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Resource StructureDefinition/FHIR Server from package laniado.test.fhir.r4#0.1.68 (578 ms)

Package laniado.test.fhir.r4
Type StructureDefinition
Id Id
FHIR Version R4
Source https://simplifier.net/resolve?scope=laniado.test.fhir.r4@0.1.68&canonical=http://fhir.laniado.org.il/StructureDefinition/laniado-allergy-intolerance
Url http://fhir.laniado.org.il/StructureDefinition/laniado-allergy-intolerance
Status draft
Name LaniadoAllergyIntolerance
Title Laniado AllergyIntolerance Profile
Experimental False
Description Laniado Proposed AllergyIntolerance Profile
Type AllergyIntolerance
Kind resource

Resources that use this resource

No resources found


Resources that this resource uses

StructureDefinition
http://fhir.laniado.org.il/StructureDefinition/encounter-department Encounter Department Profile
http://fhir.laniado.org.il/StructureDefinition/ext-allergy-reaction-severity-shock Extension: Allergy Reaction Severity Shock
http://fhir.laniado.org.il/StructureDefinition/laniado-patient Laniado Patient Profile
http://fhir.laniado.org.il/StructureDefinition/laniado-practitioner Laniado Practitioner Profile
http://fhir.health.gov.il/StructureDefinition/il-core-allergy-intolerance ILCore AllergyIntolerance Profile


Source

{
  "resourceType" : "StructureDefinition",
  "id" : "laniado-allergy-intolerance",
  "url" : "http://fhir.laniado.org.il/StructureDefinition/laniado-allergy-intolerance",
  "name" : "LaniadoAllergyIntolerance",
  "title" : "Laniado AllergyIntolerance Profile",
  "status" : "draft",
  "description" : "Laniado Proposed AllergyIntolerance Profile",
  "fhirVersion" : "4.0.1",
  "mapping" : [
    {
      "identity" : "rim",
      "uri" : "http://hl7.org/v3",
      "name" : "RIM Mapping"
    },
    {
      "identity" : "w5",
      "uri" : "http://hl7.org/fhir/fivews",
      "name" : "FiveWs Pattern Mapping"
    },
    {
      "identity" : "v2",
      "uri" : "http://hl7.org/v2",
      "name" : "HL7 v2 Mapping"
    }
  ],
  "kind" : "resource",
  "abstract" : false,
  "type" : "AllergyIntolerance",
  "baseDefinition" : "http://fhir.health.gov.il/StructureDefinition/il-core-allergy-intolerance",
  "derivation" : "constraint",
  "snapshot" : {
    "element" : [
      {
        "id" : "AllergyIntolerance",
        "path" : "AllergyIntolerance",
        "short" : "ILCore AllergyIntolerance Profile",
        "definition" : "Israel Core proposed constraints and extensions on the AllergyIntolerance resource profile.",
        "comment" : "Substances include, but are not limited to: a therapeutic substance administered correctly at an appropriate dosage for the individual; food; material derived from plants or animals; or venom from insect stings.",
        "alias" : [
          "Allergy",
          "Intolerance",
          "Adverse Reaction"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "AllergyIntolerance",
          "min" : 0,
          "max" : "*"
        },
        "constraint" : [
          {
            "key" : "ait-1",
            "severity" : "error",
            "human" : "AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error.",
            "expression" : "verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').exists() or clinicalStatus.exists()",
            "xpath" : "f:verificationStatus/f:coding/f:code/@value='entered-in-error' or exists(f:clinicalStatus)"
          },
          {
            "key" : "ait-2",
            "severity" : "error",
            "human" : "AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error",
            "expression" : "verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').empty() or clinicalStatus.empty()",
            "xpath" : "not(f:verificationStatus/f:coding/f:code/@value='entered-in-error') or not(exists(f:clinicalStatus))"
          },
          {
            "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "rim",
            "map" : "Observation[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.id",
        "path" : "AllergyIntolerance.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" : [
          {
            "code" : "http://hl7.org/fhirpath/System.String",
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "string"
              }
            ]
          }
        ],
        "isModifier" : false,
        "isSummary" : true
      },
      {
        "id" : "AllergyIntolerance.meta",
        "path" : "AllergyIntolerance.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" : "AllergyIntolerance.implicitRules",
        "path" : "AllergyIntolerance.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" : "AllergyIntolerance.language",
        "path" : "AllergyIntolerance.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"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }
          ],
          "strength" : "preferred",
          "description" : "A human language.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
        }
      },
      {
        "id" : "AllergyIntolerance.text",
        "path" : "AllergyIntolerance.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" : "AllergyIntolerance.contained",
        "path" : "AllergyIntolerance.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" : "AllergyIntolerance.extension",
        "path" : "AllergyIntolerance.extension",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "url"
            }
          ],
          "ordered" : false,
          "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 resource. 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" : "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,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.extension:AllergyIntoleranceEnd",
        "path" : "AllergyIntolerance.extension",
        "sliceName" : "AllergyIntoleranceEnd",
        "short" : "Additional content defined by implementations",
        "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. 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" : "1",
        "base" : {
          "path" : "DomainResource.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension",
            "profile" : [
              "http://fhir.health.gov.il/StructureDefinition/ext-allergy-intolerance-end"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "AllergyIntolerance.modifierExtension",
        "path" : "AllergyIntolerance.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](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" : "AllergyIntolerance.identifier",
        "path" : "AllergyIntolerance.identifier",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "system"
            }
          ],
          "rules" : "open"
        },
        "short" : "External ids for this item",
        "definition" : "Business identifiers assigned to this AllergyIntolerance by the performer or other systems which remain constant as the resource is updated and propagates from server to server.",
        "comment" : "This is a business identifier, not a resource identifier (see [discussion](resource.html#identifiers)). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.",
        "requirements" : "Allows identification of the AllergyIntolerance as it is known by various participating systems and in a way that remains consistent across servers.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "AllergyIntolerance.identifier",
          "min" : 0,
          "max" : "*"
        },
        "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" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "IAM-7"
          },
          {
            "identity" : "rim",
            "map" : "id"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.identifier.id",
        "path" : "AllergyIntolerance.identifier.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" : [
          {
            "code" : "http://hl7.org/fhirpath/System.String",
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "string"
              }
            ]
          }
        ],
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.identifier.extension",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "normative"
          },
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode" : "4.0.0"
          }
        ],
        "path" : "AllergyIntolerance.identifier.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"
          }
