FHIR © HL7.org  |  FHIRsmith 4.0.1  |  Server Home  |  XIG Home  |  XIG Stats  | 

FHIR IG analytics

Packagehl7.fhir.uv.xver-r4.r4b
Resource TypeStructureDefinition
IdStructureDefinition-ext-R4-MedicinalProductIngredient.specifiedSubstance.json
FHIR VersionR4B
Sourcehttp://hl7.org/fhir/uv/xver-r4.r4b/0.1.0/StructureDefinition-ext-R4-MedicinalProductIngredient.specifiedSubstance.html
URLhttp://hl7.org/fhir/4.0/StructureDefinition/extension-MedicinalProductIngredient.specifiedSubstance
Version0.1.0
Statusactive
Date2026-03-17T21:02:03.8104715+00:00
NameExtensionMedicinalProductIngredient_SpecifiedSubstance
TitleR4: A specified substance that comprises this ingredient (new)
Realmuv
Authorityhl7
DescriptionR4: `MedicinalProductIngredient.specifiedSubstance` (new:BackboneElement)
PurposeThis extension is part of the cross-version definitions generated to enable use of the element `MedicinalProductIngredient.specifiedSubstance` as defined in FHIR R4 in FHIR R4B. The source element is defined as: `MedicinalProductIngredient.specifiedSubstance` 0..* `BackboneElement` Following are the generation technical comments: Element `MedicinalProductIngredient.specifiedSubstance` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped. Element `MedicinalProductIngredient.specifiedSubstance` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).
TypeExtension
Kindcomplex-type

Resources that use this resource

ConceptMap
hl7.fhir.uv.xver-r4.r4b#0.1.0R4-MedicinalProductIngredient-element-map-to-R4BCross-version mapping for FHIR R4 MedicinalProductIngredient to FHIR R4B Basic
hl7.fhir.uv.xver-r4.r5#0.1.0R4-MedicinalProductIngredient-element-map-to-R5Cross-version mapping for FHIR R4 MedicinalProductIngredient to FHIR R5 Basic
hl7.fhir.uv.xver-r4.r3#0.1.0R4-MedicinalProductIngredient-element-map-to-R3Cross-version mapping for FHIR R4 MedicinalProductIngredient to FHIR STU3 Basic
StructureDefinition
hl7.fhir.uv.xver-r4.r4b#0.1.0profile-MedicinalProductIngredientCross-version Profile for R4.MedicinalProductIngredient for use in FHIR R4B

Resources that this resource uses

No resources found


Examples of Use for Extension

No extension usage examples found


Narrative

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

Generated Narrative: StructureDefinition ext-R4-MedicinalProductIngredient.specifiedSubstance

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..*Extension(4.3.0)R4: A specified substance that comprises this ingredient (new)
... Slices for extension 2..*ExtensionExtension
Slice: Unordered, Open by value:url
.... extension:code 1..1ExtensionR4: The specified substance (new)
..... url 1..1uri"code"
..... value[x] 1..1CodeableConceptThe specified substance
.... extension:group 1..1ExtensionR4: The group of specified substance, e.g. group 1 to 4 (new)
..... url 1..1uri"group"
..... value[x] 1..1CodeableConceptThe group of specified substance, e.g. group 1 to 4
.... extension:confidentiality 0..1ExtensionR4: Confidentiality level of the specified substance as the ingredient (new)
..... url 1..1uri"confidentiality"
..... value[x] 0..1CodeableConceptConfidentiality level of the specified substance as the ingredient
.... extension:strength 0..*ExtensionR4: Quantity of the substance or specified substance present in the manufactured item or pharmaceutical product (new)
..... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
...... extension:presentation 1..1ExtensionR4: The quantity of substance in the unit of presentation, or in the volume (or mass) of the single pharmaceutical product or manufactured item (new)
....... url 1..1uri"presentation"
....... value[x] 1..1RatioThe quantity of substance in the unit of presentation, or in the volume (or mass) of the single pharmaceutical product or manufactured item
...... extension:presentationLowLimit 0..1ExtensionR4: A lower limit for the quantity of substance in the unit of presentation. For use when there is a range of strengths, this is the lower limit, with the presentation attribute becoming the upper limit (new)
....... url 1..1uri"presentationLowLimit"
....... value[x] 0..1RatioA lower limit for the quantity of substance in the unit of presentation. For use when there is a range of strengths, this is the lower limit, with the presentation attribute becoming the upper limit
...... extension:concentration 0..1ExtensionR4: The strength per unitary volume (or mass) (new)
....... url 1..1uri"concentration"
....... value[x] 0..1RatioThe strength per unitary volume (or mass)
...... extension:concentrationLowLimit 0..1ExtensionR4: A lower limit for the strength per unitary volume (or mass), for when there is a range. The concentration attribute then becomes the upper limit (new)
....... url 1..1uri"concentrationLowLimit"
....... value[x] 0..1RatioA lower limit for the strength per unitary volume (or mass), for when there is a range. The concentration attribute then becomes the upper limit
...... extension:measurementPoint 0..1ExtensionR4: For when strength is measured at a particular point or distance (new)
....... url 1..1uri"measurementPoint"
....... value[x] 0..1stringFor when strength is measured at a particular point or distance
...... extension:country 0..*ExtensionR4: The country or countries for which the strength range applies (new)
....... url 1..1uri"country"
....... value[x] 0..1CodeableConceptThe country or countries for which the strength range applies
...... extension:referenceStrength 0..*ExtensionR4: Strength expressed in terms of a reference substance (new)
....... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
........ extension:substance 0..1ExtensionR4: Relevant reference substance (new)
......... url 1..1uri"substance"
......... value[x] 0..1CodeableConceptRelevant reference substance
........ extension:strength 1..1ExtensionR4: Strength expressed in terms of a reference substance (new)
......... url 1..1uri"strength"
......... value[x] 1..1RatioStrength expressed in terms of a reference substance
........ extension:strengthLowLimit 0..1ExtensionR4: Strength expressed in terms of a reference substance (new)
......... url 1..1uri"strengthLowLimit"
......... value[x] 0..1RatioStrength expressed in terms of a reference substance
........ extension:measurementPoint 0..1ExtensionR4: For when strength is measured at a particular point or distance (new)
......... url 1..1uri"measurementPoint"
......... value[x] 0..1stringFor when strength is measured at a particular point or distance
........ extension:country 0..*ExtensionR4: The country or countries for which the strength range applies (new)
......... url 1..1uri"country"
......... value[x] 0..1CodeableConceptThe country or countries for which the strength range applies
....... url 1..1uri"referenceStrength"
....... value[x] 0..0Value of extension
..... url 1..1uri"strength"
..... value[x] 0..0Value of extension
... url 1..1uri"http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicinalProductIngredient.specifiedSubstance"
... value[x] 0..0Value of extension

