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

FHIR IG analytics

Packagehl7.fhir.uv.xver-r4b.r3
Resource TypeStructureDefinition
IdStructureDefinition-profile-Media.json
FHIR VersionR3

Resources that use this resource

No resources found


Resources that this resource uses

No resources found


Narrative

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

Generated Narrative: StructureDefinition profile-Media

NameFlagsCard.TypeDescription & Constraintsdoco
.. Media 0..*MediaA photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference
... meta
.... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... extension:meta 0..1MetaR4B: meta additional types
URL: http://hl7.org/fhir/4.3/StructureDefinition/extension-Media.meta
... text
.... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... extension:text 0..1(Complex)R4B: text additional types
URL: http://hl7.org/fhir/4.3/StructureDefinition/extension-Media.text
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... extension:partOf 0..*Reference(Cross-version Profile for R4B.Resource for use in FHIR STU3(0.1.0) | Resource)R4B: Part of referenced event (new)
URL: http://hl7.org/fhir/4.3/StructureDefinition/extension-Media.partOf
.... extension:issued 0..1instantR4B: Date/Time this version was made available (new)
URL: http://hl7.org/fhir/4.3/StructureDefinition/extension-Media.issued
.... extension:deviceName 0..1stringR4B: Name of the device/manufacturer (new)
URL: http://hl7.org/fhir/4.3/StructureDefinition/extension-Media.deviceName
... Slices for modifierExtension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... modifierExtension:status 1..1codeR4B: preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown (new)
URL: http://hl7.org/fhir/4.3/StructureDefinition/extension-Media.status
Binding: R4BEventStatusForR3 (0.1.0) (required): Codes identifying the lifecycle stage of an event.
... identifier
.... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... extension:identifier 0..*IdentifierR4B: identifier additional types
URL: http://hl7.org/fhir/4.3/StructureDefinition/extension-Media.identifier
... basedOn
.... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... extension:basedOn 0..*?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]]R4B: basedOn additional types
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
... type
.... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... extension:type 0..1CodeableConceptR4B: Classification of media as image, video, or audio additional types
URL: http://hl7.org/fhir/4.3/StructureDefinition/extension-Media.type
Binding: DigitalMediaType (extensible): Codes for high level media categories.
... subject
.... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... extension:subject 0..1?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]]R4B: subject
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
... context
.... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... extension:encounter 0..1?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]]R4B: Encounter associated with media additional types
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
... operator
.... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... extension:operator 0..1?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]]R4B: operator
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
... device
.... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... extension:device 0..1?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]]R4B: device
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
... duration
.... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... extension:duration 0..1decimalR4B: duration additional types
URL: http://hl7.org/fhir/4.3/StructureDefinition/extension-Media.duration
... content
.... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... extension:content 0..1AttachmentR4B: content additional types
URL: http://hl7.org/fhir/4.3/StructureDefinition/extension-Media.content
... note
.... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... extension:note 0..*AnnotationR4B: note additional types
URL: http://hl7.org/fhir/4.3/StructureDefinition/extension-Media.note