        ],
        "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/Element"
          }
        ],
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.identifier.use",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "normative"
          },
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode" : "4.0.0"
          }
        ],
        "path" : "AllergyIntolerance.identifier.use",
        "short" : "usual | official | temp | secondary | old (If known)",
        "definition" : "The purpose of this identifier.",
        "comment" : "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.",
        "requirements" : "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Identifier.use",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "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"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.",
        "isSummary" : true,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "IdentifierUse"
            }
          ],
          "strength" : "required",
          "description" : "Identifies the purpose for this identifier, if known .",
          "valueSet" : "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          },
          {
            "identity" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "Role.code or implied by context"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.identifier.type",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "normative"
          },
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode" : "4.0.0"
          }
        ],
        "path" : "AllergyIntolerance.identifier.type",
        "short" : "Description of identifier",
        "definition" : "A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.",
        "comment" : "This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.",
        "requirements" : "Allows users to make use of identifiers when the identifier system is not known.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Identifier.type",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "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"
          }
        ],
        "isSummary" : true,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "IdentifierType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }
          ],
          "strength" : "extensible",
          "description" : "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/identifier-type"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          },
          {
            "identity" : "v2",
            "map" : "CE/CNE/CWE"
          },
          {
            "identity" : "rim",
            "map" : "CD"
          },
          {
            "identity" : "orim",
            "map" : "fhir:CodeableConcept rdfs:subClassOf dt:CD"
          },
          {
            "identity" : "v2",
            "map" : "CX.5"
          },
          {
            "identity" : "rim",
            "map" : "Role.code or implied by context"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.identifier.system",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "normative"
          },
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode" : "4.0.0"
          }
        ],
        "path" : "AllergyIntolerance.identifier.system",
        "short" : "The namespace for the identifier value",
        "definition" : "Establishes the namespace for the value - that is, a URL that describes a set values that are unique.",
        "comment" : "Identifier.system is always case sensitive.",
        "requirements" : "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Identifier.system",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "uri"
          }
        ],
        "example" : [
          {
            "label" : "General",
            "valueUri" : "http://www.acme.com/identifiers/patient"
          }
        ],
        "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"
          }
        ],
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          },
          {
            "identity" : "v2",
            "map" : "CX.4 / EI-2-4"
          },
          {
            "identity" : "rim",
            "map" : "II.root or Role.id.root"
          },
          {
            "identity" : "servd",
            "map" : "./IdentifierType"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.identifier.value",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "normative"
          },
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode" : "4.0.0"
          }
        ],
        "path" : "AllergyIntolerance.identifier.value",
        "short" : "The value that is unique within the system.",
        "definition" : "The portion of the identifier typically relevant to the user and which is unique within the context of the system.",
        "comment" : "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Identifier.value",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "example" : [
          {
            "label" : "General",
            "valueString" : "123456"
          }
        ],
        "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"
          }
        ],
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          },
          {
            "identity" : "v2",
            "map" : "CX.1 / EI.1"
          },
          {
            "identity" : "rim",
            "map" : "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)"
          },
          {
            "identity" : "servd",
            "map" : "./Value"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.identifier.period",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "normative"
          },
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode" : "4.0.0"
          }
        ],
        "path" : "AllergyIntolerance.identifier.period",
        "short" : "Time period when id is/was valid for use",
        "definition" : "Time period during which identifier is/was valid for use.",
        "comment" : "A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. \"the patient was an inpatient of the hospital for this time range\") or one value from the range applies (e.g. \"give to the patient between these two times\").\n\nPeriod is not used for a duration (a measure of elapsed time). See [Duration](datatypes.html#Duration).",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Identifier.period",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Period"
          }
        ],
        "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" : "per-1",
            "severity" : "error",
            "human" : "If present, start SHALL have a lower value than end",
            "expression" : "start.hasValue().not() or end.hasValue().not() or (start <= end)",
            "xpath" : "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))",
            "source" : "http://hl7.org/fhir/StructureDefinition/Account"
          }
        ],
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          },
          {
            "identity" : "v2",
            "map" : "DR"
          },
          {
            "identity" : "rim",
            "map" : "IVL<TS>[lowClosed=\"true\" and highClosed=\"true\"] or URG<TS>[lowClosed=\"true\" and highClosed=\"true\"]"
          },
          {
            "identity" : "v2",
            "map" : "CX.7 + CX.8"
          },
          {
            "identity" : "rim",
            "map" : "Role.effectiveTime or implied by context"
          },
          {
            "identity" : "servd",
            "map" : "./StartDate and ./EndDate"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.identifier.assigner",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "normative"
          },
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode" : "4.0.0"
          }
        ],
        "path" : "AllergyIntolerance.identifier.assigner",
        "short" : "Organization that issued id (may be just text)",
        "definition" : "Organization that issued/manages the identifier.",
        "comment" : "The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Identifier.assigner",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ],
        "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" : "ref-1",
            "severity" : "error",
            "human" : "SHALL have a contained resource if a local reference is provided",