doco Documentation for this format

Source1

{
  "resourceType": "StructureDefinition",
  "id": "ext-R4-MedicinalProductIngredient.specifiedSubstance",
  "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.r4b"
        },
        {
          "url": "version",
          "valueString": "0.1.0"
        },
        {
          "url": "uri",
          "valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r4b"
        }
      ],
      "url": "http://hl7.org/fhir/StructureDefinition/package-source"
    },
    {
      "extension": [
        {
          "url": "startFhirVersion",
          "valueCode": "4.3"
        },
        {
          "url": "endFhirVersion",
          "valueCode": "4.3"
        }
      ],
      "url": "http://hl7.org/fhir/StructureDefinition/version-specific-use"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 0,
      "_valueInteger": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r4b"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode": "trial-use",
      "_valueCode": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r4b"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicinalProductIngredient.specifiedSubstance",
  "version": "0.1.0",
  "name": "ExtensionMedicinalProductIngredient_SpecifiedSubstance",
  "title": "R4: A specified substance that comprises this ingredient (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: `MedicinalProductIngredient.specifiedSubstance` (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 `MedicinalProductIngredient.specifiedSubstance` as defined in FHIR R4\r\nin FHIR R4B.\r\n\r\nThe source element is defined as:\r\n`MedicinalProductIngredient.specifiedSubstance` 0..* `BackboneElement`\r\n\r\nFollowing are the generation technical comments:\r\nElement `MedicinalProductIngredient.specifiedSubstance` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).",
  "fhirVersion": "4.3.0",
  "mapping": [
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    }
  ],
  "kind": "complex-type",
  "abstract": false,
  "context": [
    {
      "type": "element",
      "expression": "Basic"
    }
  ],
  "type": "Extension",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension|4.3.0",
  "derivation": "constraint",
  "snapshot": {
    "extension": [
      {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
        "valueString": "4.3.0"
      }
    ],
    "element": [
      {
        "id": "Extension",
        "path": "Extension",
        "short": "R4: A specified substance that comprises this ingredient (new)",
        "definition": "R4: `MedicinalProductIngredient.specifiedSubstance` (new:BackboneElement)",
        "comment": "Element `MedicinalProductIngredient.specifiedSubstance` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance` has no mapping targets in FHIR R4B. 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 unless an empty Parameters resource",
            "expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
            "xpath": "@value|f:*|h:div|self::f:Parameters",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.3.0"
          },
          {
            "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|4.3.0"
          }
        ],
        "isModifier": false
      },
      {
        "id": "Extension.id",
        "path": "Extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "id"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "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": 2,
        "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|4.3.0"
          },
          {
            "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|4.3.0"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:code",
        "path": "Extension.extension",
        "sliceName": "code",
        "short": "R4: The specified substance (new)",
        "definition": "R4: `MedicinalProductIngredient.specifiedSubstance.code` (new:CodeableConcept)",
        "comment": "Element `MedicinalProductIngredient.specifiedSubstance.code` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.code` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.code` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `MedicinalProductIngredient.specifiedSubstance.code` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.code` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.code` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).",
        "min": 1,
        "max": "1",
        "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|4.3.0"
          },
          {
            "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|4.3.0"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:code.id",
        "path": "Extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "id"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:code.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. 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|4.3.0"
          },
          {
            "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|4.3.0"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:code.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": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "code",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:code.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "The specified substance",
        "definition": "The specified substance.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.3.0"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:group",
        "path": "Extension.extension",
        "sliceName": "group",
        "short": "R4: The group of specified substance, e.g. group 1 to 4 (new)",
        "definition": "R4: `MedicinalProductIngredient.specifiedSubstance.group` (new:CodeableConcept)",
        "comment": "Element `MedicinalProductIngredient.specifiedSubstance.group` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.group` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.group` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `MedicinalProductIngredient.specifiedSubstance.group` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.group` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.group` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).",
        "min": 1,
        "max": "1",
        "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|4.3.0"
          },
          {
            "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|4.3.0"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:group.id",
        "path": "Extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "id"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:group.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. 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|4.3.0"
          },
          {
            "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|4.3.0"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:group.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": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "group",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:group.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "The group of specified substance, e.g. group 1 to 4",
        "definition": "The group of specified substance, e.g. group 1 to 4.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.3.0"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:confidentiality",
        "path": "Extension.extension",
        "sliceName": "confidentiality",
        "short": "R4: Confidentiality level of the specified substance as the ingredient (new)",
        "definition": "R4: `MedicinalProductIngredient.specifiedSubstance.confidentiality` (new:CodeableConcept)",
        "comment": "Element `MedicinalProductIngredient.specifiedSubstance.confidentiality` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.confidentiality` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.confidentiality` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `MedicinalProductIngredient.specifiedSubstance.confidentiality` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.confidentiality` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.confidentiality` has no mapping targets in FHIR R4B. 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"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.3.0"
          },
          {
            "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|4.3.0"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:confidentiality.id",
        "path": "Extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "id"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:confidentiality.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. 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|4.3.0"
          },
          {
            "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|4.3.0"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:confidentiality.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": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "confidentiality",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:confidentiality.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "Confidentiality level of the specified substance as the ingredient",
        "definition": "Confidentiality level of the specified substance as the ingredient.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.3.0"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:strength",
        "path": "Extension.extension",
        "sliceName": "strength",
        "short": "R4: Quantity of the substance or specified substance present in the manufactured item or pharmaceutical product (new)",
        "definition": "R4: `MedicinalProductIngredient.specifiedSubstance.strength` (new:BackboneElement)",
        "comment": "Element `MedicinalProductIngredient.specifiedSubstance.strength` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.strength` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.strength` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `MedicinalProductIngredient.specifiedSubstance.strength` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.strength` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.strength` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).\nChild element `presentationLowLimit` is a modifier, so this extension must be a modifier.\nChild element `concentrationLowLimit` is a modifier, so this extension must be a modifier.\nCreating extension because element `MedicinalProductIngredient.specifiedSubstance.strength` is a content reference and requires an extesion definition.",
