to the items in the entry.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-order"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPatientHx.entry",
        "path" : "Composition.section.entry",
        "short" : "A reference to data that supports this section",
        "definition" : "A reference to the actual resource from which the narrative in the section is derived.",
        "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.entry",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity" : "cda",
            "map" : ".entry"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPatientHx.emptyReason",
        "path" : "Composition.section.emptyReason",
        "short" : "Why the section is empty",
        "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
        "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
        "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.emptyReason",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEmptyReason"
            }
          ],
          "strength" : "preferred",
          "description" : "If a section is empty, why it is empty.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPatientHx.section",
        "path" : "Composition.section.section",
        "short" : "Nested Section",
        "definition" : "A nested sub-section within this section.",
        "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.section",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionProblemList",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Section"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "MAY:able-to-populate"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Composition.section",
        "sliceName" : "sectionProblemList",
        "short" : "Problem List Section",
        "definition" : "The IPS derived problem section lists and describes clinical problems or conditions currently being monitored for the patient.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "constraint" : [
          {
            "key" : "cmp-1",
            "severity" : "error",
            "human" : "A section must contain at least one of text, entries, or sub-sections",
            "expression" : "text.exists() or entry.exists() or section.exists()",
            "xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "cmp-2",
            "severity" : "error",
            "human" : "A section can only have an emptyReason if it is empty",
            "expression" : "emptyReason.empty() or entry.empty()",
            "xpath" : "not(exists(f:emptyReason) and exists(f:entry))",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.structuredBody.component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionProblemList.id",
        "path" : "Composition.section.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "Unique id for inter-element referencing",
        "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "string"
              }
            ],
            "code" : "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionProblemList.extension",
        "path" : "Composition.section.extension",
        "short" : "Additional content defined by implementations",
        "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionProblemList.modifierExtension",
        "path" : "Composition.section.modifierExtension",
        "short" : "Extensions that cannot be ignored even if unrecognized",
        "definition" : "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment" : "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.",
        "requirements" : "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/R4/extensibility.html#modifierExtension).",
        "alias" : [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "BackboneElement.modifierExtension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionProblemList.title",
        "path" : "Composition.section.title",
        "short" : "Label for section (e.g. for ToC)",
        "definition" : "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.",
        "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
        "requirements" : "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
        "alias" : [
          "header",
          "label",
          "caption"
        ],
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.title",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./title"
          },
          {
            "identity" : "cda",
            "map" : ".title"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionProblemList.code",
        "path" : "Composition.section.code",
        "short" : "Classification of section (recommended)",
        "definition" : "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
        "comment" : "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.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
        "requirements" : "Provides computable standardized labels to topics within the document.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.code",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept",
            "profile" : [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
            ]
          }
        ],
        "patternCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "11450-4"
            }
          ]
        },
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CompositionSectionType"
            }
          ],
          "strength" : "example",
          "description" : "Classification of a section of a composition/document.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./code"
          },
          {
            "identity" : "cda",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionProblemList.author",
        "path" : "Composition.section.author",
        "short" : "Who and/or what authored the section",
        "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.",
        "requirements" : "Identifies who is responsible for the content.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.author",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
              "http://hl7.org/fhir/StructureDefinition/Device",
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"
          },
          {
            "identity" : "cda",
            "map" : ".author.assignedAuthor"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionProblemList.focus",
        "path" : "Composition.section.focus",
        "short" : "Who/what the section is about, when it is not about the subject of composition",
        "definition" : "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).",
        "comment" : "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.focus",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "cda",
            "map" : ".subject? (CDA did not differentiate between subject and focus)"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionProblemList.text",
        "path" : "Composition.section.text",
        "short" : "Text summary of the section, for human interpretation",
        "definition" : "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.",
        "comment" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Narrative"
          }
        ],
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".text"
          },
          {
            "identity" : "cda",
            "map" : ".text"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionProblemList.mode",
        "path" : "Composition.section.mode",
        "short" : "working | snapshot | changes",
        "definition" : "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.",
        "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.",
        "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.mode",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionMode"
            }
          ],
          "strength" : "required",
          "description" : "The processing mode that applies to this section.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionProblemList.orderedBy",
        "path" : "Composition.section.orderedBy",
        "short" : "Order of section entries",
        "definition" : "Specifies the order applied to the items in the section entries.",
        "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
        "requirements" : "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.orderedBy",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEntryOrder"
            }
          ],
          "strength" : "preferred",
          "description" : "What order applies to the items in the entry.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-order"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionProblemList.entry",
        "path" : "Composition.section.entry",
        "short" : "Conditions the patient suffered in the past.",
        "definition" : "It contains a description of the conditions the patient suffered in the past.",
        "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.entry",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.eu/fhir/hdr/StructureDefinition/condition-eu-hdr"
            ]
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity" : "cda",
            "map" : ".entry"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionProblemList.emptyReason",
        "path" : "Composition.section.emptyReason",
        "short" : "Why the section is empty",
        "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
        "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
        "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.emptyReason",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEmptyReason"
            }
          ],
          "strength" : "preferred",
          "description" : "If a section is empty, why it is empty.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionProblemList.section",
        "path" : "Composition.section.section",
        "short" : "Nested Section",
        "definition" : "A nested sub-section within this section.",
        "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.section",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPastIllnessHx",
        "path" : "Composition.section",
        "sliceName" : "sectionPastIllnessHx",
        "short" : "History of Past Illness Section",
        "definition" : "The History of Past Illness section contains a narrative description and coded entries of the conditions the patient suffered in the past",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "constraint" : [
          {
            "key" : "cmp-1",
            "severity" : "error",
            "human" : "A section must contain at least one of text, entries, or sub-sections",
            "expression" : "text.exists() or entry.exists() or section.exists()",
            "xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "cmp-2",
            "severity" : "error",
            "human" : "A section can only have an emptyReason if it is empty",
            "expression" : "emptyReason.empty() or entry.empty()",
            "xpath" : "not(exists(f:emptyReason) and exists(f:entry))",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.structuredBody.component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPastIllnessHx.id",
        "path" : "Composition.section.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "Unique id for inter-element referencing",
        "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "string"
              }
            ],
            "code" : "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPastIllnessHx.extension",
        "path" : "Composition.section.extension",
        "short" : "Additional content defined by implementations",
        "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPastIllnessHx.modifierExtension",
        "path" : "Composition.section.modifierExtension",
        "short" : "Extensions that cannot be ignored even if unrecognized",
        "definition" : "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment" : "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.",
        "requirements" : "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/R4/extensibility.html#modifierExtension).",
        "alias" : [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "BackboneElement.modifierExtension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPastIllnessHx.title",
        "path" : "Composition.section.title",
        "short" : "Label for section (e.g. for ToC)",
        "definition" : "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.",
        "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
        "requirements" : "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
        "alias" : [
          "header",
          "label",
          "caption"
        ],
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.title",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./title"
          },
          {
            "identity" : "cda",
            "map" : ".title"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPastIllnessHx.code",
        "path" : "Composition.section.code",
        "short" : "Classification of section (recommended)",
        "definition" : "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
        "comment" : "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.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
        "requirements" : "Provides computable standardized labels to topics within the document.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.code",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept",
            "profile" : [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
            ]
          }
        ],
        "patternCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "11348-0"
            }
          ]
        },
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CompositionSectionType"
            }
          ],
          "strength" : "example",
          "description" : "Classification of a section of a composition/document.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./code"
          },
          {
            "identity" : "cda",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPastIllnessHx.author",
        "path" : "Composition.section.author",
        "short" : "Who and/or what authored the section",
        "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.",
        "requirements" : "Identifies who is responsible for the content.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.author",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
              "http://hl7.org/fhir/StructureDefinition/Device",
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"
          },
          {
            "identity" : "cda",
            "map" : ".author.assignedAuthor"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPastIllnessHx.focus",
        "path" : "Composition.section.focus",
        "short" : "Who/what the section is about, when it is not about the subject of composition",
        "definition" : "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).",
        "comment" : "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.focus",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "cda",
            "map" : ".subject? (CDA did not differentiate between subject and focus)"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPastIllnessHx.text",
        "path" : "Composition.section.text",
        "short" : "Text summary of the section, for human interpretation",
        "definition" : "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.",
        "comment" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Narrative"
          }
        ],
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".text"
          },
          {
            "identity" : "cda",
            "map" : ".text"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPastIllnessHx.mode",
        "path" : "Composition.section.mode",
        "short" : "working | snapshot | changes",
        "definition" : "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.",
        "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.",
        "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.mode",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionMode"
            }
          ],
          "strength" : "required",
          "description" : "The processing mode that applies to this section.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPastIllnessHx.orderedBy",
        "path" : "Composition.section.orderedBy",
        "short" : "Order of section entries",
        "definition" : "Specifies the order applied to the items in the section entries.",
        "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
        "requirements" : "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.orderedBy",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEntryOrder"
            }
          ],
          "strength" : "preferred",
          "description" : "What order applies to the items in the entry.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-order"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPastIllnessHx.entry",
        "path" : "Composition.section.entry",
        "short" : "Conditions the patient suffered in the past.",
        "definition" : "It contains a description of the conditions the patient suffered in the past.",
        "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.entry",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.eu/fhir/hdr/StructureDefinition/condition-eu-hdr"
            ]
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity" : "cda",
            "map" : ".entry"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPastIllnessHx.emptyReason",
        "path" : "Composition.section.emptyReason",
        "short" : "Why the section is empty",
        "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
        "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
        "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.emptyReason",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEmptyReason"
            }
          ],
          "strength" : "preferred",
          "description" : "If a section is empty, why it is empty.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionPastIllnessHx.section",
        "path" : "Composition.section.section",
        "short" : "Nested Section",
        "definition" : "A nested sub-section within this section.",
        "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.section",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionHistoryMedicalDevices",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Section"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "MAY:able-to-populate"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Composition.section",
        "sliceName" : "sectionHistoryMedicalDevices",
        "short" : "History of Medical devices and implants",
        "definition" : "The medical devices section contains narrative text and coded entries describing the patient history of medical device use.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "constraint" : [
          {
            "key" : "cmp-1",
            "severity" : "error",
            "human" : "A section must contain at least one of text, entries, or sub-sections",
            "expression" : "text.exists() or entry.exists() or section.exists()",
            "xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "cmp-2",
            "severity" : "error",
            "human" : "A section can only have an emptyReason if it is empty",