            "expression" : "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))",
            "xpath" : "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Account"
          }
        ],
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          },
          {
            "identity" : "rim",
            "map" : "The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
          },
          {
            "identity" : "v2",
            "map" : "CX.4 / (CX.4,CX.9,CX.10)"
          },
          {
            "identity" : "rim",
            "map" : "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper"
          },
          {
            "identity" : "servd",
            "map" : "./IdentifierIssuingAuthority"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.identifier:laniado",
        "path" : "AllergyIntolerance.identifier",
        "sliceName" : "laniado",
        "short" : "Allergy",
        "definition" : "Allergy",
        "comment" : "This is a business identifier, not a resource identifier (see [discussion](resource.html#identifiers)). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.",
        "requirements" : "Allows identification of the AllergyIntolerance as it is known by various participating systems and in a way that remains consistent across servers.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "AllergyIntolerance.identifier",
          "min" : 0,
          "max" : "*"
        },
        "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" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "IAM-7"
          },
          {
            "identity" : "rim",
            "map" : "id"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.identifier:laniado.id",
        "path" : "AllergyIntolerance.identifier.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" : [
          {
            "code" : "http://hl7.org/fhirpath/System.String",
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "string"
              }
            ]
          }
        ],
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.identifier:laniado.extension",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "normative"
          },
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode" : "4.0.0"
          }
        ],
        "path" : "AllergyIntolerance.identifier.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"
          }
        ],
        "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/Element"
          }
        ],
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.identifier:laniado.use",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "normative"
          },
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode" : "4.0.0"
          }
        ],
        "path" : "AllergyIntolerance.identifier.use",
        "short" : "usual | official | temp | secondary | old (If known)",
        "definition" : "The purpose of this identifier.",
        "comment" : "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.",
        "requirements" : "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Identifier.use",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "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"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.",
        "isSummary" : true,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "IdentifierUse"
            }
          ],
          "strength" : "required",
          "description" : "Identifies the purpose for this identifier, if known .",
          "valueSet" : "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          },
          {
            "identity" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "Role.code or implied by context"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.identifier:laniado.type",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "normative"
          },
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode" : "4.0.0"
          }
        ],
        "path" : "AllergyIntolerance.identifier.type",
        "short" : "Description of identifier",
        "definition" : "A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.",
        "comment" : "This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.",
        "requirements" : "Allows users to make use of identifiers when the identifier system is not known.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Identifier.type",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "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"
          }
        ],
        "isSummary" : true,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "IdentifierType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }
          ],
          "strength" : "extensible",
          "description" : "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/identifier-type"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          },
          {
            "identity" : "v2",
            "map" : "CE/CNE/CWE"
          },
          {
            "identity" : "rim",
            "map" : "CD"
          },
          {
            "identity" : "orim",
            "map" : "fhir:CodeableConcept rdfs:subClassOf dt:CD"
          },
          {
            "identity" : "v2",
            "map" : "CX.5"
          },
          {
            "identity" : "rim",
            "map" : "Role.code or implied by context"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.identifier:laniado.system",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "normative"
          },
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode" : "4.0.0"
          }
        ],
        "path" : "AllergyIntolerance.identifier.system",
        "short" : "The namespace for the identifier value",
        "definition" : "Establishes the namespace for the value - that is, a URL that describes a set values that are unique.",
        "comment" : "Identifier.system is always case sensitive.",
        "requirements" : "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Identifier.system",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "uri"
          }
        ],
        "fixedUri" : "http://fhir.laniado.org.il/Identifier/allergy",
        "example" : [
          {
            "label" : "General",
            "valueUri" : "http://www.acme.com/identifiers/patient"
          }
        ],
        "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"
          }
        ],
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          },
          {
            "identity" : "v2",
            "map" : "CX.4 / EI-2-4"
          },
          {
            "identity" : "rim",
            "map" : "II.root or Role.id.root"
          },
          {
            "identity" : "servd",
            "map" : "./IdentifierType"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.identifier:laniado.value",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "normative"
          },
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode" : "4.0.0"
          }
        ],
        "path" : "AllergyIntolerance.identifier.value",
        "short" : "The value that is unique within the system.",
        "definition" : "The portion of the identifier typically relevant to the user and which is unique within the context of the system.",
        "comment" : "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Identifier.value",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "example" : [
          {
            "label" : "General",
            "valueString" : "123456"
          }
        ],
        "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"
          }
        ],
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          },
          {
            "identity" : "v2",
            "map" : "CX.1 / EI.1"
          },
          {
            "identity" : "rim",
            "map" : "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)"
          },
          {
            "identity" : "servd",
            "map" : "./Value"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.identifier:laniado.period",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "normative"
          },
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode" : "4.0.0"
          }
        ],
        "path" : "AllergyIntolerance.identifier.period",
        "short" : "Time period when id is/was valid for use",