        "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|4.3.0"
          },
          {
            "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|4.3.0"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:strength.id",
        "path": "Extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "id"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:strength.extension",
        "path": "Extension.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": 1,
        "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|4.3.0"
          },
          {
            "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|4.3.0"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:strength.extension:presentation",
        "path": "Extension.extension.extension",
        "sliceName": "presentation",
        "short": "R4: The quantity of substance in the unit of presentation, or in the volume (or mass) of the single pharmaceutical product or manufactured item (new)",
        "definition": "R4: `MedicinalProductIngredient.specifiedSubstance.strength.presentation` (new:Ratio)",
        "comment": "Element `MedicinalProductIngredient.specifiedSubstance.strength.presentation` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance.strength` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.presentation` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.presentation` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `MedicinalProductIngredient.specifiedSubstance.strength.presentation` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance.strength` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.presentation` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.presentation` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).",
        "min": 1,
        "max": "1",
        "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|4.3.0"
          },
          {
            "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|4.3.0"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:strength.extension:presentation.id",
        "path": "Extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "id"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:strength.extension:presentation.extension",
        "path": "Extension.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. 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|4.3.0"
          },
          {
            "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|4.3.0"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:strength.extension:presentation.url",
        "path": "Extension.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": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "presentation",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:strength.extension:presentation.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "The quantity of substance in the unit of presentation, or in the volume (or mass) of the single pharmaceutical product or manufactured item",
        "definition": "The quantity of substance in the unit of presentation, or in the volume (or mass) of the single pharmaceutical product or manufactured item.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Ratio"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.3.0"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:strength.extension:presentationLowLimit",
        "path": "Extension.extension.extension",
        "sliceName": "presentationLowLimit",
        "short": "R4: A lower limit for the quantity of substance in the unit of presentation. For use when there is a range of strengths, this is the lower limit, with the presentation attribute becoming the upper limit (new)",
        "definition": "R4: `MedicinalProductIngredient.specifiedSubstance.strength.presentationLowLimit` (new:Ratio)",
        "comment": "Element `MedicinalProductIngredient.specifiedSubstance.strength.presentationLowLimit` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance.strength` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.presentationLowLimit` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.presentationLowLimit` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `MedicinalProductIngredient.specifiedSubstance.strength.presentationLowLimit` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance.strength` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.presentationLowLimit` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.presentationLowLimit` has no mapping targets in FHIR R4B. 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"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.3.0"
          },
          {
            "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|4.3.0"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:strength.extension:presentationLowLimit.id",
        "path": "Extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "id"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:strength.extension:presentationLowLimit.extension",
        "path": "Extension.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. 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|4.3.0"
          },
          {
            "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|4.3.0"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:strength.extension:presentationLowLimit.url",
        "path": "Extension.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": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "presentationLowLimit",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:strength.extension:presentationLowLimit.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "A lower limit for the quantity of substance in the unit of presentation. For use when there is a range of strengths, this is the lower limit, with the presentation attribute becoming the upper limit",
        "definition": "A lower limit for the quantity of substance in the unit of presentation. For use when there is a range of strengths, this is the lower limit, with the presentation attribute becoming the upper limit.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Ratio"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.3.0"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:strength.extension:concentration",
        "path": "Extension.extension.extension",
        "sliceName": "concentration",
        "short": "R4: The strength per unitary volume (or mass) (new)",
        "definition": "R4: `MedicinalProductIngredient.specifiedSubstance.strength.concentration` (new:Ratio)",
        "comment": "Element `MedicinalProductIngredient.specifiedSubstance.strength.concentration` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance.strength` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.concentration` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.concentration` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `MedicinalProductIngredient.specifiedSubstance.strength.concentration` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance.strength` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.concentration` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.concentration` has no mapping targets in FHIR R4B. 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"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.3.0"
          },
          {
            "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|4.3.0"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:strength.extension:concentration.id",
        "path": "Extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "id"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:strength.extension:concentration.extension",
        "path": "Extension.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. 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|4.3.0"
          },
          {
            "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|4.3.0"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:strength.extension:concentration.url",
        "path": "Extension.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": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "concentration",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:strength.extension:concentration.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "The strength per unitary volume (or mass)",
        "definition": "The strength per unitary volume (or mass).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Ratio"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.3.0"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:strength.extension:concentrationLowLimit",
        "path": "Extension.extension.extension",
        "sliceName": "concentrationLowLimit",
        "short": "R4: A lower limit for the strength per unitary volume (or mass), for when there is a range. The concentration attribute then becomes the upper limit (new)",
        "definition": "R4: `MedicinalProductIngredient.specifiedSubstance.strength.concentrationLowLimit` (new:Ratio)",
        "comment": "Element `MedicinalProductIngredient.specifiedSubstance.strength.concentrationLowLimit` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance.strength` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.concentrationLowLimit` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.concentrationLowLimit` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `MedicinalProductIngredient.specifiedSubstance.strength.concentrationLowLimit` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance.strength` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.concentrationLowLimit` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.concentrationLowLimit` has no mapping targets in FHIR R4B. 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"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.3.0"
