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Narrative

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Generated Narrative: StructureDefinition ext-R4-UsageContext.value

Name	Flags	Card.	Type	Description & Constraints
Extension		1..1	Extension	R4: value additional types
url		1..1	uri	"http://hl7.org/fhir/4.0/StructureDefinition/extension-UsageContext.value"
value[x]		1..1	Reference(Cross-version Profile for R4.PlanDefinition for use in FHIR STU3(0.1.0) | PlanDefinition | Cross-version Profile for R4.ResearchStudy for use in FHIR STU3(0.1.0) | ResearchStudy | Cross-version Profile for R4.InsurancePlan for use in FHIR STU3(0.1.0) | Basic | Cross-version Profile for R4.HealthcareService for use in FHIR STU3(0.1.0) | HealthcareService | Cross-version Profile for R4.Group for use in FHIR STU3(0.1.0) | Group | Cross-version Profile for R4.Location for use in FHIR STU3(0.1.0) | Location | Cross-version Profile for R4.Organization for use in FHIR STU3(0.1.0) | Organization)	Value that defines the context
Documentation for this format

Source1

{
  "resourceType": "StructureDefinition",
  "id": "ext-R4-UsageContext.value",
  "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-UsageContext.value",
  "version": "0.1.0",
  "name": "ExtensionUsageContext_Value",
  "title": "R4: value additional types",
  "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: `UsageContext.value[x]` additional types (Reference(http://hl7.org/fhir/StructureDefinition/PlanDefinition), Reference(http://hl7.org/fhir/StructureDefinition/ResearchStudy), Reference(http://hl7.org/fhir/StructureDefinition/InsurancePlan), Reference(http://hl7.org/fhir/StructureDefinition/HealthcareService), Reference(http://hl7.org/fhir/StructureDefinition/Group), Reference(http://hl7.org/fhir/StructureDefinition/Location), Reference(http://hl7.org/fhir/StructureDefinition/Organization))",
  "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 `UsageContext.value[x]` as defined in FHIR R4\r\nin FHIR STU3.\r\n\r\nThe source element is defined as:\r\n`UsageContext.value[x]` 1..1 `CodeableConcept, Quantity, Range, Reference(http://hl7.org/fhir/StructureDefinition/PlanDefinition,http://hl7.org/fhir/StructureDefinition/ResearchStudy,http://hl7.org/fhir/StructureDefinition/InsurancePlan,http://hl7.org/fhir/StructureDefinition/HealthcareService,http://hl7.org/fhir/StructureDefinition/Group,http://hl7.org/fhir/StructureDefinition/Location,http://hl7.org/fhir/StructureDefinition/Organization)`\r\n\r\nFollowing are the generation technical comments:\r\nElement `UsageContext.value[x]` is mapped to FHIR STU3 element `UsageContext.value[x]` as `SourceIsBroaderThanTarget`.\nThe mappings for `UsageContext.value[x]` do not cover the following types: Reference.\nThe target context `UsageContext.value[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `UsageContext`.",
  "fhirVersion": "3.0.2",
  "mapping": [
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    }
  ],
  "kind": "complex-type",
  "abstract": false,
  "contextType": "datatype",
  "context": [
    "UsageContext"
  ],
  "type": "Extension",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
  "derivation": "constraint",
  "snapshot": {
    "element": [
      {
        "id": "Extension",
        "path": "Extension",
        "short": "R4: value additional types",
        "definition": "R4: `UsageContext.value[x]` additional types (Reference(http://hl7.org/fhir/StructureDefinition/PlanDefinition), Reference(http://hl7.org/fhir/StructureDefinition/ResearchStudy), Reference(http://hl7.org/fhir/StructureDefinition/InsurancePlan), Reference(http://hl7.org/fhir/StructureDefinition/HealthcareService), Reference(http://hl7.org/fhir/StructureDefinition/Group), Reference(http://hl7.org/fhir/StructureDefinition/Location), Reference(http://hl7.org/fhir/StructureDefinition/Organization))",
        "comment": "Element `UsageContext.value[x]` is mapped to FHIR STU3 element `UsageContext.value[x]` as `SourceIsBroaderThanTarget`.\nThe mappings for `UsageContext.value[x]` do not cover the following types: Reference.\nThe target context `UsageContext.value[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `UsageContext`.",
        "min": 1,
        "max": "1",
        "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",
          "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.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-UsageContext.value",
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.value[x]",
        "path": "Extension.value[x]",
        "short": "Value that defines the context",
        "definition": "A value that defines the context specified in this context of use. The interpretation of the value is defined by the code.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/4.0/StructureDefinition/profile-PlanDefinition|0.1.0"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/PlanDefinition"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/4.0/StructureDefinition/profile-ResearchStudy|0.1.0"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/ResearchStudy"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/4.0/StructureDefinition/profile-InsurancePlan|0.1.0"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Basic"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/4.0/StructureDefinition/profile-HealthcareService|0.1.0"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/HealthcareService"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/4.0/StructureDefinition/profile-Group|0.1.0"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Group"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/4.0/StructureDefinition/profile-Location|0.1.0"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Location"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/4.0/StructureDefinition/profile-Organization|0.1.0"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Organization"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      }
    ]
  },
  "differential": {
    "element": [
      {
        "id": "Extension",
        "path": "Extension",
        "short": "R4: value additional types",
        "definition": "R4: `UsageContext.value[x]` additional types (Reference(http://hl7.org/fhir/StructureDefinition/PlanDefinition), Reference(http://hl7.org/fhir/StructureDefinition/ResearchStudy), Reference(http://hl7.org/fhir/StructureDefinition/InsurancePlan), Reference(http://hl7.org/fhir/StructureDefinition/HealthcareService), Reference(http://hl7.org/fhir/StructureDefinition/Group), Reference(http://hl7.org/fhir/StructureDefinition/Location), Reference(http://hl7.org/fhir/StructureDefinition/Organization))",
        "comment": "Element `UsageContext.value[x]` is mapped to FHIR STU3 element `UsageContext.value[x]` as `SourceIsBroaderThanTarget`.\nThe mappings for `UsageContext.value[x]` do not cover the following types: Reference.\nThe target context `UsageContext.value[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `UsageContext`.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension",
          "min": 0,
          "max": "*"
        },
        "isModifier": false
      },
      {
        "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-UsageContext.value"
      },
      {
        "id": "Extension.value[x]",
        "path": "Extension.value[x]",
        "short": "Value that defines the context",
        "definition": "A value that defines the context specified in this context of use. The interpretation of the value is defined by the code.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/4.0/StructureDefinition/profile-PlanDefinition|0.1.0"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/PlanDefinition"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/4.0/StructureDefinition/profile-ResearchStudy|0.1.0"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/ResearchStudy"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/4.0/StructureDefinition/profile-InsurancePlan|0.1.0"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Basic"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/4.0/StructureDefinition/profile-HealthcareService|0.1.0"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/HealthcareService"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/4.0/StructureDefinition/profile-Group|0.1.0"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Group"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/4.0/StructureDefinition/profile-Location|0.1.0"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Location"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/4.0/StructureDefinition/profile-Organization|0.1.0"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Organization"
          }
        ]
      }
    ]
  }
}