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Packagehl7.fhir.uv.xver-r4.r3
Resource TypeStructureDefinition
IdStructureDefinition-ext-R4-MedicinalProduct.specialDesignation.json
FHIR VersionR3

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Narrative

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

Generated Narrative: StructureDefinition ext-R4-MedicinalProduct.specialDesignation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..*ExtensionR4: Indicates if the medicinal product has an orphan designation for the treatment of a rare disease (new)
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... extension:identifier 0..*ExtensionR4: Identifier for the designation, or procedure number (new)
..... url 1..1uri"identifier"
..... value[x] 0..1IdentifierIdentifier for the designation, or procedure number
.... extension:type 0..1ExtensionR4: The type of special designation, e.g. orphan drug, minor use (new)
..... url 1..1uri"type"
..... value[x] 0..1CodeableConceptThe type of special designation, e.g. orphan drug, minor use
.... extension:intendedUse 0..1ExtensionR4: The intended use of the product, e.g. prevention, treatment (new)
..... url 1..1uri"intendedUse"
..... value[x] 0..1CodeableConceptThe intended use of the product, e.g. prevention, treatment
.... extension:indication 0..1ExtensionR4: Condition for which the medicinal use applies (new)
..... url 1..1uri"indication"
..... value[x] 0..1Condition for which the medicinal use applies
...... valueCodeableConceptCodeableConcept
...... valueReferenceReference(Cross-version Profile for R4.MedicinalProductIndication for use in FHIR STU3(0.1.0) | Basic)
.... extension:status 0..1ExtensionR4: For example granted, pending, expired or withdrawn (new)
..... url 1..1uri"status"
..... value[x] 0..1CodeableConceptFor example granted, pending, expired or withdrawn
.... extension:date 0..1ExtensionR4: Date when the designation was granted (new)
..... url 1..1uri"date"
..... value[x] 0..1dateTimeDate when the designation was granted
.... extension:species 0..1ExtensionR4: Animal species for which this applies (new)
..... url 1..1uri"species"
..... value[x] 0..1CodeableConceptAnimal species for which this applies
... url 1..1uri"http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicinalProduct.specialDesignation"
... value[x] 0..0Value of extension

doco Documentation for this format

Source1

{
  "resourceType": "StructureDefinition",
  "id": "ext-R4-MedicinalProduct.specialDesignation",
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "fhir"
    },
    {
      "extension": [
        {
          "url": "packageId",
          "valueId": "hl7.fhir.uv.xver-r4.r3"
        },
        {
          "url": "version",
          "valueString": "0.1.0"
        },
        {
          "url": "uri",
          "valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r3"
        }
      ],
      "url": "http://hl7.org/fhir/StructureDefinition/package-source"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 0,
      "_valueInteger": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r3"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode": "trial-use",
      "_valueCode": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r3"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicinalProduct.specialDesignation",
  "version": "0.1.0",
  "name": "ExtensionMedicinalProduct_SpecialDesignation",
  "title": "R4: Indicates if the medicinal product has an orphan designation for the treatment of a rare disease (new)",
  "status": "active",
  "experimental": false,
  "date": "2026-03-17T21:02:03.8104715+00:00",
  "publisher": "FHIR Infrastructure",
  "contact": [
    {
      "name": "FHIR Infrastructure",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/fiwg"
        }
      ]
    }
  ],
  "description": "R4: `MedicinalProduct.specialDesignation` (new:BackboneElement)",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "purpose": "This extension is part of the cross-version definitions generated to enable use of the\r\nelement `MedicinalProduct.specialDesignation` as defined in FHIR R4\r\nin FHIR STU3.\r\n\r\nThe source element is defined as:\r\n`MedicinalProduct.specialDesignation` 0..* `BackboneElement`\r\n\r\nFollowing are the generation technical comments:\r\nElement `MedicinalProduct.specialDesignation` is not mapped to FHIR STU3, since FHIR R4 `MedicinalProduct` is not mapped.\nElement `MedicinalProduct.specialDesignation` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
  "fhirVersion": "3.0.2",
  "mapping": [
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    }
  ],
  "kind": "complex-type",
  "abstract": false,
  "contextType": "resource",
  "context": [
    "Basic"
  ],
  "type": "Extension",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
  "derivation": "constraint",
  "snapshot": {
    "element": [
      {
        "id": "Extension",
        "path": "Extension",
        "short": "R4: Indicates if the medicinal product has an orphan designation for the treatment of a rare disease (new)",
        "definition": "R4: `MedicinalProduct.specialDesignation` (new:BackboneElement)",
        "comment": "Element `MedicinalProduct.specialDesignation` is not mapped to FHIR STU3, since FHIR R4 `MedicinalProduct` is not mapped.\nElement `MedicinalProduct.specialDesignation` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Extension",
          "min": 0,
          "max": "*"
        },
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() | (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
      },
      {
        "id": "Extension.id",
        "path": "Extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "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": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension",
        "path": "Extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ]
      },