        "definition" : "Time period during which identifier is/was valid for use.",
        "comment" : "A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. \"the patient was an inpatient of the hospital for this time range\") or one value from the range applies (e.g. \"give to the patient between these two times\").\n\nPeriod is not used for a duration (a measure of elapsed time). See [Duration](datatypes.html#Duration).",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Identifier.period",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Period"
          }
        ],
        "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" : "per-1",
            "severity" : "error",
            "human" : "If present, start SHALL have a lower value than end",
            "expression" : "start.hasValue().not() or end.hasValue().not() or (start <= end)",
            "xpath" : "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))",
            "source" : "http://hl7.org/fhir/StructureDefinition/Account"
          }
        ],
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          },
          {
            "identity" : "v2",
            "map" : "DR"
          },
          {
            "identity" : "rim",
            "map" : "IVL<TS>[lowClosed=\"true\" and highClosed=\"true\"] or URG<TS>[lowClosed=\"true\" and highClosed=\"true\"]"
          },
          {
            "identity" : "v2",
            "map" : "CX.7 + CX.8"
          },
          {
            "identity" : "rim",
            "map" : "Role.effectiveTime or implied by context"
          },
          {
            "identity" : "servd",
            "map" : "./StartDate and ./EndDate"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.identifier:laniado.assigner",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "normative"
          },
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode" : "4.0.0"
          }
        ],
        "path" : "AllergyIntolerance.identifier.assigner",
        "short" : "Organization that issued id (may be just text)",
        "definition" : "Organization that issued/manages the identifier.",
        "comment" : "The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Identifier.assigner",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ],
        "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" : "ref-1",
            "severity" : "error",
            "human" : "SHALL have a contained resource if a local reference is provided",
            "expression" : "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))",
            "xpath" : "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Account"
          }
        ],
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          },
          {
            "identity" : "rim",
            "map" : "The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
          },
          {
            "identity" : "v2",
            "map" : "CX.4 / (CX.4,CX.9,CX.10)"
          },
          {
            "identity" : "rim",
            "map" : "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper"
          },
          {
            "identity" : "servd",
            "map" : "./IdentifierIssuingAuthority"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.identifier:laniado.assigner.id",
        "path" : "AllergyIntolerance.identifier.assigner.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" : [
          {
            "code" : "http://hl7.org/fhirpath/System.String",
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "string"
              }
            ]
          }
        ],
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.identifier:laniado.assigner.extension",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "normative"
          },
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode" : "4.0.0"
          }
        ],
        "path" : "AllergyIntolerance.identifier.assigner.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"
          }
        ],
        "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/Element"
          }
        ],
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.identifier:laniado.assigner.reference",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "normative"
          },
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode" : "4.0.0"
          }
        ],
        "path" : "AllergyIntolerance.identifier.assigner.reference",
        "short" : "Literal reference, Relative, internal or absolute URL",
        "definition" : "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
        "comment" : "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Reference.reference",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "fixedString" : "Organization/01604",
        "condition" : [
          "ele-1",
          "ref-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"
          }
        ],
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.identifier:laniado.assigner.type",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "normative"
          },
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode" : "4.0.0"
          }
        ],
        "path" : "AllergyIntolerance.identifier.assigner.type",
        "short" : "Type the reference refers to (e.g. \"Patient\")",
        "definition" : "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).",
        "comment" : "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Reference.type",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "uri"
          }
        ],
        "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"
          }
        ],
        "isSummary" : true,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "FHIRResourceTypeExt"
            }
          ],
          "strength" : "extensible",
          "description" : "Aa resource (or, for logical models, the URI of the logical model).",
          "valueSet" : "http://hl7.org/fhir/ValueSet/resource-types"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.identifier:laniado.assigner.identifier",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "normative"
          },
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode" : "4.0.0"
          }
        ],
        "path" : "AllergyIntolerance.identifier.assigner.identifier",
        "short" : "Logical reference, when literal reference is not known",
        "definition" : "An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.",
        "comment" : "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Reference.identifier",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Identifier"
          }
        ],
        "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"
          }
        ],
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          },
          {
            "identity" : "v2",
            "map" : "CX / EI (occasionally, more often EI maps to a resource id or a URL)"
          },
          {
            "identity" : "rim",
            "map" : "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]"
          },
          {
            "identity" : "servd",
            "map" : "Identifier"
          },
          {
            "identity" : "rim",
            "map" : ".identifier"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.identifier:laniado.assigner.identifier.id",
        "path" : "AllergyIntolerance.identifier.assigner.identifier.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" : [
          {
            "code" : "http://hl7.org/fhirpath/System.String",
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "string"
              }
            ]
          }
        ],
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.identifier:laniado.assigner.identifier.extension",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "normative"
          },
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode" : "4.0.0"
          }
        ],
        "path" : "AllergyIntolerance.identifier.assigner.identifier.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"
          }
        ],
        "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/Element"
          }
        ],
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.identifier:laniado.assigner.identifier.use",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "normative"
          },