          },
          {
            "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|4.3.0"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:strength.extension:concentrationLowLimit.id",
        "path": "Extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "id"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:strength.extension:concentrationLowLimit.extension",
        "path": "Extension.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. 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|4.3.0"
          },
          {
            "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|4.3.0"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:strength.extension:concentrationLowLimit.url",
        "path": "Extension.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": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "concentrationLowLimit",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:strength.extension:concentrationLowLimit.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "A lower limit for the strength per unitary volume (or mass), for when there is a range. The concentration attribute then becomes the upper limit",
        "definition": "A lower limit for the strength per unitary volume (or mass), for when there is a range. The concentration attribute then becomes the upper limit.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Ratio"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.3.0"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:strength.extension:measurementPoint",
        "path": "Extension.extension.extension",
        "sliceName": "measurementPoint",
        "short": "R4: For when strength is measured at a particular point or distance (new)",
        "definition": "R4: `MedicinalProductIngredient.specifiedSubstance.strength.measurementPoint` (new:string)",
        "comment": "Element `MedicinalProductIngredient.specifiedSubstance.strength.measurementPoint` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance.strength` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.measurementPoint` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.measurementPoint` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `MedicinalProductIngredient.specifiedSubstance.strength.measurementPoint` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance.strength` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.measurementPoint` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.measurementPoint` has no mapping targets in FHIR R4B. 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"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.3.0"
          },
          {
            "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|4.3.0"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:strength.extension:measurementPoint.id",
        "path": "Extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "id"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:strength.extension:measurementPoint.extension",
        "path": "Extension.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. 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|4.3.0"
          },
          {
            "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|4.3.0"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:strength.extension:measurementPoint.url",
        "path": "Extension.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": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "measurementPoint",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:strength.extension:measurementPoint.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "For when strength is measured at a particular point or distance",
        "definition": "For when strength is measured at a particular point or distance.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.3.0"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:strength.extension:country",
        "path": "Extension.extension.extension",
        "sliceName": "country",
        "short": "R4: The country or countries for which the strength range applies (new)",
        "definition": "R4: `MedicinalProductIngredient.specifiedSubstance.strength.country` (new:CodeableConcept)",
        "comment": "Element `MedicinalProductIngredient.specifiedSubstance.strength.country` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance.strength` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.country` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.country` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `MedicinalProductIngredient.specifiedSubstance.strength.country` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance.strength` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.country` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.country` has no mapping targets in FHIR R4B. 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"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.3.0"
          },
          {
            "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|4.3.0"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:strength.extension:country.id",
        "path": "Extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "id"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:strength.extension:country.extension",
        "path": "Extension.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. 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|4.3.0"
          },
          {
            "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|4.3.0"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:strength.extension:country.url",
        "path": "Extension.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": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "country",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:strength.extension:country.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "The country or countries for which the strength range applies",
        "definition": "The country or countries for which the strength range applies.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.3.0"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:strength.extension:referenceStrength",
        "path": "Extension.extension.extension",
        "sliceName": "referenceStrength",
        "short": "R4: Strength expressed in terms of a reference substance (new)",
        "definition": "R4: `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength` (new:BackboneElement)",
        "comment": "Element `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance.strength` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance.strength` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength` has no mapping targets in FHIR R4B. 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"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.3.0"
          },
          {
            "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|4.3.0"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:strength.extension:referenceStrength.id",
        "path": "Extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "id"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:strength.extension:referenceStrength.extension",
        "path": "Extension.extension.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": 1,
        "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|4.3.0"
          },
          {
            "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|4.3.0"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:strength.extension:referenceStrength.extension:substance",
        "path": "Extension.extension.extension.extension",
        "sliceName": "substance",
        "short": "R4: Relevant reference substance (new)",
        "definition": "R4: `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.substance` (new:CodeableConcept)",
        "comment": "Element `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.substance` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.substance` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.substance` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.substance` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.substance` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.substance` has no mapping targets in FHIR R4B. 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"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.3.0"
          },
          {
            "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|4.3.0"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:strength.extension:referenceStrength.extension:substance.id",
        "path": "Extension.extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "id"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:strength.extension:referenceStrength.extension:substance.extension",
        "path": "Extension.extension.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. 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|4.3.0"
          },
          {
            "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|4.3.0"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:strength.extension:referenceStrength.extension:substance.url",
        "path": "Extension.extension.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": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "substance",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:strength.extension:referenceStrength.extension:substance.value[x]",
        "path": "Extension.extension.extension.extension.value[x]",
        "short": "Relevant reference substance",
        "definition": "Relevant reference substance.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.3.0"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:strength.extension:referenceStrength.extension:strength",
        "path": "Extension.extension.extension.extension",
        "sliceName": "strength",
        "short": "R4: Strength expressed in terms of a reference substance (new)",
        "definition": "R4: `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.strength` (new:Ratio)",