      {
        "id": "Extension.extension:identifier",
        "path": "Extension.extension",
        "sliceName": "identifier",
        "short": "R4: Identifier for the designation, or procedure number (new)",
        "definition": "R4: `MedicinalProduct.specialDesignation.identifier` (new:Identifier)",
        "comment": "Element `MedicinalProduct.specialDesignation.identifier` is part of an existing definition because parent element `MedicinalProduct.specialDesignation` requires a cross-version extension.\nElement `MedicinalProduct.specialDesignation.identifier` is not mapped to FHIR STU3, since FHIR R4 `MedicinalProduct` is not mapped.\nElement `MedicinalProduct.specialDesignation.identifier` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `MedicinalProduct.specialDesignation.identifier` is part of an existing definition because parent element `MedicinalProduct.specialDesignation` requires a cross-version extension.\nElement `MedicinalProduct.specialDesignation.identifier` is not mapped to FHIR STU3, since FHIR R4 `MedicinalProduct` is not mapped.\nElement `MedicinalProduct.specialDesignation.identifier` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ]
      },
      {
        "id": "Extension.extension:identifier.id",
        "path": "Extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "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": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:identifier.extension",
        "path": "Extension.extension.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. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "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"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:identifier.url",
        "path": "Extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "fixedUri": "identifier",
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:identifier.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "Identifier for the designation, or procedure number",
        "definition": "Identifier for the designation, or procedure number.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Identifier"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:type",
        "path": "Extension.extension",
        "sliceName": "type",
        "short": "R4: The type of special designation, e.g. orphan drug, minor use (new)",
        "definition": "R4: `MedicinalProduct.specialDesignation.type` (new:CodeableConcept)",
        "comment": "Element `MedicinalProduct.specialDesignation.type` is part of an existing definition because parent element `MedicinalProduct.specialDesignation` requires a cross-version extension.\nElement `MedicinalProduct.specialDesignation.type` is not mapped to FHIR STU3, since FHIR R4 `MedicinalProduct` is not mapped.\nElement `MedicinalProduct.specialDesignation.type` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `MedicinalProduct.specialDesignation.type` is part of an existing definition because parent element `MedicinalProduct.specialDesignation` requires a cross-version extension.\nElement `MedicinalProduct.specialDesignation.type` is not mapped to FHIR STU3, since FHIR R4 `MedicinalProduct` is not mapped.\nElement `MedicinalProduct.specialDesignation.type` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ]
      },
      {
        "id": "Extension.extension:type.id",
        "path": "Extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "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": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:type.extension",
        "path": "Extension.extension.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. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "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"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:type.url",
        "path": "Extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "fixedUri": "type",
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:type.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "The type of special designation, e.g. orphan drug, minor use",
        "definition": "The type of special designation, e.g. orphan drug, minor use.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:intendedUse",
        "path": "Extension.extension",
        "sliceName": "intendedUse",
        "short": "R4: The intended use of the product, e.g. prevention, treatment (new)",
        "definition": "R4: `MedicinalProduct.specialDesignation.intendedUse` (new:CodeableConcept)",
        "comment": "Element `MedicinalProduct.specialDesignation.intendedUse` is part of an existing definition because parent element `MedicinalProduct.specialDesignation` requires a cross-version extension.\nElement `MedicinalProduct.specialDesignation.intendedUse` is not mapped to FHIR STU3, since FHIR R4 `MedicinalProduct` is not mapped.\nElement `MedicinalProduct.specialDesignation.intendedUse` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `MedicinalProduct.specialDesignation.intendedUse` is part of an existing definition because parent element `MedicinalProduct.specialDesignation` requires a cross-version extension.\nElement `MedicinalProduct.specialDesignation.intendedUse` is not mapped to FHIR STU3, since FHIR R4 `MedicinalProduct` is not mapped.\nElement `MedicinalProduct.specialDesignation.intendedUse` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ]
      },
      {
        "id": "Extension.extension:intendedUse.id",
        "path": "Extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "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": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:intendedUse.extension",
        "path": "Extension.extension.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. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "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"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:intendedUse.url",