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode" : "4.0.0"
          }
        ],
        "path" : "AllergyIntolerance.identifier.assigner.identifier.use",
        "short" : "usual | official | temp | secondary | old (If known)",
        "definition" : "The purpose of this identifier.",
        "comment" : "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.",
        "requirements" : "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Identifier.use",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "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"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.",
        "isSummary" : true,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "IdentifierUse"
            }
          ],
          "strength" : "required",
          "description" : "Identifies the purpose for this identifier, if known .",
          "valueSet" : "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          },
          {
            "identity" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "Role.code or implied by context"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.identifier:laniado.assigner.identifier.type",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "normative"
          },
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode" : "4.0.0"
          }
        ],
        "path" : "AllergyIntolerance.identifier.assigner.identifier.type",
        "short" : "Description of identifier",
        "definition" : "A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.",
        "comment" : "This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.",
        "requirements" : "Allows users to make use of identifiers when the identifier system is not known.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Identifier.type",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "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"
          }
        ],
        "isSummary" : true,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "IdentifierType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }
          ],
          "strength" : "extensible",
          "description" : "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/identifier-type"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          },
          {
            "identity" : "v2",
            "map" : "CE/CNE/CWE"
          },
          {
            "identity" : "rim",
            "map" : "CD"
          },
          {
            "identity" : "orim",
            "map" : "fhir:CodeableConcept rdfs:subClassOf dt:CD"
          },
          {
            "identity" : "v2",
            "map" : "CX.5"
          },
          {
            "identity" : "rim",
            "map" : "Role.code or implied by context"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.identifier:laniado.assigner.identifier.system",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "normative"
          },
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode" : "4.0.0"
          }
        ],
        "path" : "AllergyIntolerance.identifier.assigner.identifier.system",
        "short" : "The namespace for the identifier value",
        "definition" : "Establishes the namespace for the value - that is, a URL that describes a set values that are unique.",
        "comment" : "Identifier.system is always case sensitive.",
        "requirements" : "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Identifier.system",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "uri"
          }
        ],
        "fixedUri" : "http://institutions.health.gov.il/Institutions",
        "example" : [
          {
            "label" : "General",
            "valueUri" : "http://www.acme.com/identifiers/patient"
          }
        ],
        "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"
          }
        ],
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          },
          {
            "identity" : "v2",
            "map" : "CX.4 / EI-2-4"
          },
          {
            "identity" : "rim",
            "map" : "II.root or Role.id.root"
          },
          {
            "identity" : "servd",
            "map" : "./IdentifierType"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.identifier:laniado.assigner.identifier.value",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "normative"
          },
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode" : "4.0.0"
          }
        ],
        "path" : "AllergyIntolerance.identifier.assigner.identifier.value",
        "short" : "The value that is unique",
        "definition" : "The portion of the identifier typically relevant to the user and which is unique within the context of the system.",
        "comment" : "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Identifier.value",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "fixedString" : "01604",
        "example" : [
          {
            "label" : "General",
            "valueString" : "123456"
          }
        ],
        "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"
          }
        ],
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          },
          {
            "identity" : "v2",
            "map" : "CX.1 / EI.1"
          },
          {
            "identity" : "rim",
            "map" : "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)"
          },
          {
            "identity" : "servd",
            "map" : "./Value"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.identifier:laniado.assigner.identifier.period",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "normative"
          },
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode" : "4.0.0"
          }
        ],
        "path" : "AllergyIntolerance.identifier.assigner.identifier.period",
        "short" : "Time period when id is/was valid for use",
        "definition" : "Time period during which identifier is/was valid for use.",
        "comment" : "A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. \"the patient was an inpatient of the hospital for this time range\") or one value from the range applies (e.g. \"give to the patient between these two times\").\n\nPeriod is not used for a duration (a measure of elapsed time). See [Duration](datatypes.html#Duration).",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Identifier.period",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Period"
          }
        ],
        "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" : "per-1",
            "severity" : "error",
            "human" : "If present, start SHALL have a lower value than end",
            "expression" : "start.hasValue().not() or end.hasValue().not() or (start <= end)",
            "xpath" : "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))",
            "source" : "http://hl7.org/fhir/StructureDefinition/Account"
          }
        ],
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          },
          {
            "identity" : "v2",
            "map" : "DR"
          },
          {
            "identity" : "rim",
            "map" : "IVL<TS>[lowClosed=\"true\" and highClosed=\"true\"] or URG<TS>[lowClosed=\"true\" and highClosed=\"true\"]"
          },
          {
            "identity" : "v2",
            "map" : "CX.7 + CX.8"
          },
          {
            "identity" : "rim",
            "map" : "Role.effectiveTime or implied by context"
          },
          {
            "identity" : "servd",
            "map" : "./StartDate and ./EndDate"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.identifier:laniado.assigner.identifier.assigner",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "normative"
          },
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode" : "4.0.0"
          }
        ],
        "path" : "AllergyIntolerance.identifier.assigner.identifier.assigner",
        "short" : "Organization that issued id (may be just text)",
        "definition" : "Organization that issued/manages the identifier.",
        "comment" : "The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Identifier.assigner",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ],
        "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" : "ref-1",
            "severity" : "error",