        "comment": "Element `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.strength` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.strength` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.strength` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.strength` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.strength` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.strength` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).",
        "min": 1,
        "max": "1",
        "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|4.3.0"
          },
          {
            "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|4.3.0"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:strength.extension:referenceStrength.extension:strength.id",
        "path": "Extension.extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "id"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:strength.extension:referenceStrength.extension:strength.extension",
        "path": "Extension.extension.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. 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|4.3.0"
          },
          {
            "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|4.3.0"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:strength.extension:referenceStrength.extension:strength.url",
        "path": "Extension.extension.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": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "strength",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:strength.extension:referenceStrength.extension:strength.value[x]",
        "path": "Extension.extension.extension.extension.value[x]",
        "short": "Strength expressed in terms of a reference substance",
        "definition": "Strength expressed in terms of a reference substance.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Ratio"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.3.0"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:strength.extension:referenceStrength.extension:strengthLowLimit",
        "path": "Extension.extension.extension.extension",
        "sliceName": "strengthLowLimit",
        "short": "R4: Strength expressed in terms of a reference substance (new)",
        "definition": "R4: `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.strengthLowLimit` (new:Ratio)",
        "comment": "Element `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.strengthLowLimit` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.strengthLowLimit` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.strengthLowLimit` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.strengthLowLimit` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.strengthLowLimit` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.strengthLowLimit` has no mapping targets in FHIR R4B. 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"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.3.0"
          },
          {
            "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|4.3.0"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:strength.extension:referenceStrength.extension:strengthLowLimit.id",
        "path": "Extension.extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "id"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:strength.extension:referenceStrength.extension:strengthLowLimit.extension",
        "path": "Extension.extension.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. 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|4.3.0"
          },
          {
            "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|4.3.0"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:strength.extension:referenceStrength.extension:strengthLowLimit.url",
        "path": "Extension.extension.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": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "strengthLowLimit",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:strength.extension:referenceStrength.extension:strengthLowLimit.value[x]",
        "path": "Extension.extension.extension.extension.value[x]",
        "short": "Strength expressed in terms of a reference substance",
        "definition": "Strength expressed in terms of a reference substance.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Ratio"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.3.0"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:strength.extension:referenceStrength.extension:measurementPoint",
        "path": "Extension.extension.extension.extension",
        "sliceName": "measurementPoint",
        "short": "R4: For when strength is measured at a particular point or distance (new)",
        "definition": "R4: `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.measurementPoint` (new:string)",
        "comment": "Element `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.measurementPoint` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.measurementPoint` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.measurementPoint` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.measurementPoint` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.measurementPoint` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.measurementPoint` has no mapping targets in FHIR R4B. 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"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.3.0"
          },
          {
            "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|4.3.0"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:strength.extension:referenceStrength.extension:measurementPoint.id",
        "path": "Extension.extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "id"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:strength.extension:referenceStrength.extension:measurementPoint.extension",
        "path": "Extension.extension.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. 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|4.3.0"
          },
          {
            "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|4.3.0"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:strength.extension:referenceStrength.extension:measurementPoint.url",
        "path": "Extension.extension.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": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "measurementPoint",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:strength.extension:referenceStrength.extension:measurementPoint.value[x]",
        "path": "Extension.extension.extension.extension.value[x]",
        "short": "For when strength is measured at a particular point or distance",
        "definition": "For when strength is measured at a particular point or distance.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.3.0"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:strength.extension:referenceStrength.extension:country",
        "path": "Extension.extension.extension.extension",
        "sliceName": "country",
        "short": "R4: The country or countries for which the strength range applies (new)",
        "definition": "R4: `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.country` (new:CodeableConcept)",
        "comment": "Element `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.country` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.country` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.country` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.country` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.country` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.country` has no mapping targets in FHIR R4B. 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"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.3.0"
          },
          {
            "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|4.3.0"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:strength.extension:referenceStrength.extension:country.id",
        "path": "Extension.extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "id"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:strength.extension:referenceStrength.extension:country.extension",
        "path": "Extension.extension.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. 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|4.3.0"
          },
          {
            "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|4.3.0"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:strength.extension:referenceStrength.extension:country.url",
        "path": "Extension.extension.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": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "country",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:strength.extension:referenceStrength.extension:country.value[x]",
        "path": "Extension.extension.extension.extension.value[x]",
        "short": "The country or countries for which the strength range applies",
        "definition": "The country or countries for which the strength range applies.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.3.0"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:strength.extension:referenceStrength.url",
        "path": "Extension.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": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "referenceStrength",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:strength.extension:referenceStrength.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "Value of extension",
        "definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4B/extensibility.html) for a list).",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "base64Binary"
          },
          {
            "code": "boolean"
          },
          {
            "code": "canonical"
          },
          {
            "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": "url"
          },
          {
            "code": "uuid"
          },
          {
            "code": "Address"
          },
          {
            "code": "Age"
          },
          {
            "code": "Annotation"