        "path": "Extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "fixedUri": "intendedUse",
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:intendedUse.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "The intended use of the product, e.g. prevention, treatment",
        "definition": "The intended use of the product, e.g. prevention, treatment.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:indication",
        "path": "Extension.extension",
        "sliceName": "indication",
        "short": "R4: Condition for which the medicinal use applies (new)",
        "definition": "R4: `MedicinalProduct.specialDesignation.indication[x]` (new:CodeableConcept, Reference(MedicinalProductIndication))",
        "comment": "Element `MedicinalProduct.specialDesignation.indication[x]` is part of an existing definition because parent element `MedicinalProduct.specialDesignation` requires a cross-version extension.\nElement `MedicinalProduct.specialDesignation.indication[x]` is not mapped to FHIR STU3, since FHIR R4 `MedicinalProduct` is not mapped.\nElement `MedicinalProduct.specialDesignation.indication[x]` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `MedicinalProduct.specialDesignation.indication[x]` is part of an existing definition because parent element `MedicinalProduct.specialDesignation` requires a cross-version extension.\nElement `MedicinalProduct.specialDesignation.indication[x]` is not mapped to FHIR STU3, since FHIR R4 `MedicinalProduct` is not mapped.\nElement `MedicinalProduct.specialDesignation.indication[x]` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ]
      },
      {
        "id": "Extension.extension:indication.id",
        "path": "Extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "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": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:indication.extension",
        "path": "Extension.extension.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. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "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"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:indication.url",
        "path": "Extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "fixedUri": "indication",
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:indication.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "Condition for which the medicinal use applies",
        "definition": "Condition for which the medicinal use applies.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/4.0/StructureDefinition/profile-MedicinalProductIndication|0.1.0"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Basic"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:status",
        "path": "Extension.extension",
        "sliceName": "status",
        "short": "R4: For example granted, pending, expired or withdrawn (new)",
        "definition": "R4: `MedicinalProduct.specialDesignation.status` (new:CodeableConcept)",
        "comment": "Element `MedicinalProduct.specialDesignation.status` is part of an existing definition because parent element `MedicinalProduct.specialDesignation` requires a cross-version extension.\nElement `MedicinalProduct.specialDesignation.status` is not mapped to FHIR STU3, since FHIR R4 `MedicinalProduct` is not mapped.\nElement `MedicinalProduct.specialDesignation.status` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `MedicinalProduct.specialDesignation.status` is part of an existing definition because parent element `MedicinalProduct.specialDesignation` requires a cross-version extension.\nElement `MedicinalProduct.specialDesignation.status` is not mapped to FHIR STU3, since FHIR R4 `MedicinalProduct` is not mapped.\nElement `MedicinalProduct.specialDesignation.status` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ]
      },
      {
        "id": "Extension.extension:status.id",
        "path": "Extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "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": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:status.extension",
        "path": "Extension.extension.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. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "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"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:status.url",
        "path": "Extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "fixedUri": "status",
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:status.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "For example granted, pending, expired or withdrawn",
        "definition": "For example granted, pending, expired or withdrawn.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:date",
        "path": "Extension.extension",
        "sliceName": "date",
        "short": "R4: Date when the designation was granted (new)",
        "definition": "R4: `MedicinalProduct.specialDesignation.date` (new:dateTime)",
        "comment": "Element `MedicinalProduct.specialDesignation.date` is part of an existing definition because parent element `MedicinalProduct.specialDesignation` requires a cross-version extension.\nElement `MedicinalProduct.specialDesignation.date` is not mapped to FHIR STU3, since FHIR R4 `MedicinalProduct` is not mapped.\nElement `MedicinalProduct.specialDesignation.date` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `MedicinalProduct.specialDesignation.date` is part of an existing definition because parent element `MedicinalProduct.specialDesignation` requires a cross-version extension.\nElement `MedicinalProduct.specialDesignation.date` is not mapped to FHIR STU3, since FHIR R4 `MedicinalProduct` is not mapped.\nElement `MedicinalProduct.specialDesignation.date` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ]
      },
      {