            "human" : "SHALL have a contained resource if a local reference is provided",
            "expression" : "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))",
            "xpath" : "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Account"
          }
        ],
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          },
          {
            "identity" : "rim",
            "map" : "The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
          },
          {
            "identity" : "v2",
            "map" : "CX.4 / (CX.4,CX.9,CX.10)"
          },
          {
            "identity" : "rim",
            "map" : "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper"
          },
          {
            "identity" : "servd",
            "map" : "./IdentifierIssuingAuthority"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.identifier:laniado.assigner.display",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "normative"
          },
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode" : "4.0.0"
          },
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean" : true
          }
        ],
        "path" : "AllergyIntolerance.identifier.assigner.display",
        "short" : "Text alternative for the resource",
        "definition" : "Plain text narrative that identifies the resource in addition to the resource reference.",
        "comment" : "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Reference.display",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "בית חולים לניאדו",
        "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"
          }
        ],
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.clinicalStatus",
        "path" : "AllergyIntolerance.clinicalStatus",
        "short" : "active | inactive | resolved",
        "definition" : "The clinical status of the allergy or intolerance.",
        "comment" : "Refer to [discussion](extensibility.html#Special-Case) if clincalStatus is missing data.\nThe data type is CodeableConcept because clinicalStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "AllergyIntolerance.clinicalStatus",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "condition" : [
          "ait-1",
          "ait-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"
          }
        ],
        "mustSupport" : true,
        "isModifier" : true,
        "isModifierReason" : "This element is labeled as a modifier because the status contains the codes inactive and resolved that mark the AllergyIntolerance as no longer active.",
        "isSummary" : true,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AllergyIntoleranceClinicalStatus"
            }
          ],
          "strength" : "required",
          "description" : "The clinical status of the allergy or intolerance.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : "Observation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code=\"clinicalStatus\", moodCode=EVN].value"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.verificationStatus",
        "path" : "AllergyIntolerance.verificationStatus",
        "short" : "unconfirmed | confirmed | refuted | entered-in-error",
        "definition" : "Assertion about certainty associated with the propensity, or potential risk, of a reaction to the identified substance (including pharmaceutical product).",
        "comment" : "The data type is CodeableConcept because verificationStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "AllergyIntolerance.verificationStatus",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "condition" : [
          "ait-1",
          "ait-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"
          }
        ],
        "mustSupport" : true,
        "isModifier" : true,
        "isModifierReason" : "This element is labeled as a modifier because the status contains the codes refuted and entered-in-error that mark the AllergyIntolerance as not currently valid.",
        "isSummary" : true,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AllergyIntoleranceVerificationStatus"
            }
          ],
          "strength" : "required",
          "description" : "Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : "Observation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code=\"verificationStatus\", moodCode=EVN].value"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.type",
        "path" : "AllergyIntolerance.type",
        "short" : "allergy | intolerance - Underlying mechanism (if known)",
        "definition" : "Identification of the underlying physiological mechanism for the reaction risk.",
        "comment" : "Allergic (typically immune-mediated) reactions have been traditionally regarded as an indicator for potential escalation to significant future risk. Contemporary knowledge suggests that some reactions previously thought to be immune-mediated are, in fact, non-immune, but in some cases can still pose a life threatening risk. It is acknowledged that many clinicians might not be in a position to distinguish the mechanism of a particular reaction. Often the term \"allergy\" is used rather generically and may overlap with the use of \"intolerance\" - in practice the boundaries between these two concepts might not be well-defined or understood. This data element is included nevertheless, because many legacy systems have captured this attribute. Immunologic testing may provide supporting evidence for the basis of the reaction and the causative substance, but no tests are 100% sensitive or specific for sensitivity to a particular substance. If, as is commonly the case, it is unclear whether the reaction is due to an allergy or an intolerance, then the type element should be omitted from the resource.",
        "alias" : [
          "Category",
          "Class"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "AllergyIntolerance.type",
          "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" : true,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AllergyIntoleranceType"
            }
          ],
          "strength" : "required",
          "description" : "Identification of the underlying physiological mechanism for a Reaction Risk.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "v2",
            "map" : "IAM-9"
          },
          {
            "identity" : "rim",
            "map" : "code"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.category",
        "path" : "AllergyIntolerance.category",
        "short" : "food | medication | environment | biologic",
        "definition" : "Category of the identified substance.",
        "comment" : "This data element has been included because it is currently being captured in some clinical systems. This data can be derived from the substance where coding systems are used, and is effectively redundant in that situation. When searching on category, consider the implications of AllergyIntolerance resources without a category. For example, when searching on category = medication, medication allergies that don't have a category valued will not be returned. Refer to [search](search.html) for more information on how to search category with a :missing modifier to get allergies that don't have a category. Additionally, category should be used with caution because category can be subjective based on the sender.",
        "alias" : [
          "Category",
          "Type",
          "Reaction Type",
          "Class"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "AllergyIntolerance.category",
          "min" : 0,
          "max" : "*"
        },
        "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" : true,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AllergyIntoleranceCategory"
            }
          ],
          "strength" : "required",
          "description" : "Category of an identified substance associated with allergies or intolerances.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "v2",
            "map" : "AL1-2"
          },
          {
            "identity" : "rim",
            "map" : "value < IntoleranceValue (Agent)"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.criticality",
        "path" : "AllergyIntolerance.criticality",
        "short" : "low | high | unable-to-assess",
        "definition" : "Estimate of the potential clinical harm, or seriousness, of the reaction to the identified substance.",