          },
          {
            "code": "Attachment"
          },
          {
            "code": "CodeableConcept"
          },
          {
            "code": "CodeableReference"
          },
          {
            "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": "RatioRange"
          },
          {
            "code": "Reference"
          },
          {
            "code": "SampledData"
          },
          {
            "code": "Signature"
          },
          {
            "code": "Timing"
          },
          {
            "code": "ContactDetail"
          },
          {
            "code": "Contributor"
          },
          {
            "code": "DataRequirement"
          },
          {
            "code": "Expression"
          },
          {
            "code": "ParameterDefinition"
          },
          {
            "code": "RelatedArtifact"
          },
          {
            "code": "TriggerDefinition"
          },
          {
            "code": "UsageContext"
          },
          {
            "code": "Dosage"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.3.0"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:strength.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": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "strength",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:strength.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "Value of extension",
        "definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4B/extensibility.html) for a list).",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "base64Binary"
          },
          {
            "code": "boolean"
          },
          {
            "code": "canonical"
          },
          {
            "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": "url"
          },
          {
            "code": "uuid"
          },
          {
            "code": "Address"
          },
          {
            "code": "Age"
          },
          {
            "code": "Annotation"
          },
          {
            "code": "Attachment"
          },
          {
            "code": "CodeableConcept"
          },
          {
            "code": "CodeableReference"
          },
          {
            "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": "RatioRange"
          },
          {
            "code": "Reference"
          },
          {
            "code": "SampledData"
          },
          {
            "code": "Signature"
          },
          {
            "code": "Timing"
          },
          {
            "code": "ContactDetail"
          },
          {
            "code": "Contributor"
          },
          {
            "code": "DataRequirement"
          },
          {
            "code": "Expression"
          },
          {
            "code": "ParameterDefinition"
          },
          {
            "code": "RelatedArtifact"
          },
          {
            "code": "TriggerDefinition"
          },
          {
            "code": "UsageContext"
          },
          {
            "code": "Dosage"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.3.0"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "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": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicinalProductIngredient.specifiedSubstance",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.value[x]",
        "path": "Extension.value[x]",
        "short": "Value of extension",
        "definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4B/extensibility.html) for a list).",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "base64Binary"
          },
          {
            "code": "boolean"
          },
          {
            "code": "canonical"
          },
          {
            "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": "url"
          },
          {
            "code": "uuid"
          },
          {
            "code": "Address"
          },
          {
            "code": "Age"
          },
          {
            "code": "Annotation"
          },
          {
            "code": "Attachment"
          },
          {
            "code": "CodeableConcept"
          },
          {
            "code": "CodeableReference"
          },
          {
            "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": "RatioRange"
          },
          {
            "code": "Reference"
          },
          {
            "code": "SampledData"
          },
          {
            "code": "Signature"
          },
          {
            "code": "Timing"
          },
          {
            "code": "ContactDetail"
          },
          {
            "code": "Contributor"
          },
          {
            "code": "DataRequirement"
          },
          {
            "code": "Expression"
          },
          {
            "code": "ParameterDefinition"
          },
          {
            "code": "RelatedArtifact"
          },
          {
            "code": "TriggerDefinition"
          },
          {
            "code": "UsageContext"
          },
          {
            "code": "Dosage"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.3.0"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      }
    ]
  },
  "differential": {
    "element": [
      {
        "id": "Extension",
        "path": "Extension",
        "short": "R4: A specified substance that comprises this ingredient (new)",
        "definition": "R4: `MedicinalProductIngredient.specifiedSubstance` (new:BackboneElement)",
        "comment": "Element `MedicinalProductIngredient.specifiedSubstance` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance` has no mapping targets in FHIR R4B. 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": 2,
        "max": "*",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:code",
        "path": "Extension.extension",
        "sliceName": "code",
        "short": "R4: The specified substance (new)",
        "definition": "R4: `MedicinalProductIngredient.specifiedSubstance.code` (new:CodeableConcept)",
        "comment": "Element `MedicinalProductIngredient.specifiedSubstance.code` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.code` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.code` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `MedicinalProductIngredient.specifiedSubstance.code` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.code` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.code` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:code.url",
        "path": "Extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "code"
      },
      {
        "id": "Extension.extension:code.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "The specified substance",
        "definition": "The specified substance.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ]
      },
      {
        "id": "Extension.extension:group",
        "path": "Extension.extension",
        "sliceName": "group",
        "short": "R4: The group of specified substance, e.g. group 1 to 4 (new)",
        "definition": "R4: `MedicinalProductIngredient.specifiedSubstance.group` (new:CodeableConcept)",
        "comment": "Element `MedicinalProductIngredient.specifiedSubstance.group` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.group` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.group` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `MedicinalProductIngredient.specifiedSubstance.group` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.group` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.group` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:group.url",
        "path": "Extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "group"
      },
      {
        "id": "Extension.extension:group.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "The group of specified substance, e.g. group 1 to 4",
        "definition": "The group of specified substance, e.g. group 1 to 4.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ]
      },
      {
        "id": "Extension.extension:confidentiality",
        "path": "Extension.extension",
        "sliceName": "confidentiality",
        "short": "R4: Confidentiality level of the specified substance as the ingredient (new)",
        "definition": "R4: `MedicinalProductIngredient.specifiedSubstance.confidentiality` (new:CodeableConcept)",
        "comment": "Element `MedicinalProductIngredient.specifiedSubstance.confidentiality` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.confidentiality` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.confidentiality` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `MedicinalProductIngredient.specifiedSubstance.confidentiality` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.confidentiality` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.confidentiality` has no mapping targets in FHIR R4B. 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:confidentiality.url",
        "path": "Extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "confidentiality"
      },
      {
        "id": "Extension.extension:confidentiality.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "Confidentiality level of the specified substance as the ingredient",
        "definition": "Confidentiality level of the specified substance as the ingredient.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ]
      },
      {
        "id": "Extension.extension:strength",
        "path": "Extension.extension",
        "sliceName": "strength",
        "short": "R4: Quantity of the substance or specified substance present in the manufactured item or pharmaceutical product (new)",
        "definition": "R4: `MedicinalProductIngredient.specifiedSubstance.strength` (new:BackboneElement)",