            "expression" : "emptyReason.empty() or entry.empty()",
            "xpath" : "not(exists(f:emptyReason) and exists(f:entry))",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.structuredBody.component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionHistoryMedicalDevices.id",
        "path" : "Composition.section.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "Unique id for inter-element referencing",
        "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "string"
              }
            ],
            "code" : "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionHistoryMedicalDevices.extension",
        "path" : "Composition.section.extension",
        "short" : "Additional content defined by implementations",
        "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionHistoryMedicalDevices.modifierExtension",
        "path" : "Composition.section.modifierExtension",
        "short" : "Extensions that cannot be ignored even if unrecognized",
        "definition" : "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment" : "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.",
        "requirements" : "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/R4/extensibility.html#modifierExtension).",
        "alias" : [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "BackboneElement.modifierExtension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionHistoryMedicalDevices.title",
        "path" : "Composition.section.title",
        "short" : "Label for section (e.g. for ToC)",
        "definition" : "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.",
        "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
        "requirements" : "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
        "alias" : [
          "header",
          "label",
          "caption"
        ],
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.title",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./title"
          },
          {
            "identity" : "cda",
            "map" : ".title"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionHistoryMedicalDevices.code",
        "path" : "Composition.section.code",
        "short" : "Classification of section (recommended)",
        "definition" : "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
        "comment" : "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.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
        "requirements" : "Provides computable standardized labels to topics within the document.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.code",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept",
            "profile" : [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
            ]
          }
        ],
        "patternCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "46264-8"
            }
          ]
        },
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CompositionSectionType"
            }
          ],
          "strength" : "example",
          "description" : "Classification of a section of a composition/document.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./code"
          },
          {
            "identity" : "cda",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionHistoryMedicalDevices.author",
        "path" : "Composition.section.author",
        "short" : "Who and/or what authored the section",
        "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.",
        "requirements" : "Identifies who is responsible for the content.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.author",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
              "http://hl7.org/fhir/StructureDefinition/Device",
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"
          },
          {
            "identity" : "cda",
            "map" : ".author.assignedAuthor"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionHistoryMedicalDevices.focus",
        "path" : "Composition.section.focus",
        "short" : "Who/what the section is about, when it is not about the subject of composition",
        "definition" : "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).",
        "comment" : "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.focus",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "cda",
            "map" : ".subject? (CDA did not differentiate between subject and focus)"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionHistoryMedicalDevices.text",
        "path" : "Composition.section.text",
        "short" : "Text summary of the section, for human interpretation",
        "definition" : "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.",
        "comment" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Narrative"
          }
        ],
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".text"
          },
          {
            "identity" : "cda",
            "map" : ".text"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionHistoryMedicalDevices.mode",
        "path" : "Composition.section.mode",
        "short" : "working | snapshot | changes",
        "definition" : "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.",
        "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.",
        "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.mode",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionMode"
            }
          ],
          "strength" : "required",
          "description" : "The processing mode that applies to this section.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionHistoryMedicalDevices.orderedBy",
        "path" : "Composition.section.orderedBy",
        "short" : "Order of section entries",
        "definition" : "Specifies the order applied to the items in the section entries.",
        "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
        "requirements" : "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.orderedBy",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEntryOrder"
            }
          ],
          "strength" : "preferred",
          "description" : "What order applies to the items in the entry.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-order"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionHistoryMedicalDevices.entry",
        "path" : "Composition.section.entry",
        "short" : "A reference to data that supports this section",
        "definition" : "A reference to the actual resource from which the narrative in the section is derived.",
        "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.entry",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.eu/fhir/hdr/StructureDefinition/deviceUseStatement-eu-hdr",
              "http://hl7.eu/fhir/hdr/StructureDefinition/procedure-eu-hdr"
            ]
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity" : "cda",
            "map" : ".entry"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionHistoryMedicalDevices.emptyReason",
        "path" : "Composition.section.emptyReason",
        "short" : "Why the section is empty",
        "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
        "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
        "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.emptyReason",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEmptyReason"
            }
          ],
          "strength" : "preferred",
          "description" : "If a section is empty, why it is empty.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionHistoryMedicalDevices.section",
        "path" : "Composition.section.section",
        "short" : "Nested Section",
        "definition" : "A nested sub-section within this section.",
        "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
        "min" : 0,
        "max" : "0",
        "base" : {
          "path" : "Composition.section.section",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionProceduresHx",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Section"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "MAY:able-to-populate"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Composition.section",
        "sliceName" : "sectionProceduresHx",
        "short" : "History of Procedures Section",
        "definition" : "The History of Procedures Section contains a description of the patient past procedures that are pertinent to the scope of this document.\r\nProcedures may refer for example to:\r\n1. Invasive Diagnostic procedure:e.g. Cardiac catheterization; (the results of these procedure are documented in the results section)\r\n2. Therapeutic procedure: e.g. dialysis;\r\n3. Surgical procedure: e.g. appendectomy",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "constraint" : [
          {
            "key" : "cmp-1",
            "severity" : "error",
            "human" : "A section must contain at least one of text, entries, or sub-sections",
            "expression" : "text.exists() or entry.exists() or section.exists()",
            "xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "cmp-2",
            "severity" : "error",
            "human" : "A section can only have an emptyReason if it is empty",
            "expression" : "emptyReason.empty() or entry.empty()",
            "xpath" : "not(exists(f:emptyReason) and exists(f:entry))",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.structuredBody.component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionProceduresHx.id",
        "path" : "Composition.section.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "Unique id for inter-element referencing",
        "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "string"
              }
            ],
            "code" : "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionProceduresHx.extension",
        "path" : "Composition.section.extension",
        "short" : "Additional content defined by implementations",
        "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionProceduresHx.modifierExtension",
        "path" : "Composition.section.modifierExtension",
        "short" : "Extensions that cannot be ignored even if unrecognized",
        "definition" : "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment" : "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.",
        "requirements" : "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/R4/extensibility.html#modifierExtension).",
        "alias" : [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "BackboneElement.modifierExtension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionProceduresHx.title",
        "path" : "Composition.section.title",
        "short" : "Label for section (e.g. for ToC)",
        "definition" : "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.",
        "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
        "requirements" : "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
        "alias" : [
          "header",
          "label",
          "caption"
        ],
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.title",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./title"
          },
          {
            "identity" : "cda",
            "map" : ".title"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionProceduresHx.code",
        "path" : "Composition.section.code",
        "short" : "Classification of section (recommended)",
        "definition" : "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
        "comment" : "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.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
        "requirements" : "Provides computable standardized labels to topics within the document.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.code",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept",
            "profile" : [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
            ]
          }
        ],
        "patternCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "47519-4",
              "display" : "History of Procedures Document"
            }
          ]
        },
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CompositionSectionType"
            }
          ],
          "strength" : "example",
          "description" : "Classification of a section of a composition/document.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./code"
          },
          {
            "identity" : "cda",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionProceduresHx.author",
        "path" : "Composition.section.author",
        "short" : "Who and/or what authored the section",
        "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.",
        "requirements" : "Identifies who is responsible for the content.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.author",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
              "http://hl7.org/fhir/StructureDefinition/Device",
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"
          },
          {
            "identity" : "cda",
            "map" : ".author.assignedAuthor"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionProceduresHx.focus",
        "path" : "Composition.section.focus",
        "short" : "Who/what the section is about, when it is not about the subject of composition",
        "definition" : "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).",
        "comment" : "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.focus",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "cda",
            "map" : ".subject? (CDA did not differentiate between subject and focus)"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionProceduresHx.text",
        "path" : "Composition.section.text",
        "short" : "Text summary of the section, for human interpretation",
        "definition" : "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.",
        "comment" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Narrative"
          }
        ],
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".text"
          },
          {
            "identity" : "cda",
            "map" : ".text"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionProceduresHx.mode",
        "path" : "Composition.section.mode",
        "short" : "working | snapshot | changes",
        "definition" : "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.",
        "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.",
        "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.mode",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionMode"
            }
          ],
          "strength" : "required",
          "description" : "The processing mode that applies to this section.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionProceduresHx.orderedBy",
        "path" : "Composition.section.orderedBy",
        "short" : "Order of section entries",
        "definition" : "Specifies the order applied to the items in the section entries.",
        "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
        "requirements" : "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.orderedBy",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEntryOrder"
            }
          ],
          "strength" : "preferred",
          "description" : "What order applies to the items in the entry.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-order"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionProceduresHx.entry",
        "path" : "Composition.section.entry",
        "short" : "Patient past procedures pertinent to the scope of this document.",
        "definition" : "It lists the patient past procedures that are pertinent to the scope of this document.\r\nProcedures may refer for example to:\r\n1. Invasive Diagnostic procedure:e.g. Cardiac catheterization; (the results of these procedure are documented in the results section)\r\n2. Therapeutic procedure: e.g. dialysis;\r\n3. 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.",
        "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.entry",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.eu/fhir/hdr/StructureDefinition/procedure-eu-hdr"
            ]
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity" : "cda",
            "map" : ".entry"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionProceduresHx.emptyReason",
        "path" : "Composition.section.emptyReason",
        "short" : "Why the section is empty",
        "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
        "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
        "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.emptyReason",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEmptyReason"
            }
          ],
          "strength" : "preferred",
          "description" : "If a section is empty, why it is empty.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionProceduresHx.section",
        "path" : "Composition.section.section",
        "short" : "Nested Section",
        "definition" : "A nested sub-section within this section.",
        "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.section",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionImmunizations",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Section"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "MAY:able-to-populate"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Composition.section",
        "sliceName" : "sectionImmunizations",
        "short" : "Immunizations Section",
        "definition" : "The Immunizations Section defines a patient's current immunization status and pertinent immunization history.\r\nThe primary use case for the Immunization Section is to enable communication of a patient's immunization status.\r\nThe section includes current immunization status, and may contain the entire immunization history that is relevant to the period of time being summarized.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "constraint" : [
          {
            "key" : "cmp-1",
            "severity" : "error",
            "human" : "A section must contain at least one of text, entries, or sub-sections",
            "expression" : "text.exists() or entry.exists() or section.exists()",
            "xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "cmp-2",
            "severity" : "error",
            "human" : "A section can only have an emptyReason if it is empty",
            "expression" : "emptyReason.empty() or entry.empty()",
            "xpath" : "not(exists(f:emptyReason) and exists(f:entry))",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.structuredBody.component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionImmunizations.id",
        "path" : "Composition.section.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "Unique id for inter-element referencing",
        "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "string"
              }
            ],
            "code" : "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionImmunizations.extension",
        "path" : "Composition.section.extension",
        "short" : "Additional content defined by implementations",
        "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionImmunizations.modifierExtension",
        "path" : "Composition.section.modifierExtension",
        "short" : "Extensions that cannot be ignored even if unrecognized",
        "definition" : "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment" : "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.",