        "comment" : "The default criticality value for any propensity to an adverse reaction should be 'Low Risk', indicating at the very least a relative contraindication to deliberate or voluntary exposure to the substance. 'High Risk' is flagged if the clinician has identified a propensity for a more serious or potentially life-threatening reaction, such as anaphylaxis, and implies an absolute contraindication to deliberate or voluntary exposure to the substance. If this element is missing, the criticality is unknown (though it may be known elsewhere). Systems that capture a severity at the condition level are actually representing the concept of criticality whereas the severity documented at the reaction level is representing the true reaction severity. Existing systems that are capturing both condition criticality and reaction severity may use the term \"severity\" to represent both. Criticality is the worst it could be in the future (i.e. situation-agnostic) whereas severity is situation-dependent.",
        "alias" : [
          "Severity",
          "Seriousness",
          "Contra-indication",
          "Risk"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "AllergyIntolerance.criticality",
          "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" : true,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AllergyIntoleranceCriticality"
            }
          ],
          "strength" : "required",
          "description" : "Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.grade"
          },
          {
            "identity" : "v2",
            "map" : "AL1-4"
          },
          {
            "identity" : "rim",
            "map" : "inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=SEV, value <= SeverityObservation (Severity Level)]"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.code",
        "path" : "AllergyIntolerance.code",
        "short" : "Code that identifies the allergy or intolerance",
        "definition" : "Code for an allergy or intolerance statement (either a positive or a negated/excluded statement). This may be a code for a substance or pharmaceutical product that is considered to be responsible for the adverse reaction risk (e.g., \"Latex\"), an allergy or intolerance condition (e.g., \"Latex allergy\"), or a negated/excluded code for a specific substance or class (e.g., \"No latex allergy\") or a general or categorical negated statement (e.g., \"No known allergy\", \"No known drug allergies\"). Note: the substance for a specific reaction may be different from the substance identified as the cause of the risk, but it must be consistent with it. For instance, it may be a more specific substance (e.g. a brand medication) or a composite product that includes the identified substance. It must be clinically safe to only process the 'code' and ignore the 'reaction.substance'. If a receiving system is unable to confirm that AllergyIntolerance.reaction.substance falls within the semantic scope of AllergyIntolerance.code, then the receiving system should ignore AllergyIntolerance.reaction.substance.",
        "comment" : "It is strongly recommended that this element be populated using a terminology, where possible. For example, some terminologies used include RxNorm, SNOMED CT, DM+D, NDFRT, ICD-9, IDC-10, UNII, and ATC. Plain text should only be used if there is no appropriate terminology available. Additional details can be specified in the text.\r\rWhen a substance or product code is specified for the 'code' element, the \"default\" semantic context is that this is a positive statement of an allergy or intolerance (depending on the value of the 'type' element, if present) condition to the specified substance/product. In the corresponding SNOMED CT allergy model, the specified substance/product is the target (destination) of the \"Causative agent\" relationship.\r\rThe 'substanceExposureRisk' extension is available as a structured and more flexible alternative to the 'code' element for making positive or negative allergy or intolerance statements. This extension provides the capability to make \"no known allergy\" (or \"no risk of adverse reaction\") statements regarding any coded substance/product (including cases when a pre-coordinated \"no allergy to x\" concept for that substance/product does not exist). If the 'substanceExposureRisk' extension is present, the AllergyIntolerance.code element SHALL be omitted.",
        "alias" : [
          "Code"
        ],
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "AllergyIntolerance.code",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "example" : [
          {
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "code" : "1003755004",
                  "system" : "http://snomed.info/sct",
                  "display" : "Allergy to Hevea brasiliensis latex protein (finding)"
                }
              ]
            },
            "label" : "Valid Example"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "element-sct",
            "severity" : "warning",
            "human" : "Element.coding SHOULD contain a SNOMED-CT code. Other code systems included in the ValueSet are for historical purposes only",
            "expression" : "coding.where(system='http://snomed.info/sct' and code.exists()).exists()",
            "source" : "http://fhir.health.gov.il/StructureDefinition/il-core-allergy-intolerance"
          },
          {
            "key" : "allergy-drug",
            "severity" : "error",
            "human" : "Element.coding SHOULD contain a DrugGenericTrade code.coding:drug exists",
            "expression" : "coding.where(system='http://snomed.info/sct' and code=448177004).exists() implies coding.where(system='http://fhir.laniado.org.il/CodeSystem/generic-drug' and code.exists()).exists()",
            "source" : "http://fhir.laniado.org.il/StructureDefinition/laniado-allergy-intolerance"
          },
          {
            "key" : "allergy-general",
            "severity" : "error",
            "human" : "text SHALL be present if coding:general exists",
            "expression" : "coding.where(system='http://snomed.info/sct' and code=281647001).exists() implies text.exists()",
            "source" : "http://fhir.laniado.org.il/StructureDefinition/laniado-allergy-intolerance"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : true,
        "binding" : {
          "strength" : "extensible",
          "valueSet" : "http://fhir.health.gov.il/ValueSet/il-core-allergy-intolerance-code"
        },
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "AL1-3 / IAM-3"
          },
          {
            "identity" : "rim",
            "map" : "substance/product:\r\r.participation[typeCode=CAGNT].role[classCode=ADMM].player[classCode=MAT, determinerCode=KIND, code <= ExposureAgentEntityType]\r\rnegated/excluded substance/product:\r\r.participation[typeCode=CAGNT, negationInd=true].role[classCode=ADMM].player[classCode=MAT, determinerCode=KIND, code <= ExposureAgentEntityType]\r\rpositive or negated/excluded condition/situation:\r\rObservation.code=ASSERTION; Observation.value"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.code.id",
        "path" : "AllergyIntolerance.code.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" : [
          {
            "code" : "http://hl7.org/fhirpath/System.String",
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "string"
              }
            ]
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.code.extension",
        "path" : "AllergyIntolerance.code.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" : "AllergyIntolerance.code.coding",
        "path" : "AllergyIntolerance.code.coding",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "system"
            },
            {
              "type" : "value",
              "path" : "code"
            }
          ],
          "rules" : "open"
        },
        "short" : "Code defined by a terminology system",
        "definition" : "A reference to a code defined by a terminology system.",
        "comment" : "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",
        "requirements" : "Allows for alternative encodings within a code system, and translations to other code systems.",
        "min" : 1,
        "max" : "*",
        "base" : {