        "comment": "Element `MedicinalProductIngredient.specifiedSubstance.strength` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.strength` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.strength` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `MedicinalProductIngredient.specifiedSubstance.strength` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.strength` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.strength` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).\nChild element `presentationLowLimit` is a modifier, so this extension must be a modifier.\nChild element `concentrationLowLimit` is a modifier, so this extension must be a modifier.\nCreating extension because element `MedicinalProductIngredient.specifiedSubstance.strength` is a content reference and requires an extesion definition.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:strength.extension",
        "path": "Extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 1,
        "max": "*",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:strength.extension:presentation",
        "path": "Extension.extension.extension",
        "sliceName": "presentation",
        "short": "R4: The quantity of substance in the unit of presentation, or in the volume (or mass) of the single pharmaceutical product or manufactured item (new)",
        "definition": "R4: `MedicinalProductIngredient.specifiedSubstance.strength.presentation` (new:Ratio)",
        "comment": "Element `MedicinalProductIngredient.specifiedSubstance.strength.presentation` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance.strength` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.presentation` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.presentation` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `MedicinalProductIngredient.specifiedSubstance.strength.presentation` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance.strength` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.presentation` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.presentation` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:strength.extension:presentation.url",
        "path": "Extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "presentation"
      },
      {
        "id": "Extension.extension:strength.extension:presentation.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "The quantity of substance in the unit of presentation, or in the volume (or mass) of the single pharmaceutical product or manufactured item",
        "definition": "The quantity of substance in the unit of presentation, or in the volume (or mass) of the single pharmaceutical product or manufactured item.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Ratio"
          }
        ]
      },
      {
        "id": "Extension.extension:strength.extension:presentationLowLimit",
        "path": "Extension.extension.extension",
        "sliceName": "presentationLowLimit",
        "short": "R4: A lower limit for the quantity of substance in the unit of presentation. For use when there is a range of strengths, this is the lower limit, with the presentation attribute becoming the upper limit (new)",
        "definition": "R4: `MedicinalProductIngredient.specifiedSubstance.strength.presentationLowLimit` (new:Ratio)",
        "comment": "Element `MedicinalProductIngredient.specifiedSubstance.strength.presentationLowLimit` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance.strength` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.presentationLowLimit` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.presentationLowLimit` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `MedicinalProductIngredient.specifiedSubstance.strength.presentationLowLimit` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance.strength` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.presentationLowLimit` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.presentationLowLimit` has no mapping targets in FHIR R4B. 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:strength.extension:presentationLowLimit.url",
        "path": "Extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "presentationLowLimit"
      },
      {
        "id": "Extension.extension:strength.extension:presentationLowLimit.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "A lower limit for the quantity of substance in the unit of presentation. For use when there is a range of strengths, this is the lower limit, with the presentation attribute becoming the upper limit",
        "definition": "A lower limit for the quantity of substance in the unit of presentation. For use when there is a range of strengths, this is the lower limit, with the presentation attribute becoming the upper limit.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Ratio"
          }
        ]
      },
      {
        "id": "Extension.extension:strength.extension:concentration",
        "path": "Extension.extension.extension",
        "sliceName": "concentration",
        "short": "R4: The strength per unitary volume (or mass) (new)",
        "definition": "R4: `MedicinalProductIngredient.specifiedSubstance.strength.concentration` (new:Ratio)",
        "comment": "Element `MedicinalProductIngredient.specifiedSubstance.strength.concentration` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance.strength` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.concentration` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.concentration` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `MedicinalProductIngredient.specifiedSubstance.strength.concentration` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance.strength` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.concentration` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.concentration` has no mapping targets in FHIR R4B. 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:strength.extension:concentration.url",
        "path": "Extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "concentration"
      },
      {
        "id": "Extension.extension:strength.extension:concentration.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "The strength per unitary volume (or mass)",
        "definition": "The strength per unitary volume (or mass).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Ratio"
          }
        ]
      },
      {
        "id": "Extension.extension:strength.extension:concentrationLowLimit",
        "path": "Extension.extension.extension",
        "sliceName": "concentrationLowLimit",
        "short": "R4: A lower limit for the strength per unitary volume (or mass), for when there is a range. The concentration attribute then becomes the upper limit (new)",
        "definition": "R4: `MedicinalProductIngredient.specifiedSubstance.strength.concentrationLowLimit` (new:Ratio)",
        "comment": "Element `MedicinalProductIngredient.specifiedSubstance.strength.concentrationLowLimit` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance.strength` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.concentrationLowLimit` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.concentrationLowLimit` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `MedicinalProductIngredient.specifiedSubstance.strength.concentrationLowLimit` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance.strength` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.concentrationLowLimit` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.concentrationLowLimit` has no mapping targets in FHIR R4B. 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:strength.extension:concentrationLowLimit.url",
        "path": "Extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "concentrationLowLimit"
      },
      {
        "id": "Extension.extension:strength.extension:concentrationLowLimit.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "A lower limit for the strength per unitary volume (or mass), for when there is a range. The concentration attribute then becomes the upper limit",
        "definition": "A lower limit for the strength per unitary volume (or mass), for when there is a range. The concentration attribute then becomes the upper limit.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Ratio"
          }
        ]
      },
      {
        "id": "Extension.extension:strength.extension:measurementPoint",
        "path": "Extension.extension.extension",
        "sliceName": "measurementPoint",
        "short": "R4: For when strength is measured at a particular point or distance (new)",
        "definition": "R4: `MedicinalProductIngredient.specifiedSubstance.strength.measurementPoint` (new:string)",
        "comment": "Element `MedicinalProductIngredient.specifiedSubstance.strength.measurementPoint` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance.strength` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.measurementPoint` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.measurementPoint` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `MedicinalProductIngredient.specifiedSubstance.strength.measurementPoint` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance.strength` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.measurementPoint` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.measurementPoint` has no mapping targets in FHIR R4B. 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:strength.extension:measurementPoint.url",
        "path": "Extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "measurementPoint"
      },
      {
        "id": "Extension.extension:strength.extension:measurementPoint.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "For when strength is measured at a particular point or distance",
        "definition": "For when strength is measured at a particular point or distance.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:strength.extension:country",
        "path": "Extension.extension.extension",
        "sliceName": "country",
        "short": "R4: The country or countries for which the strength range applies (new)",
        "definition": "R4: `MedicinalProductIngredient.specifiedSubstance.strength.country` (new:CodeableConcept)",