        "requirements" : "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/R4/extensibility.html#modifierExtension).",
        "alias" : [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "BackboneElement.modifierExtension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionImmunizations.title",
        "path" : "Composition.section.title",
        "short" : "Label for section (e.g. for ToC)",
        "definition" : "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.",
        "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
        "requirements" : "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
        "alias" : [
          "header",
          "label",
          "caption"
        ],
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.title",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./title"
          },
          {
            "identity" : "cda",
            "map" : ".title"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionImmunizations.code",
        "path" : "Composition.section.code",
        "short" : "Classification of section (recommended)",
        "definition" : "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
        "comment" : "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.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
        "requirements" : "Provides computable standardized labels to topics within the document.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.code",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept",
            "profile" : [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
            ]
          }
        ],
        "patternCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "11369-6"
            }
          ]
        },
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CompositionSectionType"
            }
          ],
          "strength" : "example",
          "description" : "Classification of a section of a composition/document.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./code"
          },
          {
            "identity" : "cda",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionImmunizations.author",
        "path" : "Composition.section.author",
        "short" : "Who and/or what authored the section",
        "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.",
        "requirements" : "Identifies who is responsible for the content.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.author",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
              "http://hl7.org/fhir/StructureDefinition/Device",
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"
          },
          {
            "identity" : "cda",
            "map" : ".author.assignedAuthor"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionImmunizations.focus",
        "path" : "Composition.section.focus",
        "short" : "Who/what the section is about, when it is not about the subject of composition",
        "definition" : "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).",
        "comment" : "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.focus",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "cda",
            "map" : ".subject? (CDA did not differentiate between subject and focus)"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionImmunizations.text",
        "path" : "Composition.section.text",
        "short" : "Text summary of the section, for human interpretation",
        "definition" : "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.",
        "comment" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Narrative"
          }
        ],
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".text"
          },
          {
            "identity" : "cda",
            "map" : ".text"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionImmunizations.mode",
        "path" : "Composition.section.mode",
        "short" : "working | snapshot | changes",
        "definition" : "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.",
        "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.",
        "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.mode",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionMode"
            }
          ],
          "strength" : "required",
          "description" : "The processing mode that applies to this section.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionImmunizations.orderedBy",
        "path" : "Composition.section.orderedBy",
        "short" : "Order of section entries",
        "definition" : "Specifies the order applied to the items in the section entries.",
        "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
        "requirements" : "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.orderedBy",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEntryOrder"
            }
          ],
          "strength" : "preferred",
          "description" : "What order applies to the items in the entry.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-order"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionImmunizations.entry",
        "path" : "Composition.section.entry",
        "short" : "A reference to data that supports this section",
        "definition" : "A reference to the actual resource from which the narrative in the section is derived.",
        "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.entry",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.eu/fhir/hdr/StructureDefinition/immunization-eu-hdr",
              "http://hl7.eu/fhir/hdr/StructureDefinition/immunizationRecommendation-eu-hdr",
              "http://hl7.org/fhir/StructureDefinition/DocumentReference"
            ]
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity" : "cda",
            "map" : ".entry"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionImmunizations.emptyReason",
        "path" : "Composition.section.emptyReason",
        "short" : "Why the section is empty",
        "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
        "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
        "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.emptyReason",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEmptyReason"
            }
          ],
          "strength" : "preferred",
          "description" : "If a section is empty, why it is empty.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionImmunizations.section",
        "path" : "Composition.section.section",
        "short" : "Nested Section",
        "definition" : "A nested sub-section within this section.",
        "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.section",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionInfectiousContacts",
        "path" : "Composition.section",
        "sliceName" : "sectionInfectiousContacts",
        "short" : "Infectious contacts",
        "definition" : "Infectious contacts of the patient",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "constraint" : [
          {
            "key" : "cmp-1",
            "severity" : "error",
            "human" : "A section must contain at least one of text, entries, or sub-sections",
            "expression" : "text.exists() or entry.exists() or section.exists()",
            "xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "cmp-2",
            "severity" : "error",
            "human" : "A section can only have an emptyReason if it is empty",
            "expression" : "emptyReason.empty() or entry.empty()",
            "xpath" : "not(exists(f:emptyReason) and exists(f:entry))",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.structuredBody.component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionInfectiousContacts.id",
        "path" : "Composition.section.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "Unique id for inter-element referencing",
        "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "string"
              }
            ],
            "code" : "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionInfectiousContacts.extension",
        "path" : "Composition.section.extension",
        "short" : "Additional content defined by implementations",
        "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionInfectiousContacts.modifierExtension",
        "path" : "Composition.section.modifierExtension",
        "short" : "Extensions that cannot be ignored even if unrecognized",
        "definition" : "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment" : "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.",
        "requirements" : "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/R4/extensibility.html#modifierExtension).",
        "alias" : [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "BackboneElement.modifierExtension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionInfectiousContacts.title",
        "path" : "Composition.section.title",
        "short" : "Label for section (e.g. for ToC)",
        "definition" : "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.",
        "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
        "requirements" : "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
        "alias" : [
          "header",
          "label",
          "caption"
        ],
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.title",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./title"
          },
          {
            "identity" : "cda",
            "map" : ".title"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionInfectiousContacts.code",
        "path" : "Composition.section.code",
        "short" : "Classification of section (recommended)",
        "definition" : "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
        "comment" : "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.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
        "requirements" : "Provides computable standardized labels to topics within the document.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.code",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept",
            "profile" : [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
            ]
          }
        ],
        "patternCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://hl7.eu/fhir/hdr/CodeSystem/temporarySystem-hdr-eu",
              "code" : "infection-contact"
            }
          ]
        },
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CompositionSectionType"
            }
          ],
          "strength" : "example",
          "description" : "Classification of a section of a composition/document.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./code"
          },
          {
            "identity" : "cda",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionInfectiousContacts.author",
        "path" : "Composition.section.author",
        "short" : "Who and/or what authored the section",
        "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.",
        "requirements" : "Identifies who is responsible for the content.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.author",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
              "http://hl7.org/fhir/StructureDefinition/Device",
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"
          },
          {
            "identity" : "cda",
            "map" : ".author.assignedAuthor"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionInfectiousContacts.focus",
        "path" : "Composition.section.focus",
        "short" : "Who/what the section is about, when it is not about the subject of composition",
        "definition" : "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).",
        "comment" : "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.focus",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "cda",
            "map" : ".subject? (CDA did not differentiate between subject and focus)"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionInfectiousContacts.text",
        "path" : "Composition.section.text",
        "short" : "Text summary of the section, for human interpretation",
        "definition" : "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.",
        "comment" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Narrative"
          }
        ],
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".text"
          },
          {
            "identity" : "cda",
            "map" : ".text"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionInfectiousContacts.mode",
        "path" : "Composition.section.mode",
        "short" : "working | snapshot | changes",
        "definition" : "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.",
        "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.",
        "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.mode",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionMode"
            }
          ],
          "strength" : "required",
          "description" : "The processing mode that applies to this section.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionInfectiousContacts.orderedBy",
        "path" : "Composition.section.orderedBy",
        "short" : "Order of section entries",
        "definition" : "Specifies the order applied to the items in the section entries.",
        "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
        "requirements" : "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.orderedBy",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEntryOrder"
            }
          ],
          "strength" : "preferred",
          "description" : "What order applies to the items in the entry.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-order"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionInfectiousContacts.entry",
        "path" : "Composition.section.entry",
        "short" : "Exposure to an infectious agent.",
        "definition" : "Information about a suspected infectious agent or agents the person was exposed to.",
        "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.entry",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.eu/fhir/hdr/StructureDefinition/observation-infectious-contact-eu-hdr"
            ]
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity" : "cda",
            "map" : ".entry"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionInfectiousContacts.emptyReason",
        "path" : "Composition.section.emptyReason",
        "short" : "Why the section is empty",
        "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
        "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
        "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.emptyReason",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEmptyReason"
            }
          ],
          "strength" : "preferred",
          "description" : "If a section is empty, why it is empty.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionInfectiousContacts.section",
        "path" : "Composition.section.section",
        "short" : "Nested Section",
        "definition" : "A nested sub-section within this section.",
        "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
        "min" : 0,
        "max" : "0",
        "base" : {
          "path" : "Composition.section.section",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionTravelHx",
        "path" : "Composition.section",
        "sliceName" : "sectionTravelHx",
        "short" : "Travel History Section",
        "definition" : "This Section describes the travel history relevant for the Patient Summary, e.g.recent travel in a region of high prevalence of a specific infectious disease like Malaria",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "constraint" : [
          {
            "key" : "cmp-1",
            "severity" : "error",
            "human" : "A section must contain at least one of text, entries, or sub-sections",
            "expression" : "text.exists() or entry.exists() or section.exists()",
            "xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "cmp-2",
            "severity" : "error",
            "human" : "A section can only have an emptyReason if it is empty",
            "expression" : "emptyReason.empty() or entry.empty()",
            "xpath" : "not(exists(f:emptyReason) and exists(f:entry))",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.structuredBody.component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionTravelHx.id",
        "path" : "Composition.section.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "Unique id for inter-element referencing",
        "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "string"
              }
            ],
            "code" : "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionTravelHx.extension",
        "path" : "Composition.section.extension",
        "short" : "Additional content defined by implementations",
        "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionTravelHx.modifierExtension",
        "path" : "Composition.section.modifierExtension",
        "short" : "Extensions that cannot be ignored even if unrecognized",
        "definition" : "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment" : "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.",
        "requirements" : "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/R4/extensibility.html#modifierExtension).",
        "alias" : [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "BackboneElement.modifierExtension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionTravelHx.title",
        "path" : "Composition.section.title",
        "short" : "Label for section (e.g. for ToC)",
        "definition" : "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.",
        "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
        "requirements" : "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
        "alias" : [
          "header",
          "label",
          "caption"
        ],
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.title",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./title"
          },
          {
            "identity" : "cda",
            "map" : ".title"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionTravelHx.code",
        "path" : "Composition.section.code",
        "short" : "Classification of section (recommended)",
        "definition" : "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
        "comment" : "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.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
        "requirements" : "Provides computable standardized labels to topics within the document.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.code",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept",
            "profile" : [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
            ]
          }
        ],
        "patternCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "10182-4"
            }
          ]
        },
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CompositionSectionType"
            }
          ],
          "strength" : "example",
          "description" : "Classification of a section of a composition/document.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./code"
          },
          {
            "identity" : "cda",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionTravelHx.author",