        "id": "Extension.extension:date.id",
        "path": "Extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "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": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:date.extension",
        "path": "Extension.extension.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. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "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"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:date.url",
        "path": "Extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "fixedUri": "date",
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:date.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "Date when the designation was granted",
        "definition": "Date when the designation was granted.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:species",
        "path": "Extension.extension",
        "sliceName": "species",
        "short": "R4: Animal species for which this applies (new)",
        "definition": "R4: `MedicinalProduct.specialDesignation.species` (new:CodeableConcept)",
        "comment": "Element `MedicinalProduct.specialDesignation.species` is part of an existing definition because parent element `MedicinalProduct.specialDesignation` requires a cross-version extension.\nElement `MedicinalProduct.specialDesignation.species` is not mapped to FHIR STU3, since FHIR R4 `MedicinalProduct` is not mapped.\nElement `MedicinalProduct.specialDesignation.species` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `MedicinalProduct.specialDesignation.species` is part of an existing definition because parent element `MedicinalProduct.specialDesignation` requires a cross-version extension.\nElement `MedicinalProduct.specialDesignation.species` is not mapped to FHIR STU3, since FHIR R4 `MedicinalProduct` is not mapped.\nElement `MedicinalProduct.specialDesignation.species` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ]
      },
      {
        "id": "Extension.extension:species.id",
        "path": "Extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "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": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:species.extension",
        "path": "Extension.extension.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. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "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"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:species.url",
        "path": "Extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "fixedUri": "species",
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:species.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "Animal species for which this applies",
        "definition": "Animal species for which this applies.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.url",
        "path": "Extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "fixedUri": "http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicinalProduct.specialDesignation",
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.value[x]",
        "path": "Extension.value[x]",
        "short": "Value of extension",
        "definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "base64Binary"
          },
          {
            "code": "boolean"
          },
          {
            "code": "code"
          },
          {
            "code": "date"
          },
          {
            "code": "dateTime"
          },
          {
            "code": "decimal"
          },
          {
            "code": "id"
          },
          {
            "code": "instant"
          },
          {
            "code": "integer"
          },
          {
            "code": "markdown"
          },
          {
            "code": "oid"
          },
          {
            "code": "positiveInt"
          },
          {
            "code": "string"
          },
          {
            "code": "time"
          },
          {
            "code": "unsignedInt"
          },
          {
            "code": "uri"
          },
          {
            "code": "Address"
          },
          {
            "code": "Age"
          },
          {
            "code": "Annotation"
          },
          {
            "code": "Attachment"
          },
          {
            "code": "CodeableConcept"
          },
          {
            "code": "Coding"
          },
          {
            "code": "ContactPoint"
          },
          {
            "code": "Count"
          },
          {
            "code": "Distance"
          },
          {
            "code": "Duration"
          },
          {
            "code": "HumanName"
          },
          {
            "code": "Identifier"
          },
          {
            "code": "Money"
          },
          {
            "code": "Period"
          },
          {
            "code": "Quantity"
          },
          {
            "code": "Range"
          },
          {
            "code": "Ratio"
          },
          {
            "code": "Reference"
          },
          {
            "code": "SampledData"
          },
          {
            "code": "Signature"
          },
          {
            "code": "Timing"
          },
          {
            "code": "Meta"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      }
    ]
  },
  "differential": {
    "element": [
      {
        "id": "Extension",
        "path": "Extension",
        "short": "R4: Indicates if the medicinal product has an orphan designation for the treatment of a rare disease (new)",
        "definition": "R4: `MedicinalProduct.specialDesignation` (new:BackboneElement)",
        "comment": "Element `MedicinalProduct.specialDesignation` is not mapped to FHIR STU3, since FHIR R4 `MedicinalProduct` is not mapped.\nElement `MedicinalProduct.specialDesignation` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Extension",