        "comment": "Element `MedicinalProductIngredient.specifiedSubstance.strength.country` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance.strength` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.country` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.country` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `MedicinalProductIngredient.specifiedSubstance.strength.country` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance.strength` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.country` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.country` has no mapping targets in FHIR R4B. 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:strength.extension:country.url",
        "path": "Extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "country"
      },
      {
        "id": "Extension.extension:strength.extension:country.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "The country or countries for which the strength range applies",
        "definition": "The country or countries for which the strength range applies.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ]
      },
      {
        "id": "Extension.extension:strength.extension:referenceStrength",
        "path": "Extension.extension.extension",
        "sliceName": "referenceStrength",
        "short": "R4: Strength expressed in terms of a reference substance (new)",
        "definition": "R4: `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength` (new:BackboneElement)",
        "comment": "Element `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance.strength` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance.strength` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength` has no mapping targets in FHIR R4B. 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:strength.extension:referenceStrength.extension",
        "path": "Extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 1,
        "max": "*",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:strength.extension:referenceStrength.extension:substance",
        "path": "Extension.extension.extension.extension",
        "sliceName": "substance",
        "short": "R4: Relevant reference substance (new)",
        "definition": "R4: `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.substance` (new:CodeableConcept)",
        "comment": "Element `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.substance` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.substance` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.substance` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.substance` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.substance` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.substance` has no mapping targets in FHIR R4B. 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:strength.extension:referenceStrength.extension:substance.url",
        "path": "Extension.extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "substance"
      },
      {
        "id": "Extension.extension:strength.extension:referenceStrength.extension:substance.value[x]",
        "path": "Extension.extension.extension.extension.value[x]",
        "short": "Relevant reference substance",
        "definition": "Relevant reference substance.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ]
      },
      {
        "id": "Extension.extension:strength.extension:referenceStrength.extension:strength",
        "path": "Extension.extension.extension.extension",
        "sliceName": "strength",
        "short": "R4: Strength expressed in terms of a reference substance (new)",
        "definition": "R4: `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.strength` (new:Ratio)",
        "comment": "Element `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.strength` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.strength` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.strength` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.strength` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.strength` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.strength` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:strength.extension:referenceStrength.extension:strength.url",
        "path": "Extension.extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "strength"
      },
      {
        "id": "Extension.extension:strength.extension:referenceStrength.extension:strength.value[x]",
        "path": "Extension.extension.extension.extension.value[x]",
        "short": "Strength expressed in terms of a reference substance",
        "definition": "Strength expressed in terms of a reference substance.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Ratio"
          }
        ]
      },
      {
        "id": "Extension.extension:strength.extension:referenceStrength.extension:strengthLowLimit",
        "path": "Extension.extension.extension.extension",
        "sliceName": "strengthLowLimit",
        "short": "R4: Strength expressed in terms of a reference substance (new)",
        "definition": "R4: `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.strengthLowLimit` (new:Ratio)",
        "comment": "Element `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.strengthLowLimit` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.strengthLowLimit` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.strengthLowLimit` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.strengthLowLimit` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.strengthLowLimit` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.strengthLowLimit` has no mapping targets in FHIR R4B. 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:strength.extension:referenceStrength.extension:strengthLowLimit.url",
        "path": "Extension.extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "strengthLowLimit"
      },
      {
        "id": "Extension.extension:strength.extension:referenceStrength.extension:strengthLowLimit.value[x]",
        "path": "Extension.extension.extension.extension.value[x]",
        "short": "Strength expressed in terms of a reference substance",
        "definition": "Strength expressed in terms of a reference substance.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Ratio"
          }
        ]
      },
      {
        "id": "Extension.extension:strength.extension:referenceStrength.extension:measurementPoint",
        "path": "Extension.extension.extension.extension",
        "sliceName": "measurementPoint",
        "short": "R4: For when strength is measured at a particular point or distance (new)",
        "definition": "R4: `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.measurementPoint` (new:string)",
        "comment": "Element `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.measurementPoint` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.measurementPoint` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.measurementPoint` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.measurementPoint` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.measurementPoint` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.measurementPoint` has no mapping targets in FHIR R4B. 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:strength.extension:referenceStrength.extension:measurementPoint.url",
        "path": "Extension.extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "measurementPoint"
      },
      {
        "id": "Extension.extension:strength.extension:referenceStrength.extension:measurementPoint.value[x]",
        "path": "Extension.extension.extension.extension.value[x]",
        "short": "For when strength is measured at a particular point or distance",
        "definition": "For when strength is measured at a particular point or distance.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:strength.extension:referenceStrength.extension:country",
        "path": "Extension.extension.extension.extension",
        "sliceName": "country",
        "short": "R4: The country or countries for which the strength range applies (new)",
        "definition": "R4: `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.country` (new:CodeableConcept)",
        "comment": "Element `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.country` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.country` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.country` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.country` is part of an existing definition because parent element `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength` requires a cross-version extension.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.country` is not mapped to FHIR R4B, since FHIR R4 `MedicinalProductIngredient` is not mapped.\nElement `MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.country` has no mapping targets in FHIR R4B. 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:strength.extension:referenceStrength.extension:country.url",
        "path": "Extension.extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "country"
      },
      {
        "id": "Extension.extension:strength.extension:referenceStrength.extension:country.value[x]",
        "path": "Extension.extension.extension.extension.value[x]",
        "short": "The country or countries for which the strength range applies",
        "definition": "The country or countries for which the strength range applies.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ]
      },
      {
        "id": "Extension.extension:strength.extension:referenceStrength.url",
        "path": "Extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "referenceStrength"
      },
      {
        "id": "Extension.extension:strength.extension:referenceStrength.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Extension.extension:strength.url",
        "path": "Extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "strength"
      },
      {
        "id": "Extension.extension:strength.value[x]",
        "path": "Extension.extension.value[x]",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        }
      },
      {
        "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-MedicinalProductIngredient.specifiedSubstance"
      },
      {
        "id": "Extension.value[x]",
        "path": "Extension.value[x]",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        }
      }
    ]
  }
}