        "path" : "Composition.section.author",
        "short" : "Who and/or what authored the section",
        "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.",
        "requirements" : "Identifies who is responsible for the content.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.author",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
              "http://hl7.org/fhir/StructureDefinition/Device",
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"
          },
          {
            "identity" : "cda",
            "map" : ".author.assignedAuthor"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionTravelHx.focus",
        "path" : "Composition.section.focus",
        "short" : "Who/what the section is about, when it is not about the subject of composition",
        "definition" : "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).",
        "comment" : "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.focus",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "cda",
            "map" : ".subject? (CDA did not differentiate between subject and focus)"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionTravelHx.text",
        "path" : "Composition.section.text",
        "short" : "Text summary of the section, for human interpretation",
        "definition" : "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.",
        "comment" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Narrative"
          }
        ],
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".text"
          },
          {
            "identity" : "cda",
            "map" : ".text"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionTravelHx.mode",
        "path" : "Composition.section.mode",
        "short" : "working | snapshot | changes",
        "definition" : "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.",
        "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.",
        "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.mode",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionMode"
            }
          ],
          "strength" : "required",
          "description" : "The processing mode that applies to this section.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionTravelHx.orderedBy",
        "path" : "Composition.section.orderedBy",
        "short" : "Order of section entries",
        "definition" : "Specifies the order applied to the items in the section entries.",
        "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
        "requirements" : "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.orderedBy",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEntryOrder"
            }
          ],
          "strength" : "preferred",
          "description" : "What order applies to the items in the entry.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-order"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionTravelHx.entry",
        "path" : "Composition.section.entry",
        "short" : "A reference to data that supports this section",
        "definition" : "A reference to the actual resource from which the narrative in the section is derived.",
        "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.entry",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.eu/fhir/hdr/StructureDefinition/observation-travel-eu-hdr"
            ]
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity" : "cda",
            "map" : ".entry"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionTravelHx.emptyReason",
        "path" : "Composition.section.emptyReason",
        "short" : "Why the section is empty",
        "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
        "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
        "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.emptyReason",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEmptyReason"
            }
          ],
          "strength" : "preferred",
          "description" : "If a section is empty, why it is empty.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionTravelHx.section",
        "path" : "Composition.section.section",
        "short" : "Nested Section",
        "definition" : "A nested sub-section within this section.",
        "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
        "min" : 0,
        "max" : "0",
        "base" : {
          "path" : "Composition.section.section",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionFamilyHistory",
        "path" : "Composition.section",
        "sliceName" : "sectionFamilyHistory",
        "short" : "Family History Section",
        "definition" : "This section contains data defining the patient’s genetic relatives in terms of possible or relevant health risk factors that have a potential impact on the patient’s healthcare risk profile.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "constraint" : [
          {
            "key" : "cmp-1",
            "severity" : "error",
            "human" : "A section must contain at least one of text, entries, or sub-sections",
            "expression" : "text.exists() or entry.exists() or section.exists()",
            "xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "cmp-2",
            "severity" : "error",
            "human" : "A section can only have an emptyReason if it is empty",
            "expression" : "emptyReason.empty() or entry.empty()",
            "xpath" : "not(exists(f:emptyReason) and exists(f:entry))",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.structuredBody.component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionFamilyHistory.id",
        "path" : "Composition.section.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "Unique id for inter-element referencing",
        "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "string"
              }
            ],
            "code" : "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionFamilyHistory.extension",
        "path" : "Composition.section.extension",
        "short" : "Additional content defined by implementations",
        "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionFamilyHistory.modifierExtension",
        "path" : "Composition.section.modifierExtension",
        "short" : "Extensions that cannot be ignored even if unrecognized",
        "definition" : "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment" : "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.",
        "requirements" : "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/R4/extensibility.html#modifierExtension).",
        "alias" : [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "BackboneElement.modifierExtension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionFamilyHistory.title",
        "path" : "Composition.section.title",
        "short" : "Label for section (e.g. for ToC)",
        "definition" : "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.",
        "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
        "requirements" : "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
        "alias" : [
          "header",
          "label",
          "caption"
        ],
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.title",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./title"
          },
          {
            "identity" : "cda",
            "map" : ".title"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionFamilyHistory.code",
        "path" : "Composition.section.code",
        "short" : "Classification of section (recommended)",
        "definition" : "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
        "comment" : "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.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
        "requirements" : "Provides computable standardized labels to topics within the document.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.code",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept",
            "profile" : [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
            ]
          }
        ],
        "patternCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "10157-6"
            }
          ]
        },
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CompositionSectionType"
            }
          ],
          "strength" : "example",
          "description" : "Classification of a section of a composition/document.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./code"
          },
          {
            "identity" : "cda",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionFamilyHistory.author",
        "path" : "Composition.section.author",
        "short" : "Who and/or what authored the section",
        "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.",
        "requirements" : "Identifies who is responsible for the content.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.author",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
              "http://hl7.org/fhir/StructureDefinition/Device",
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"
          },
          {
            "identity" : "cda",
            "map" : ".author.assignedAuthor"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionFamilyHistory.focus",
        "path" : "Composition.section.focus",
        "short" : "Who/what the section is about, when it is not about the subject of composition",
        "definition" : "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).",
        "comment" : "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.focus",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "cda",
            "map" : ".subject? (CDA did not differentiate between subject and focus)"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionFamilyHistory.text",
        "path" : "Composition.section.text",
        "short" : "Text summary of the section, for human interpretation",
        "definition" : "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.",
        "comment" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Narrative"
          }
        ],
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".text"
          },
          {
            "identity" : "cda",
            "map" : ".text"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionFamilyHistory.mode",
        "path" : "Composition.section.mode",
        "short" : "working | snapshot | changes",
        "definition" : "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.",
        "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.",
        "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.mode",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionMode"
            }
          ],
          "strength" : "required",
          "description" : "The processing mode that applies to this section.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionFamilyHistory.orderedBy",
        "path" : "Composition.section.orderedBy",
        "short" : "Order of section entries",
        "definition" : "Specifies the order applied to the items in the section entries.",
        "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
        "requirements" : "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.orderedBy",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEntryOrder"
            }
          ],
          "strength" : "preferred",
          "description" : "What order applies to the items in the entry.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-order"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionFamilyHistory.entry",
        "path" : "Composition.section.entry",
        "short" : "Family History",
        "definition" : "Family History",
        "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.entry",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.eu/fhir/hdr/StructureDefinition/familyMemberHistory-eu-hdr",
              "http://hl7.org/fhir/StructureDefinition/DocumentReference"
            ]
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity" : "cda",
            "map" : ".entry"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionFamilyHistory.emptyReason",
        "path" : "Composition.section.emptyReason",
        "short" : "Why the section is empty",
        "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
        "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
        "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.emptyReason",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEmptyReason"
            }
          ],
          "strength" : "preferred",
          "description" : "If a section is empty, why it is empty.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionFamilyHistory.section",
        "path" : "Composition.section.section",
        "short" : "Nested Section",
        "definition" : "A nested sub-section within this section.",
        "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.section",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSocialHistory",
        "path" : "Composition.section",
        "sliceName" : "sectionSocialHistory",
        "short" : "Social History Section",
        "definition" : "The social history section contains a description of the person Health related lifestyle factors or lifestyle observations.   E.g. smoke habits; alcohol consumption; diets, risky habits.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "constraint" : [
          {
            "key" : "cmp-1",
            "severity" : "error",
            "human" : "A section must contain at least one of text, entries, or sub-sections",
            "expression" : "text.exists() or entry.exists() or section.exists()",
            "xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "cmp-2",
            "severity" : "error",
            "human" : "A section can only have an emptyReason if it is empty",
            "expression" : "emptyReason.empty() or entry.empty()",
            "xpath" : "not(exists(f:emptyReason) and exists(f:entry))",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.structuredBody.component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSocialHistory.id",
        "path" : "Composition.section.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "Unique id for inter-element referencing",
        "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "string"
              }
            ],
            "code" : "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSocialHistory.extension",
        "path" : "Composition.section.extension",
        "short" : "Additional content defined by implementations",
        "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSocialHistory.modifierExtension",
        "path" : "Composition.section.modifierExtension",
        "short" : "Extensions that cannot be ignored even if unrecognized",
        "definition" : "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment" : "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.",
        "requirements" : "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/R4/extensibility.html#modifierExtension).",
        "alias" : [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "BackboneElement.modifierExtension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSocialHistory.title",
        "path" : "Composition.section.title",
        "short" : "Label for section (e.g. for ToC)",
        "definition" : "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.",
        "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
        "requirements" : "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
        "alias" : [
          "header",
          "label",
          "caption"
        ],
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.title",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./title"
          },
          {
            "identity" : "cda",
            "map" : ".title"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSocialHistory.code",
        "path" : "Composition.section.code",
        "short" : "Classification of section (recommended)",
        "definition" : "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
        "comment" : "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.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
        "requirements" : "Provides computable standardized labels to topics within the document.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.code",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept",
            "profile" : [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
            ]
          }
        ],
        "patternCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "29762-2"
            }
          ]
        },
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CompositionSectionType"
            }
          ],
          "strength" : "example",
          "description" : "Classification of a section of a composition/document.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./code"
          },
          {
            "identity" : "cda",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSocialHistory.author",
        "path" : "Composition.section.author",
        "short" : "Who and/or what authored the section",
        "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.",
        "requirements" : "Identifies who is responsible for the content.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.author",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
              "http://hl7.org/fhir/StructureDefinition/Device",
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"
          },
          {
            "identity" : "cda",
            "map" : ".author.assignedAuthor"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSocialHistory.focus",
        "path" : "Composition.section.focus",
        "short" : "Who/what the section is about, when it is not about the subject of composition",
        "definition" : "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).",
        "comment" : "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.focus",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "cda",
            "map" : ".subject? (CDA did not differentiate between subject and focus)"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSocialHistory.text",
        "path" : "Composition.section.text",
        "short" : "Text summary of the section, for human interpretation",
        "definition" : "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.",
        "comment" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Narrative"
          }
        ],
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".text"
          },
          {
            "identity" : "cda",
            "map" : ".text"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSocialHistory.mode",
        "path" : "Composition.section.mode",
        "short" : "working | snapshot | changes",
        "definition" : "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.",
        "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.",
        "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.mode",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionMode"
            }
          ],
          "strength" : "required",
          "description" : "The processing mode that applies to this section.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSocialHistory.orderedBy",
        "path" : "Composition.section.orderedBy",
        "short" : "Order of section entries",