          "min": 0,
          "max": "*"
        },
        "isModifier": false
      },
      {
        "id": "Extension.extension",
        "path": "Extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 0,
        "max": "*",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:identifier",
        "path": "Extension.extension",
        "sliceName": "identifier",
        "short": "R4: Identifier for the designation, or procedure number (new)",
        "definition": "R4: `MedicinalProduct.specialDesignation.identifier` (new:Identifier)",
        "comment": "Element `MedicinalProduct.specialDesignation.identifier` is part of an existing definition because parent element `MedicinalProduct.specialDesignation` requires a cross-version extension.\nElement `MedicinalProduct.specialDesignation.identifier` is not mapped to FHIR STU3, since FHIR R4 `MedicinalProduct` is not mapped.\nElement `MedicinalProduct.specialDesignation.identifier` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `MedicinalProduct.specialDesignation.identifier` is part of an existing definition because parent element `MedicinalProduct.specialDesignation` requires a cross-version extension.\nElement `MedicinalProduct.specialDesignation.identifier` is not mapped to FHIR STU3, since FHIR R4 `MedicinalProduct` is not mapped.\nElement `MedicinalProduct.specialDesignation.identifier` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:identifier.url",
        "path": "Extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "identifier"
      },
      {
        "id": "Extension.extension:identifier.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "Identifier for the designation, or procedure number",
        "definition": "Identifier for the designation, or procedure number.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Identifier"
          }
        ]
      },
      {
        "id": "Extension.extension:type",
        "path": "Extension.extension",
        "sliceName": "type",
        "short": "R4: The type of special designation, e.g. orphan drug, minor use (new)",
        "definition": "R4: `MedicinalProduct.specialDesignation.type` (new:CodeableConcept)",
        "comment": "Element `MedicinalProduct.specialDesignation.type` is part of an existing definition because parent element `MedicinalProduct.specialDesignation` requires a cross-version extension.\nElement `MedicinalProduct.specialDesignation.type` is not mapped to FHIR STU3, since FHIR R4 `MedicinalProduct` is not mapped.\nElement `MedicinalProduct.specialDesignation.type` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `MedicinalProduct.specialDesignation.type` is part of an existing definition because parent element `MedicinalProduct.specialDesignation` requires a cross-version extension.\nElement `MedicinalProduct.specialDesignation.type` is not mapped to FHIR STU3, since FHIR R4 `MedicinalProduct` is not mapped.\nElement `MedicinalProduct.specialDesignation.type` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:type.url",
        "path": "Extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "type"
      },
      {
        "id": "Extension.extension:type.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "The type of special designation, e.g. orphan drug, minor use",
        "definition": "The type of special designation, e.g. orphan drug, minor use.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ]
      },
      {
        "id": "Extension.extension:intendedUse",
        "path": "Extension.extension",
        "sliceName": "intendedUse",
        "short": "R4: The intended use of the product, e.g. prevention, treatment (new)",
        "definition": "R4: `MedicinalProduct.specialDesignation.intendedUse` (new:CodeableConcept)",
        "comment": "Element `MedicinalProduct.specialDesignation.intendedUse` is part of an existing definition because parent element `MedicinalProduct.specialDesignation` requires a cross-version extension.\nElement `MedicinalProduct.specialDesignation.intendedUse` is not mapped to FHIR STU3, since FHIR R4 `MedicinalProduct` is not mapped.\nElement `MedicinalProduct.specialDesignation.intendedUse` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `MedicinalProduct.specialDesignation.intendedUse` is part of an existing definition because parent element `MedicinalProduct.specialDesignation` requires a cross-version extension.\nElement `MedicinalProduct.specialDesignation.intendedUse` is not mapped to FHIR STU3, since FHIR R4 `MedicinalProduct` is not mapped.\nElement `MedicinalProduct.specialDesignation.intendedUse` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:intendedUse.url",
        "path": "Extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "intendedUse"
      },
      {
        "id": "Extension.extension:intendedUse.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "The intended use of the product, e.g. prevention, treatment",
        "definition": "The intended use of the product, e.g. prevention, treatment.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ]
      },
      {
        "id": "Extension.extension:indication",
        "path": "Extension.extension",
        "sliceName": "indication",
        "short": "R4: Condition for which the medicinal use applies (new)",
        "definition": "R4: `MedicinalProduct.specialDesignation.indication[x]` (new:CodeableConcept, Reference(MedicinalProductIndication))",