          "path" : "CodeableConcept.coding",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value 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" : "C*E.1-8, C*E.10-22"
          },
          {
            "identity" : "rim",
            "map" : "union(., ./translation)"
          },
          {
            "identity" : "orim",
            "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.code.coding.id",
        "path" : "AllergyIntolerance.code.coding.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" : [
          {
            "code" : "http://hl7.org/fhirpath/System.String",
            "extension" : [
              {
                "url" : "http://hl7.org/fh          {
            "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" : "AllergyIntolerance.code.coding:general.system",
        "path" : "AllergyIntolerance.code.coding: "n/a"
          },
          {
            "identity" : "v2",
            "map" : "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6"
          },
          {
            "identity" : "rim",
            "map" : "CV"
          },
          {
            "identity" : "orim",
            "map" : "fhir:Coding rdfs:subClassOf dt:CDCoding"
          },
          {
            "identity" : "v2",
            "map" : "C*E.1-8, C*E.10-22"
          },
          {
            "identity" : "rim",
            "map" : "union(., ./translation)"
          },
       ",
              "path" : "system"
            },
            {
              "type" : "value",
              "path" : "code"
            }
          ],
          "rules" : "open"
        },
        "min" : 1
      },
      {
        "id" : "AllergyIntolerance.code.coding:drug",
        "path" : "AllergyIntolerance.code.coding",
        "sliceName" : "drug",
        "min" : 0,
        "max" : "1"
      },
      {
        "id" : "AllergyIntolerance.code.coding:drug.system",
        "path" : "AllergyIntolerance.code.coding.system",
        "fixedUri" : "http://snomed.info/sct"
      },
      {
        "id" : "AllergyIntolerance.code.coding:drug.code",
        "path" : "AllergyIntolerance.code.coding.code",
        "fixedCode" : "448177004"
      },
      {
        "id" : "AllergyIntolerance.code.coding:drug.display",
        "path" : "AllergyIntolerance.code.coding.display",
        "fixedString" : "Adverse drug interaction"
      },
      {
        "id" : "AllergyIntolerance.code.coding:laniadoDrug",
        "path" : "AllergyIntolerance.code.coding",
        "sliceName" : "laniadoDrug",
        "min" : 0,
        "max" : "1"
      },
      {
        "id" : "AllergyIntolerance.code.coding:laniadoDrug.system",
        "path" : "AllergyIntolerance.code.coding.system",
        "fixedUri" : "http://fhir.laniado.org.il/CodeSystem/generic-drug"
      },
      {
        "id" : "AllergyIntolerance.code.coding:general",
        "path" : "AllergyIntolerance.code.coding",
        "sliceName" : "general",
        "min" : 0,
        "max" : "1"
      },
      {
        "id" : "AllergyIntolerance.code.coding:general.system",
        "path" : "AllergyIntolerance.code.coding.system",
        "fixedUri" : "http://snomed.info/sct"
      },
      {
        "id" : "AllergyIntolerance.code.coding:general.code",
        "path" : "AllergyIntolerance.code.coding.code",
        "fixedCode" : "281647001"
      },
      {
        "id" : "AllergyIntolerance.code.coding:general.display",
        "path" : "AllergyIntolerance.code.coding.display",
        "fixedString" : "Adverse reaction"
      },
      {
        "id" : "AllergyIntolerance.patient",
        "path" : "AllergyIntolerance.patient",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://fhir.laniado.org.il/StructureDefinition/laniado-patient"
            ]
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.encounter",
        "path" : "AllergyIntolerance.encounter",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://fhir.laniado.org.il/StructureDefinition/encounter-department"
            ]
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.recorder",
        "path" : "AllergyIntolerance.recorder",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://fhir.laniado.org.il/StructureDefinition/laniado-practitioner"
            ]
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.asserter",
        "path" : "AllergyIntolerance.asserter",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://fhir.laniado.org.il/StructureDefinition/laniado-practitioner"
            ]
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.reaction.manifestation",
        "path" : "AllergyIntolerance.reaction.manifestation",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "coding.system"
            }
          ],
          "rules" : "open"
        }
      },
      {
        "id" : "AllergyIntolerance.reaction.manifestation:reaction",
        "path" : "AllergyIntolerance.reaction.manifestation",
        "sliceName" : "reaction",
        "min" : 0,
        "max" : "1"
      },
      {
        "id" : "AllergyIntolerance.reaction.manifestation:reaction.coding",
        "path" : "AllergyIntolerance.reaction.manifestation.coding",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "system"
            }
          ],
          "rules" : "open"
        }
      },
      {
        "id" : "AllergyIntolerance.reaction.manifestation:reaction.coding:default",
        "path" : "AllergyIntolerance.reaction.manifestation.coding",
        "sliceName" : "default",
        "min" : 0,
        "max" : "1"
      },
      {
        "id" : "AllergyIntolerance.reaction.manifestation:reaction.coding:default.system",
        "path" : "AllergyIntolerance.reaction.manifestation.coding.system",
        "min" : 1,
        "fixedUri" : "http://snomed.info/sct"
      },
      {
        "id" : "AllergyIntolerance.reaction.manifestation:reaction.coding:default.code",
        "path" : "AllergyIntolerance.reaction.manifestation.coding.code",
        "fixedCode" : "419076005"
      },
      {
        "id" : "AllergyIntolerance.reaction.manifestation:reaction.coding:default.display",
        "path" : "AllergyIntolerance.reaction.manifestation.coding.display",
        "fixedString" : "Allergic reaction"
      },
      {
        "id" : "AllergyIntolerance.reaction.manifestation:laniado",
        "path" : "AllergyIntolerance.reaction.manifestation",
        "sliceName" : "laniado",
        "min" : 0,
        "max" : "1"
      },
      {
        "id" : "AllergyIntolerance.reaction.manifestation:laniado.coding",
        "path" : "AllergyIntolerance.reaction.manifestation.coding",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "system"
            }
          ],
          "rules" : "open"
        }
      },
      {
        "id" : "AllergyIntolerance.reaction.manifestation:laniado.coding:default",
        "path" : "AllergyIntolerance.reaction.manifestation.coding",
        "sliceName" : "default",
        "min" : 0,
        "max" : "1"
      },
      {
        "id" : "AllergyIntolerance.reaction.manifestation:laniado.coding:default.system",
        "path" : "AllergyIntolerance.reaction.manifestation.coding.system",
        "min" : 1,
        "fixedUri" : "http://fhir.laniado.org.il/CodeSystem/k-emr-teguva"
      },
      {
        "id" : "AllergyIntolerance.reaction.severity",
        "path" : "AllergyIntolerance.reaction.severity",
        "constraint" : [
          {
            "key" : "allergy-reaction-severity",
            "severity" : "error",
            "human" : "value SHALL be 'severe' if extension:shock exists",
            "expression" : "extension('http://fhir.laniado.org.il/StructureDefinition/ext-allergy-reaction-severity-shock').exists() implies $this = 'severe'",
            "source" : "http://fhir.laniado.org.il/StructureDefinition/laniado-allergy-intolerance"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.reaction.severity.extension:shock",
        "path" : "AllergyIntolerance.reaction.severity.extension",
        "sliceName" : "shock",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "Extension",
            "profile" : [
              "http://fhir.laniado.org.il/StructureDefinition/ext-allergy-reaction-severity-shock"
            ]
          }
        ]
      }
    ]
  },
  "text" : {
  }
}

XIG built as of ??metadata-date??. Found ??metadata-resources?? resources in ??metadata-packages?? packages.