        "definition" : "Specifies the order applied to the items in the section entries.",
        "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
        "requirements" : "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.orderedBy",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEntryOrder"
            }
          ],
          "strength" : "preferred",
          "description" : "What order applies to the items in the entry.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-order"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSocialHistory.entry",
        "path" : "Composition.section.entry",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "type",
              "path" : "resolve()"
            }
          ],
          "ordered" : false,
          "rules" : "open"
        },
        "short" : "Information about social determinants of health.",
        "definition" : "Information about social determinants of health.",
        "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.entry",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Observation",
              "http://hl7.org/fhir/StructureDefinition/DocumentReference",
              "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"
            ]
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity" : "cda",
            "map" : ".entry"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSocialHistory.entry:sdoh",
        "path" : "Composition.section.entry",
        "sliceName" : "sdoh",
        "short" : "SDOH entry",
        "definition" : "Social determinants of health entry",
        "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.entry",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.eu/fhir/hdr/StructureDefinition/observation-sdoh-eu-hdr"
            ]
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity" : "cda",
            "map" : ".entry"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSocialHistory.emptyReason",
        "path" : "Composition.section.emptyReason",
        "short" : "Why the section is empty",
        "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
        "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
        "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.emptyReason",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEmptyReason"
            }
          ],
          "strength" : "preferred",
          "description" : "If a section is empty, why it is empty.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSocialHistory.section",
        "path" : "Composition.section.section",
        "short" : "Nested Section",
        "definition" : "A nested sub-section within this section.",
        "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.section",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSubstanceUse",
        "path" : "Composition.section",
        "sliceName" : "sectionSubstanceUse",
        "short" : "Use of Substances Section",
        "definition" : "The Use of Substances Section contains a description of the use abuse of substances E.g. tobacco; alcohol; drugs",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "constraint" : [
          {
            "key" : "cmp-1",
            "severity" : "error",
            "human" : "A section must contain at least one of text, entries, or sub-sections",
            "expression" : "text.exists() or entry.exists() or section.exists()",
            "xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "cmp-2",
            "severity" : "error",
            "human" : "A section can only have an emptyReason if it is empty",
            "expression" : "emptyReason.empty() or entry.empty()",
            "xpath" : "not(exists(f:emptyReason) and exists(f:entry))",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.structuredBody.component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSubstanceUse.id",
        "path" : "Composition.section.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "Unique id for inter-element referencing",
        "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "string"
              }
            ],
            "code" : "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSubstanceUse.extension",
        "path" : "Composition.section.extension",
        "short" : "Additional content defined by implementations",
        "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSubstanceUse.modifierExtension",
        "path" : "Composition.section.modifierExtension",
        "short" : "Extensions that cannot be ignored even if unrecognized",
        "definition" : "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment" : "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.",
        "requirements" : "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/R4/extensibility.html#modifierExtension).",
        "alias" : [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "BackboneElement.modifierExtension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSubstanceUse.title",
        "path" : "Composition.section.title",
        "short" : "Label for section (e.g. for ToC)",
        "definition" : "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.",
        "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
        "requirements" : "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
        "alias" : [
          "header",
          "label",
          "caption"
        ],
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.title",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./title"
          },
          {
            "identity" : "cda",
            "map" : ".title"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSubstanceUse.code",
        "path" : "Composition.section.code",
        "short" : "Classification of section (recommended)",
        "definition" : "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
        "comment" : "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.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
        "requirements" : "Provides computable standardized labels to topics within the document.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.code",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept",
            "profile" : [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
            ]
          }
        ],
        "patternCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://hl7.eu/fhir/hdr/CodeSystem/temporarySystem-hdr-eu",
              "code" : "substance-use"
            }
          ]
        },
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CompositionSectionType"
            }
          ],
          "strength" : "example",
          "description" : "Classification of a section of a composition/document.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./code"
          },
          {
            "identity" : "cda",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSubstanceUse.author",
        "path" : "Composition.section.author",
        "short" : "Who and/or what authored the section",
        "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.",
        "requirements" : "Identifies who is responsible for the content.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.author",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
              "http://hl7.org/fhir/StructureDefinition/Device",
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"
          },
          {
            "identity" : "cda",
            "map" : ".author.assignedAuthor"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSubstanceUse.focus",
        "path" : "Composition.section.focus",
        "short" : "Who/what the section is about, when it is not about the subject of composition",
        "definition" : "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).",
        "comment" : "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.focus",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "cda",
            "map" : ".subject? (CDA did not differentiate between subject and focus)"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSubstanceUse.text",
        "path" : "Composition.section.text",
        "short" : "Text summary of the section, for human interpretation",
        "definition" : "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.",
        "comment" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Narrative"
          }
        ],
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".text"
          },
          {
            "identity" : "cda",
            "map" : ".text"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSubstanceUse.mode",
        "path" : "Composition.section.mode",
        "short" : "working | snapshot | changes",
        "definition" : "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.",
        "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.",
        "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.mode",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionMode"
            }
          ],
          "strength" : "required",
          "description" : "The processing mode that applies to this section.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSubstanceUse.orderedBy",
        "path" : "Composition.section.orderedBy",
        "short" : "Order of section entries",
        "definition" : "Specifies the order applied to the items in the section entries.",
        "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
        "requirements" : "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.orderedBy",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEntryOrder"
            }
          ],
          "strength" : "preferred",
          "description" : "What order applies to the items in the entry.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-order"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSubstanceUse.entry",
        "path" : "Composition.section.entry",
        "short" : "A reference to data that supports this section",
        "definition" : "A reference to the actual resource from which the narrative in the section is derived.",
        "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.entry",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Observation"
            ]
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity" : "cda",
            "map" : ".entry"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSubstanceUse.emptyReason",
        "path" : "Composition.section.emptyReason",
        "short" : "Why the section is empty",
        "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
        "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
        "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.emptyReason",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEmptyReason"
            }
          ],
          "strength" : "preferred",
          "description" : "If a section is empty, why it is empty.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionSubstanceUse.section",
        "path" : "Composition.section.section",
        "short" : "Nested Section",
        "definition" : "A nested sub-section within this section.",
        "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.section",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAlcoholUse",
        "path" : "Composition.section",
        "sliceName" : "sectionAlcoholUse",
        "short" : "Alcohol use Section",
        "definition" : "The Alcohol use Section contains a description of the use abuse of alcohol",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "constraint" : [
          {
            "key" : "cmp-1",
            "severity" : "error",
            "human" : "A section must contain at least one of text, entries, or sub-sections",
            "expression" : "text.exists() or entry.exists() or section.exists()",
            "xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "cmp-2",
            "severity" : "error",
            "human" : "A section can only have an emptyReason if it is empty",
            "expression" : "emptyReason.empty() or entry.empty()",
            "xpath" : "not(exists(f:emptyReason) and exists(f:entry))",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.structuredBody.component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAlcoholUse.id",
        "path" : "Composition.section.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "Unique id for inter-element referencing",
        "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "string"
              }
            ],
            "code" : "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAlcoholUse.extension",
        "path" : "Composition.section.extension",
        "short" : "Additional content defined by implementations",
        "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAlcoholUse.modifierExtension",
        "path" : "Composition.section.modifierExtension",
        "short" : "Extensions that cannot be ignored even if unrecognized",
        "definition" : "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment" : "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.",
        "requirements" : "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/R4/extensibility.html#modifierExtension).",
        "alias" : [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "BackboneElement.modifierExtension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAlcoholUse.title",
        "path" : "Composition.section.title",
        "short" : "Label for section (e.g. for ToC)",
        "definition" : "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.",
        "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
        "requirements" : "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
        "alias" : [
          "header",
          "label",
          "caption"
        ],
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.title",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./title"
          },
          {
            "identity" : "cda",
            "map" : ".title"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAlcoholUse.code",
        "path" : "Composition.section.code",
        "short" : "Classification of section (recommended)",
        "definition" : "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
        "comment" : "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.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
        "requirements" : "Provides computable standardized labels to topics within the document.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.code",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept",
            "profile" : [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
            ]
          }
        ],
        "patternCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "11331-6"
            }
          ]
        },
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CompositionSectionType"
            }
          ],
          "strength" : "example",
          "description" : "Classification of a section of a composition/document.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./code"
          },
          {
            "identity" : "cda",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAlcoholUse.author",
        "path" : "Composition.section.author",
        "short" : "Who and/or what authored the section",
        "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.",
        "requirements" : "Identifies who is responsible for the content.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.author",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
              "http://hl7.org/fhir/StructureDefinition/Device",
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"
          },
          {
            "identity" : "cda",
            "map" : ".author.assignedAuthor"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAlcoholUse.focus",
        "path" : "Composition.section.focus",
        "short" : "Who/what the section is about, when it is not about the subject of composition",
        "definition" : "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).",
        "comment" : "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.focus",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "cda",
            "map" : ".subject? (CDA did not differentiate between subject and focus)"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAlcoholUse.text",
        "path" : "Composition.section.text",
        "short" : "Text summary of the section, for human interpretation",
        "definition" : "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.",
        "comment" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Narrative"
          }
        ],
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".text"
          },
          {
            "identity" : "cda",
            "map" : ".text"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAlcoholUse.mode",
        "path" : "Composition.section.mode",
        "short" : "working | snapshot | changes",
        "definition" : "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.",
        "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.",
        "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.mode",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionMode"
            }
          ],
          "strength" : "required",
          "description" : "The processing mode that applies to this section.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAlcoholUse.orderedBy",
        "path" : "Composition.section.orderedBy",
        "short" : "Order of section entries",
        "definition" : "Specifies the order applied to the items in the section entries.",
        "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
        "requirements" : "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.orderedBy",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEntryOrder"
            }
          ],
          "strength" : "preferred",
          "description" : "What order applies to the items in the entry.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-order"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAlcoholUse.entry",
        "path" : "Composition.section.entry",
        "short" : "A reference to data that supports this section",
        "definition" : "A reference to the actual resource from which the narrative in the section is derived.",
        "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.entry",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Observation"
            ]
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity" : "cda",
            "map" : ".entry"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAlcoholUse.emptyReason",
        "path" : "Composition.section.emptyReason",
        "short" : "Why the section is empty",
        "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
        "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
        "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.emptyReason",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEmptyReason"
            }
          ],
          "strength" : "preferred",
          "description" : "If a section is empty, why it is empty.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAlcoholUse.section",
        "path" : "Composition.section.section",
        "short" : "Nested Section",
        "definition" : "A nested sub-section within this section.",
        "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.section",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionTobaccoUse",