        "comment": "Element `MedicinalProduct.specialDesignation.indication[x]` is part of an existing definition because parent element `MedicinalProduct.specialDesignation` requires a cross-version extension.\nElement `MedicinalProduct.specialDesignation.indication[x]` is not mapped to FHIR STU3, since FHIR R4 `MedicinalProduct` is not mapped.\nElement `MedicinalProduct.specialDesignation.indication[x]` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `MedicinalProduct.specialDesignation.indication[x]` is part of an existing definition because parent element `MedicinalProduct.specialDesignation` requires a cross-version extension.\nElement `MedicinalProduct.specialDesignation.indication[x]` is not mapped to FHIR STU3, since FHIR R4 `MedicinalProduct` is not mapped.\nElement `MedicinalProduct.specialDesignation.indication[x]` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:indication.url",
        "path": "Extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "indication"
      },
      {
        "id": "Extension.extension:indication.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "Condition for which the medicinal use applies",
        "definition": "Condition for which the medicinal use applies.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/4.0/StructureDefinition/profile-MedicinalProductIndication|0.1.0"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Basic"
          }
        ]
      },
      {
        "id": "Extension.extension:status",
        "path": "Extension.extension",
        "sliceName": "status",
        "short": "R4: For example granted, pending, expired or withdrawn (new)",
        "definition": "R4: `MedicinalProduct.specialDesignation.status` (new:CodeableConcept)",
        "comment": "Element `MedicinalProduct.specialDesignation.status` is part of an existing definition because parent element `MedicinalProduct.specialDesignation` requires a cross-version extension.\nElement `MedicinalProduct.specialDesignation.status` is not mapped to FHIR STU3, since FHIR R4 `MedicinalProduct` is not mapped.\nElement `MedicinalProduct.specialDesignation.status` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `MedicinalProduct.specialDesignation.status` is part of an existing definition because parent element `MedicinalProduct.specialDesignation` requires a cross-version extension.\nElement `MedicinalProduct.specialDesignation.status` is not mapped to FHIR STU3, since FHIR R4 `MedicinalProduct` is not mapped.\nElement `MedicinalProduct.specialDesignation.status` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:status.url",
        "path": "Extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "status"
      },
      {
        "id": "Extension.extension:status.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "For example granted, pending, expired or withdrawn",
        "definition": "For example granted, pending, expired or withdrawn.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ]
      },
      {
        "id": "Extension.extension:date",
        "path": "Extension.extension",
        "sliceName": "date",
        "short": "R4: Date when the designation was granted (new)",
        "definition": "R4: `MedicinalProduct.specialDesignation.date` (new:dateTime)",
        "comment": "Element `MedicinalProduct.specialDesignation.date` is part of an existing definition because parent element `MedicinalProduct.specialDesignation` requires a cross-version extension.\nElement `MedicinalProduct.specialDesignation.date` is not mapped to FHIR STU3, since FHIR R4 `MedicinalProduct` is not mapped.\nElement `MedicinalProduct.specialDesignation.date` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `MedicinalProduct.specialDesignation.date` is part of an existing definition because parent element `MedicinalProduct.specialDesignation` requires a cross-version extension.\nElement `MedicinalProduct.specialDesignation.date` is not mapped to FHIR STU3, since FHIR R4 `MedicinalProduct` is not mapped.\nElement `MedicinalProduct.specialDesignation.date` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:date.url",
        "path": "Extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "date"
      },
      {
        "id": "Extension.extension:date.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "Date when the designation was granted",
        "definition": "Date when the designation was granted.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          }
        ]
      },
      {
        "id": "Extension.extension:species",
        "path": "Extension.extension",
        "sliceName": "species",
        "short": "R4: Animal species for which this applies (new)",
        "definition": "R4: `MedicinalProduct.specialDesignation.species` (new:CodeableConcept)",
        "comment": "Element `MedicinalProduct.specialDesignation.species` is part of an existing definition because parent element `MedicinalProduct.specialDesignation` requires a cross-version extension.\nElement `MedicinalProduct.specialDesignation.species` is not mapped to FHIR STU3, since FHIR R4 `MedicinalProduct` is not mapped.\nElement `MedicinalProduct.specialDesignation.species` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `MedicinalProduct.specialDesignation.species` is part of an existing definition because parent element `MedicinalProduct.specialDesignation` requires a cross-version extension.\nElement `MedicinalProduct.specialDesignation.species` is not mapped to FHIR STU3, since FHIR R4 `MedicinalProduct` is not mapped.\nElement `MedicinalProduct.specialDesignation.species` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:species.url",
        "path": "Extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "species"
      },
      {
        "id": "Extension.extension:species.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "Animal species for which this applies",
        "definition": "Animal species for which this applies.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ]
      },
      {
        "id": "Extension.url",
        "path": "Extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicinalProduct.specialDesignation"
      },
      {
        "id": "Extension.value[x]",
        "path": "Extension.value[x]",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        }
      }
    ]
  }
}