        "path" : "Composition.section",
        "sliceName" : "sectionTobaccoUse",
        "short" : "Tobacco use Section",
        "definition" : "The Tobacco use Section contains a description of the use abuse of tobacco",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "constraint" : [
          {
            "key" : "cmp-1",
            "severity" : "error",
            "human" : "A section must contain at least one of text, entries, or sub-sections",
            "expression" : "text.exists() or entry.exists() or section.exists()",
            "xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "cmp-2",
            "severity" : "error",
            "human" : "A section can only have an emptyReason if it is empty",
            "expression" : "emptyReason.empty() or entry.empty()",
            "xpath" : "not(exists(f:emptyReason) and exists(f:entry))",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.structuredBody.component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionTobaccoUse.id",
        "path" : "Composition.section.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "Unique id for inter-element referencing",
        "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "string"
              }
            ],
            "code" : "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionTobaccoUse.extension",
        "path" : "Composition.section.extension",
        "short" : "Additional content defined by implementations",
        "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionTobaccoUse.modifierExtension",
        "path" : "Composition.section.modifierExtension",
        "short" : "Extensions that cannot be ignored even if unrecognized",
        "definition" : "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment" : "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.",
        "requirements" : "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/R4/extensibility.html#modifierExtension).",
        "alias" : [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "BackboneElement.modifierExtension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionTobaccoUse.title",
        "path" : "Composition.section.title",
        "short" : "Label for section (e.g. for ToC)",
        "definition" : "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.",
        "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
        "requirements" : "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
        "alias" : [
          "header",
          "label",
          "caption"
        ],
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.title",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./title"
          },
          {
            "identity" : "cda",
            "map" : ".title"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionTobaccoUse.code",
        "path" : "Composition.section.code",
        "short" : "Classification of section (recommended)",
        "definition" : "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
        "comment" : "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.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
        "requirements" : "Provides computable standardized labels to topics within the document.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.code",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept",
            "profile" : [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
            ]
          }
        ],
        "patternCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "11367-0"
            }
          ]
        },
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CompositionSectionType"
            }
          ],
          "strength" : "example",
          "description" : "Classification of a section of a composition/document.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./code"
          },
          {
            "identity" : "cda",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionTobaccoUse.author",
        "path" : "Composition.section.author",
        "short" : "Who and/or what authored the section",
        "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.",
        "requirements" : "Identifies who is responsible for the content.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.author",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
              "http://hl7.org/fhir/StructureDefinition/Device",
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"
          },
          {
            "identity" : "cda",
            "map" : ".author.assignedAuthor"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionTobaccoUse.focus",
        "path" : "Composition.section.focus",
        "short" : "Who/what the section is about, when it is not about the subject of composition",
        "definition" : "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).",
        "comment" : "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.focus",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "cda",
            "map" : ".subject? (CDA did not differentiate between subject and focus)"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionTobaccoUse.text",
        "path" : "Composition.section.text",
        "short" : "Text summary of the section, for human interpretation",
        "definition" : "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.",
        "comment" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Narrative"
          }
        ],
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".text"
          },
          {
            "identity" : "cda",
            "map" : ".text"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionTobaccoUse.mode",
        "path" : "Composition.section.mode",
        "short" : "working | snapshot | changes",
        "definition" : "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.",
        "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.",
        "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.mode",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionMode"
            }
          ],
          "strength" : "required",
          "description" : "The processing mode that applies to this section.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionTobaccoUse.orderedBy",
        "path" : "Composition.section.orderedBy",
        "short" : "Order of section entries",
        "definition" : "Specifies the order applied to the items in the section entries.",
        "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
        "requirements" : "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.orderedBy",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEntryOrder"
            }
          ],
          "strength" : "preferred",
          "description" : "What order applies to the items in the entry.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-order"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionTobaccoUse.entry",
        "path" : "Composition.section.entry",
        "short" : "A reference to data that supports this section",
        "definition" : "A reference to the actual resource from which the narrative in the section is derived.",
        "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.entry",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Observation"
            ]
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity" : "cda",
            "map" : ".entry"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionTobaccoUse.emptyReason",
        "path" : "Composition.section.emptyReason",
        "short" : "Why the section is empty",
        "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
        "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
        "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.emptyReason",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEmptyReason"
            }
          ],
          "strength" : "preferred",
          "description" : "If a section is empty, why it is empty.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionTobaccoUse.section",
        "path" : "Composition.section.section",
        "short" : "Nested Section",
        "definition" : "A nested sub-section within this section.",
        "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.section",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDrugUse",
        "path" : "Composition.section",
        "sliceName" : "sectionDrugUse",
        "short" : "Drug use Section",
        "definition" : "The Drug use Section contains a description of the use abuse of drugs",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "constraint" : [
          {
            "key" : "cmp-1",
            "severity" : "error",
            "human" : "A section must contain at least one of text, entries, or sub-sections",
            "expression" : "text.exists() or entry.exists() or section.exists()",
            "xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "cmp-2",
            "severity" : "error",
            "human" : "A section can only have an emptyReason if it is empty",
            "expression" : "emptyReason.empty() or entry.empty()",
            "xpath" : "not(exists(f:emptyReason) and exists(f:entry))",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.structuredBody.component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDrugUse.id",
        "path" : "Composition.section.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "Unique id for inter-element referencing",
        "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "string"
              }
            ],
            "code" : "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDrugUse.extension",
        "path" : "Composition.section.extension",
        "short" : "Additional content defined by implementations",
        "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDrugUse.modifierExtension",
        "path" : "Composition.section.modifierExtension",
        "short" : "Extensions that cannot be ignored even if unrecognized",
        "definition" : "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment" : "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.",
        "requirements" : "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/R4/extensibility.html#modifierExtension).",
        "alias" : [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "BackboneElement.modifierExtension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDrugUse.title",
        "path" : "Composition.section.title",
        "short" : "Label for section (e.g. for ToC)",
        "definition" : "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.",
        "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
        "requirements" : "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
        "alias" : [
          "header",
          "label",
          "caption"
        ],
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.title",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./title"
          },
          {
            "identity" : "cda",
            "map" : ".title"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDrugUse.code",
        "path" : "Composition.section.code",
        "short" : "Classification of section (recommended)",
        "definition" : "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
        "comment" : "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.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
        "requirements" : "Provides computable standardized labels to topics within the document.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.code",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept",
            "profile" : [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
            ]
          }
        ],
        "patternCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "11343-1"
            }
          ]
        },
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CompositionSectionType"
            }
          ],
          "strength" : "example",
          "description" : "Classification of a section of a composition/document.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./code"
          },
          {
            "identity" : "cda",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDrugUse.author",
        "path" : "Composition.section.author",
        "short" : "Who and/or what authored the section",
        "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.",
        "requirements" : "Identifies who is responsible for the content.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.author",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
              "http://hl7.org/fhir/StructureDefinition/Device",
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"
          },
          {
            "identity" : "cda",
            "map" : ".author.assignedAuthor"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDrugUse.focus",
        "path" : "Composition.section.focus",
        "short" : "Who/what the section is about, when it is not about the subject of composition",
        "definition" : "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).",
        "comment" : "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.focus",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "cda",
            "map" : ".subject? (CDA did not differentiate between subject and focus)"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDrugUse.text",
        "path" : "Composition.section.text",
        "short" : "Text summary of the section, for human interpretation",
        "definition" : "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.",
        "comment" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Narrative"
          }
        ],
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".text"
          },
          {
            "identity" : "cda",
            "map" : ".text"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDrugUse.mode",
        "path" : "Composition.section.mode",
        "short" : "working | snapshot | changes",
        "definition" : "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.",
        "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.",
        "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.mode",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionMode"
            }
          ],
          "strength" : "required",
          "description" : "The processing mode that applies to this section.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDrugUse.orderedBy",
        "path" : "Composition.section.orderedBy",
        "short" : "Order of section entries",
        "definition" : "Specifies the order applied to the items in the section entries.",
        "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
        "requirements" : "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.orderedBy",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEntryOrder"
            }
          ],
          "strength" : "preferred",
          "description" : "What order applies to the items in the entry.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-order"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDrugUse.entry",
        "path" : "Composition.section.entry",
        "short" : "A reference to data that supports this section",
        "definition" : "A reference to the actual resource from which the narrative in the section is derived.",
        "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.entry",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Observation"
            ]
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity" : "cda",
            "map" : ".entry"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDrugUse.emptyReason",
        "path" : "Composition.section.emptyReason",
        "short" : "Why the section is empty",
        "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
        "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
        "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.emptyReason",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEmptyReason"
            }
          ],
          "strength" : "preferred",
          "description" : "If a section is empty, why it is empty.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDrugUse.section",
        "path" : "Composition.section.section",
        "short" : "Nested Section",
        "definition" : "A nested sub-section within this section.",
        "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.section",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDischargeDetails",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Section"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHOULD:able-to-populate"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Composition.section",
        "sliceName" : "sectionDischargeDetails",
        "short" : "Discharge details",
        "definition" : "The hospital discharge status or disposition of the patient having a hospitalization.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "constraint" : [
          {
            "key" : "cmp-1",
            "severity" : "error",
            "human" : "A section must contain at least one of text, entries, or sub-sections",
            "expression" : "text.exists() or entry.exists() or section.exists()",
            "xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "cmp-2",
            "severity" : "error",
            "human" : "A section can only have an emptyReason if it is empty",
            "expression" : "emptyReason.empty() or entry.empty()",
            "xpath" : "not(exists(f:emptyReason) and exists(f:entry))",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.structuredBody.component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDischargeDetails.id",
        "path" : "Composition.section.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "Unique id for inter-element referencing",
        "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "string"
              }
            ],
            "code" : "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDischargeDetails.extension",
        "path" : "Composition.section.extension",
        "short" : "Additional content defined by implementations",
        "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDischargeDetails.modifierExtension",
        "path" : "Composition.section.modifierExtension",
        "short" : "Extensions that cannot be ignored even if unrecognized",
        "definition" : "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment" : "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.",
        "requirements" : "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/R4/extensibility.html#modifierExtension).",
        "alias" : [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "BackboneElement.modifierExtension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDischargeDetails.title",
        "path" : "Composition.section.title",
        "short" : "Label for section (e.g. for ToC)",
        "definition" : "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.",
        "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
        "requirements" : "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
        "alias" : [
          "header",
          "label",
          "caption"
        ],
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.title",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./title"
          },
          {
            "identity" : "cda",
            "map" : ".title"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDischargeDetails.code",
        "path" : "Composition.section.code",
        "short" : "Classification of section (recommended)",
        "definition" : "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
        "comment" : "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.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
        "requirements" : "Provides computable standardized labels to topics within the document.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.code",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept",
            "profile" : [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
            ]
          }
        ],
        "patternCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "8650-4"
            }
          ]
        },
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CompositionSectionType"
            }
          ],
          "strength" : "example",
          "description" : "Classification of a section of a composition/document.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./code"
          },
          {
            "identity" : "cda",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDischargeDetails.author",
        "path" : "Composition.section.author",
        "short" : "Who and/or what authored the section",
        "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.",
        "requirements" : "Identifies who is responsible for the content.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.author",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
              "http://hl7.org/fhir/StructureDefinition/Device",
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"
          },
          {
            "identity" : "cda",
            "map" : ".author.assignedAuthor"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDischargeDetails.focus",
        "path" : "Composition.section.focus",
        "short" : "Who/what the section is about, when it is not about the subject of composition",
        "definition" : "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).",
        "comment" : "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.focus",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "cda",
            "map" : ".subject? (CDA did not differentiate between subject and focus)"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDischargeDetails.text",
        "path" : "Composition.section.text",
        "short" : "Text summary of the section, for human interpretation",
        "definition" : "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.",
        "comment" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Narrative"
          }
        ],
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".text"
          },
          {
            "identity" : "cda",
            "map" : ".text"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDischargeDetails.mode",
        "path" : "Composition.section.mode",
        "short" : "working | snapshot | changes",
        "definition" : "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.",
        "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.",
        "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.mode",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionMode"
            }
          ],
          "strength" : "required",
          "description" : "The processing mode that applies to this section.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDischargeDetails.orderedBy",
        "path" : "Composition.section.orderedBy",
        "short" : "Order of section entries",
        "definition" : "Specifies the order applied to the items in the section entries.",
        "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
        "requirements" : "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.orderedBy",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEntryOrder"
            }
          ],
          "strength" : "preferred",
          "description" : "What order applies to the items in the entry.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-order"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDischargeDetails.entry",
        "path" : "Composition.section.entry",
        "short" : "A reference to data that supports this section",
        "definition" : "A reference to the actual resource from which the narrative in the section is derived.",
        "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.entry",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity" : "cda",
            "map" : ".entry"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDischargeDetails.emptyReason",
        "path" : "Composition.section.emptyReason",
        "short" : "Why the section is empty",
        "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
        "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
        "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.emptyReason",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEmptyReason"
            }
          ],
          "strength" : "preferred",
          "description" : "If a section is empty, why it is empty.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionDischargeDetails.section",
        "path" : "Composition.section.section",
        "short" : "Nested Section",
        "definition" : "A nested sub-section within this section.",
        "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.section",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAdvanceDirectives",
        "path" : "Composition.section",
        "sliceName" : "sectionAdvanceDirectives",
        "short" : "Advance Directives Section",
        "definition" : "The advance directives section contains a narrative description of patient's advance directive.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "constraint" : [
          {
            "key" : "cmp-1",
            "severity" : "error",
            "human" : "A section must contain at least one of text, entries, or sub-sections",
            "expression" : "text.exists() or entry.exists() or section.exists()",
            "xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "cmp-2",
            "severity" : "error",
            "human" : "A section can only have an emptyReason if it is empty",
            "expression" : "emptyReason.empty() or entry.empty()",
            "xpath" : "not(exists(f:emptyReason) and exists(f:entry))",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.structuredBody.component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAdvanceDirectives.id",
        "path" : "Composition.section.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "Unique id for inter-element referencing",
        "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "string"
              }
            ],
            "code" : "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAdvanceDirectives.extension",
        "path" : "Composition.section.extension",
        "short" : "Additional content defined by implementations",
        "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAdvanceDirectives.modifierExtension",
        "path" : "Composition.section.modifierExtension",
        "short" : "Extensions that cannot be ignored even if unrecognized",
        "definition" : "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment" : "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.",
        "requirements" : "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/R4/extensibility.html#modifierExtension).",
        "alias" : [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "BackboneElement.modifierExtension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAdvanceDirectives.title",
        "path" : "Composition.section.title",
        "short" : "Label for section (e.g. for ToC)",
        "definition" : "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.",
        "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
        "requirements" : "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
        "alias" : [
          "header",
          "label",
          "caption"
        ],
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.title",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./title"
          },
          {
            "identity" : "cda",
            "map" : ".title"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAdvanceDirectives.code",
        "path" : "Composition.section.code",
        "short" : "Classification of section (recommended)",
        "definition" : "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
        "comment" : "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.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
        "requirements" : "Provides computable standardized labels to topics within the document.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.code",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept",
            "profile" : [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
            ]
          }
        ],
        "patternCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "42348-3"
            }
          ]
        },
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CompositionSectionType"
            }
          ],
          "strength" : "example",
          "description" : "Classification of a section of a composition/document.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./code"
          },
          {
            "identity" : "cda",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAdvanceDirectives.author",
        "path" : "Composition.section.author",
        "short" : "Who and/or what authored the section",
        "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.",
        "requirements" : "Identifies who is responsible for the content.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.author",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
              "http://hl7.org/fhir/StructureDefinition/Device",
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"
          },
          {
            "identity" : "cda",
            "map" : ".author.assignedAuthor"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAdvanceDirectives.focus",
        "path" : "Composition.section.focus",
        "short" : "Who/what the section is about, when it is not about the subject of composition",
        "definition" : "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).",
        "comment" : "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.focus",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "cda",
            "map" : ".subject? (CDA did not differentiate between subject and focus)"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAdvanceDirectives.text",
        "path" : "Composition.section.text",
        "short" : "Text summary of the section, for human interpretation",
        "definition" : "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.",
        "comment" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Narrative"
          }
        ],
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".text"
          },
          {
            "identity" : "cda",
            "map" : ".text"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAdvanceDirectives.mode",
        "path" : "Composition.section.mode",
        "short" : "working | snapshot | changes",
        "definition" : "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.",
        "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.",
        "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.mode",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionMode"
            }
          ],
          "strength" : "required",
          "description" : "The processing mode that applies to this section.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAdvanceDirectives.orderedBy",
        "path" : "Composition.section.orderedBy",
        "short" : "Order of section entries",
        "definition" : "Specifies the order applied to the items in the section entries.",
        "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
        "requirements" : "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.orderedBy",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEntryOrder"
            }
          ],
          "strength" : "preferred",
          "description" : "What order applies to the items in the entry.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-order"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAdvanceDirectives.entry",
        "path" : "Composition.section.entry",
        "short" : "A reference to data that supports this section",
        "definition" : "A reference to the actual resource from which the narrative in the section is derived.",
        "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.entry",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.eu/fhir/hdr/StructureDefinition/consent-eu-hdr",
              "http://hl7.org/fhir/StructureDefinition/DocumentReference"
            ]
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity" : "cda",
            "map" : ".entry"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAdvanceDirectives.emptyReason",
        "path" : "Composition.section.emptyReason",
        "short" : "Why the section is empty",
        "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
        "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
        "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.emptyReason",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEmptyReason"
            }
          ],
          "strength" : "preferred",
          "description" : "If a section is empty, why it is empty.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAdvanceDirectives.section",
        "path" : "Composition.section.section",
        "short" : "Nested Section",
        "definition" : "A nested sub-section within this section.",
        "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.section",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionCareTeam",
        "path" : "Composition.section",
        "sliceName" : "sectionCareTeam",
        "short" : "Care Team Section",
        "definition" : "// SHORT\n      The Care Team Section is used to share historical and current Care Team information.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "constraint" : [
          {
            "key" : "cmp-1",
            "severity" : "error",
            "human" : "A section must contain at least one of text, entries, or sub-sections",
            "expression" : "text.exists() or entry.exists() or section.exists()",
            "xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "cmp-2",
            "severity" : "error",
            "human" : "A section can only have an emptyReason if it is empty",
            "expression" : "emptyReason.empty() or entry.empty()",
            "xpath" : "not(exists(f:emptyReason) and exists(f:entry))",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.structuredBody.component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionCareTeam.id",
        "path" : "Composition.section.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "Unique id for inter-element referencing",
        "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "string"
              }
            ],
            "code" : "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionCareTeam.extension",
        "path" : "Composition.section.extension",
        "short" : "Additional content defined by implementations",
        "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionCareTeam.modifierExtension",
        "path" : "Composition.section.modifierExtension",
        "short" : "Extensions that cannot be ignored even if unrecognized",
        "definition" : "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment" : "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.",
        "requirements" : "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/R4/extensibility.html#modifierExtension).",
        "alias" : [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "BackboneElement.modifierExtension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionCareTeam.title",
        "path" : "Composition.section.title",
        "short" : "Label for section (e.g. for ToC)",
        "definition" : "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.",
        "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
        "requirements" : "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
        "alias" : [
          "header",
          "label",
          "caption"
        ],
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.title",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./title"
          },
          {
            "identity" : "cda",
            "map" : ".title"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionCareTeam.code",
        "path" : "Composition.section.code",
        "short" : "Classification of section (recommended)",
        "definition" : "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
        "comment" : "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.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
        "requirements" : "Provides computable standardized labels to topics within the document.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.code",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept",
            "profile" : [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
            ]
          }
        ],
        "patternCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "85847-2"
            }
          ]
        },
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CompositionSectionType"
            }
          ],
          "strength" : "example",
          "description" : "Classification of a section of a composition/document.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./code"
          },
          {
            "identity" : "cda",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionCareTeam.author",
        "path" : "Composition.section.author",
        "short" : "Who and/or what authored the section",
        "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.",
        "requirements" : "Identifies who is responsible for the content.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.author",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
              "http://hl7.org/fhir/StructureDefinition/Device",
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"
          },
          {
            "identity" : "cda",
            "map" : ".author.assignedAuthor"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionCareTeam.focus",
        "path" : "Composition.section.focus",
        "short" : "Who/what the section is about, when it is not about the subject of composition",
        "definition" : "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).",
        "comment" : "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.focus",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "cda",
            "map" : ".subject? (CDA did not differentiate between subject and focus)"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionCareTeam.text",
        "path" : "Composition.section.text",
        "short" : "Text summary of the section, for human interpretation",
        "definition" : "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.",
        "comment" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Narrative"
          }
        ],
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".text"
          },
          {
            "identity" : "cda",
            "map" : ".text"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionCareTeam.mode",
        "path" : "Composition.section.mode",
        "short" : "working | snapshot | changes",
        "definition" : "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.",
        "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.",
        "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.mode",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionMode"
            }
          ],
          "strength" : "required",
          "description" : "The processing mode that applies to this section.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionCareTeam.orderedBy",
        "path" : "Composition.section.orderedBy",
        "short" : "Order of section entries",
        "definition" : "Specifies the order applied to the items in the section entries.",
        "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
        "requirements" : "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.orderedBy",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEntryOrder"
            }
          ],
          "strength" : "preferred",
          "description" : "What order applies to the items in the entry.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-order"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionCareTeam.entry",
        "path" : "Composition.section.entry",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "type",
              "path" : "resolve()"
            }
          ],
          "ordered" : false,
          "rules" : "open"
        },
        "short" : "Care Teams",
        "definition" : "Care Teams",
        "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.entry",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity" : "cda",
            "map" : ".entry"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionCareTeam.entry:cteam",
        "path" : "Composition.section.entry",
        "sliceName" : "cteam",
        "short" : "Care Team",
        "definition" : "Care Team",
        "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.entry",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/CareTeam"
            ]
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity" : "cda",
            "map" : ".entry"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionCareTeam.emptyReason",
        "path" : "Composition.section.emptyReason",
        "short" : "Why the section is empty",
        "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
        "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
        "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.emptyReason",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEmptyReason"
            }
          ],
          "strength" : "preferred",
          "description" : "If a section is empty, why it is empty.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionCareTeam.section",
        "path" : "Composition.section.section",
        "short" : "Nested Section",
        "definition" : "A nested sub-section within this section.",
        "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
        "min" : 0,
        "max" : "0",
        "base" : {
          "path" : "Composition.section.section",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport" : false,
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAttachments",
        "path" : "Composition.section",
        "sliceName" : "sectionAttachments",
        "short" : "Attachments",
        "definition" : "This section lists documents and attachments associated to this report",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "constraint" : [
          {
            "key" : "cmp-1",
            "severity" : "error",
            "human" : "A section must contain at least one of text, entries, or sub-sections",
            "expression" : "text.exists() or entry.exists() or section.exists()",
            "xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "cmp-2",
            "severity" : "error",
            "human" : "A section can only have an emptyReason if it is empty",
            "expression" : "emptyReason.empty() or entry.empty()",
            "xpath" : "not(exists(f:emptyReason) and exists(f:entry))",
            "source" : "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.structuredBody.component.section"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAttachments.id",
        "path" : "Composition.section.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "Unique id for inter-element referencing",
        "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "string"
              }
            ],
            "code" : "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAttachments.extension",
        "path" : "Composition.section.extension",
        "short" : "Additional content defined by implementations",
        "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAttachments.modifierExtension",
        "path" : "Composition.section.modifierExtension",
        "short" : "Extensions that cannot be ignored even if unrecognized",
        "definition" : "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment" : "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.",
        "requirements" : "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/R4/extensibility.html#modifierExtension).",
        "alias" : [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "BackboneElement.modifierExtension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAttachments.title",
        "path" : "Composition.section.title",
        "short" : "Label for section (e.g. for ToC)",
        "definition" : "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.",
        "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
        "requirements" : "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
        "alias" : [
          "header",
          "label",
          "caption"
        ],
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.title",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./title"
          },
          {
            "identity" : "cda",
            "map" : ".title"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAttachments.code",
        "path" : "Composition.section.code",
        "short" : "Classification of section (recommended)",
        "definition" : "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
        "comment" : "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.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
        "requirements" : "Provides computable standardized labels to topics within the document.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.code",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept",
            "profile" : [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
            ]
          }
        ],
        "patternCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "77599-9"
            }
          ]
        },
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CompositionSectionType"
            }
          ],
          "strength" : "example",
          "description" : "Classification of a section of a composition/document.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./code"
          },
          {
            "identity" : "cda",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAttachments.author",
        "path" : "Composition.section.author",
        "short" : "Who and/or what authored the section",
        "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.",
        "requirements" : "Identifies who is responsible for the content.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.author",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
              "http://hl7.org/fhir/StructureDefinition/Device",
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"
          },
          {
            "identity" : "cda",
            "map" : ".author.assignedAuthor"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAttachments.focus",
        "path" : "Composition.section.focus",
        "short" : "Who/what the section is about, when it is not about the subject of composition",
        "definition" : "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).",
        "comment" : "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.focus",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "cda",
            "map" : ".subject? (CDA did not differentiate between subject and focus)"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAttachments.text",
        "path" : "Composition.section.text",
        "short" : "Text summary of the section, for human interpretation",
        "definition" : "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.",
        "comment" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Narrative"
          }
        ],
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".text"
          },
          {
            "identity" : "cda",
            "map" : ".text"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAttachments.mode",
        "path" : "Composition.section.mode",
        "short" : "working | snapshot | changes",
        "definition" : "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.",
        "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.",
        "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.mode",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionMode"
            }
          ],
          "strength" : "required",
          "description" : "The processing mode that applies to this section.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAttachments.orderedBy",
        "path" : "Composition.section.orderedBy",
        "short" : "Order of section entries",
        "definition" : "Specifies the order applied to the items in the section entries.",
        "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
        "requirements" : "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.orderedBy",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEntryOrder"
            }
          ],
          "strength" : "preferred",
          "description" : "What order applies to the items in the entry.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-order"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAttachments.entry",
        "extension" : [
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:able-to-populate"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr"
              },
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri" : "http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr|0.1.0-ballot"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Composition.section.entry",
        "short" : "A reference to data that supports this section",
        "definition" : "A reference to the actual resource from which the narrative in the section is derived.",
        "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.entry",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/DocumentReference",
              "http://hl7.org/fhir/StructureDefinition/Binary"
            ]
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity" : "cda",
            "map" : ".entry"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAttachments.emptyReason",
        "path" : "Composition.section.emptyReason",
        "short" : "Why the section is empty",
        "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
        "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
        "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Composition.section.emptyReason",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "condition" : [
          "cmp-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEmptyReason"
            }
          ],
          "strength" : "preferred",
          "description" : "If a section is empty, why it is empty.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Composition.section:sectionAttachments.section",
        "path" : "Composition.section.section",
        "short" : "Nested Section",
        "definition" : "A nested sub-section within this section.",
        "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Composition.section.section",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
        "condition" : [
          "cmp-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.section"
          }
        ]
      }
    ]
  },
  "differential" : {
    "element" : [
      {
        "id" : "Composition",
        "path" : "Composition"
      },
      {
        "id" : "Composition.extension:presentedForm",
        "extension" : [
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "MAY:able-to-populate"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Composition.extension",
        "sliceName" : "presentedForm"
      },
      {
        "id" : "Composition.identifier",
        "extension" : [
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHOULD:able-to-populate"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Composition.identifier"
      },
      {
        "id" : "Composition.status",
        "extension" : [
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:able-to-populate"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Composition.status"
      },
      {
        "id" : "Composition.type",
        "extension" : [
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:able-to-populate"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Composition.type"
      },
      {
        "id" : "Composition.subject",
        "extension" : [
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:able-to-populate"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Composition.subject"
      },
      {
        "id" : "Composition.encounter",
        "extension" : [
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:able-to-populate"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Composition.encounter"
      },
      {
        "id" : "Composition.date",
        "extension" : [
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:able-to-populate"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Composition.date"
      },
      {
        "id" : "Composition.author",
        "extension" : [
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:able-to-populate"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Composition.author"
      },
      {
        "id" : "Composition.title",
        "extension" : [
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:able-to-populate"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Composition.title"
      },
      {
        "id" : "Composition.attester",
        "extension" : [
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHOULD:able-to-populate"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Composition.attester"
      },
      {
        "id" : "Composition.attester.mode",
        "extension" : [
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:able-to-populate"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Composition.attester.mode"
      },
      {
        "id" : "Composition.attester.time",
        "extension" : [
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:able-to-populate"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Composition.attester.time"
      },
      {
        "id" : "Composition.attester.party",
        "extension" : [
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:able-to-populate"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Composition.attester.party"
      },
      {
        "id" : "Composition.section",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Section"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:able-to-populate"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Composition.section"
      },
      {
        "id" : "Composition.section.text",
        "extension" : [
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:able-to-populate"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Composition.section.text"
      },
      {
        "id" : "Composition.section:sectionAdmissionEvaluation",
        "extension" : [
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            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Section"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHOULD:able-to-populate"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Composition.section",
        "sliceName" : "sectionAdmissionEvaluation"
      },
      {
        "id" : "Composition.section:sectionHospitalCourse",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Section"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:able-to-populate"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Composition.section",
        "sliceName" : "sectionHospitalCourse"
      },
      {
        "id" : "Composition.section:sectionDiagnosticSummary",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Section"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHOULD:able-to-populate"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Composition.section",
        "sliceName" : "sectionDiagnosticSummary"
      },
      {
        "id" : "Composition.section:sectionDiagnosticSummary.entry",
        "extension" : [
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHOULD:able-to-populate"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Composition.section.entry"
      },
      {
        "id" : "Composition.section:sectionSignificantProcedures",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Section"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHOULD:able-to-populate"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Composition.section",
        "sliceName" : "sectionSignificantProcedures"
      },
      {
        "id" : "Composition.section:sectionSignificantProcedures.entry",
        "extension" : [
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHOULD:able-to-populate"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Composition.section.entry"
      },
      {
        "id" : "Composition.section:sectionMedicalDevices",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Section"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHOULD:able-to-populate"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Composition.section",
        "sliceName" : "sectionMedicalDevices"
      },
      {
        "id" : "Composition.section:sectionMedicalDevices.entry",
        "extension" : [
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHOULD:able-to-populate"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Composition.section.entry"
      },
      {
        "id" : "Composition.section:sectionPharmacotherapy",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Section"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHOULD:able-to-populate"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Composition.section",
        "sliceName" : "sectionPharmacotherapy"
      },
      {
        "id" : "Composition.section:sectionPharmacotherapy.entry",
        "extension" : [
          {
            "extension" : [
              {
                "url" : "code",
               &nsion" : [
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:able-to-populate"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Composition.section.entry"
      }
    ]
  }
}