doco Documentation for this format

Source1

{
  "resourceType": "StructureDefinition",
  "id": "profile-Media",
  "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-r4b.r3"
        },
        {
          "url": "version",
          "valueString": "0.1.0"
        }
      ],
      "url": "http://hl7.org/fhir/StructureDefinition/package-source"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 0,
      "_valueInteger": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4b.r3"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode": "trial-use",
      "_valueCode": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4b.r3"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/4.3/StructureDefinition/profile-Media",
  "version": "0.1.0",
  "name": "Profile_R4B_Media_R3",
  "title": "Cross-version Profile for R4B.Media for use in FHIR STU3",
  "status": "active",
  "experimental": false,
  "date": "2026-03-17T16:04:24.9665865-05:00",
  "publisher": "FHIR Infrastructure",
  "contact": [
    {
      "name": "FHIR Infrastructure",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/fiwg"
        }
      ]
    }
  ],
  "description": "This cross-version profile allows R4B Media content to be represented via FHIR STU3 Media resources.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "fhirVersion": "3.0.2",
  "mapping": [
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    },
    {
      "identity": "w5",
      "uri": "http://hl7.org/fhir/w5",
      "name": "W5 Mapping"
    },
    {
      "identity": "dicom",
      "uri": "http://nema.org/dicom",
      "name": "DICOM Tag Mapping"
    },
    {
      "identity": "sct-concept",
      "uri": "http://snomed.info/conceptdomain",
      "name": "SNOMED CT Concept Domain Binding"
    },
    {
      "identity": "sct-attr",
      "uri": "http://snomed.info/sct",
      "name": "SNOMED CT Attribute Binding"
    },
    {
      "identity": "v2",
      "uri": "http://hl7.org/v2",
      "name": "HL7 v2 Mapping"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "Media",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Media",
  "derivation": "constraint",
  "snapshot": {
    "element": [
      {
        "id": "Media",
        "path": "Media",
        "short": "A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference",
        "definition": "A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Media",
          "min": 0,
          "max": "*"
        },
        "constraint": [
          {
            "key": "dom-2",
            "severity": "error",
            "human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression": "contained.contained.empty()",
            "xpath": "not(parent::f:contained and f:contained)",
            "source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
          },
          {
            "key": "dom-1",
            "severity": "error",
            "human": "If the resource is contained in another resource, it SHALL NOT contain any narrative",
            "expression": "contained.text.empty()",
            "xpath": "not(parent::f:contained and f:text)",
            "source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
          },
          {
            "key": "dom-4",
            "severity": "error",
            "human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
          },
          {
            "key": "dom-3",
            "severity": "error",
            "human": "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource",
            "expression": "contained.where(('#'+id in %resource.descendants().reference).not()).empty()",
            "xpath": "not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))",
            "source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
          },
          {
            "key": "mda-1",
            "severity": "error",
            "human": "Height can only be used for a photo or video",
            "expression": "height.empty() or type != 'audio'",
            "xpath": "not(f:type/@value='audio') or not(f:height)",
            "source": "http://hl7.org/fhir/StructureDefinition/Media"
          },
          {
            "key": "mda-2",
            "severity": "error",
            "human": "Width can only be used for a photo or video",
            "expression": "width.empty() or type != 'audio'",
            "xpath": "not(f:type/@value='audio') or not(f:width)",
            "source": "http://hl7.org/fhir/StructureDefinition/Media"
          },
          {
            "key": "mda-3",
            "severity": "error",
            "human": "Frames can only be used for a photo",
            "expression": "frames.empty() or type = 'photo'",
            "xpath": "(f:type/@value='photo') or not(f:frames)",
            "source": "http://hl7.org/fhir/StructureDefinition/Media"
          },
          {
            "key": "mda-4",
            "severity": "error",
            "human": "Duration can only be used for an audio or a video",
            "expression": "duration.empty() or type != 'photo'",
            "xpath": "not(f:type/@value='photo') or not(f:duration)",
            "source": "http://hl7.org/fhir/StructureDefinition/Media"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "Entity. Role, or Act"
          },
          {
            "identity": "rim",
            "map": "Act[classCode=\"DGIMG\", moodCode=\"EVN\"]"
          },
          {
            "identity": "w5",
            "map": "infrastructure.structure"
          }
        ]
      },
      {
        "id": "Media.id",
        "path": "Media.id",
        "short": "Logical id of this artifact",
        "definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
        "comment": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Resource.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "id"
          }
        ],
        "isSummary": true
      },
      {
        "id": "Media.meta",
        "path": "Media.meta",
        "short": "Metadata about the resource",
        "definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Resource.meta",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Meta"
          }
        ],
        "isSummary": true
      },
      {
        "id": "Media.meta.id",
        "path": "Media.meta.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Media.meta.extension",
        "path": "Media.meta.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ]
      },
      {
        "id": "Media.meta.extension:meta",
        "path": "Media.meta.extension",
        "sliceName": "meta",
        "short": "R4B: meta additional types",
        "definition": "R4B: `Media.meta` additional types (Meta) additional types from child elements (lastUpdated, profile, security, source, tag, versionId)",
        "comment": "Element `Media.meta` is mapped to FHIR STU3 element `Media.meta` as `SourceIsBroaderThanTarget`.\nThe mappings for `Media.meta` do not cover the following types: Meta.\nThe mappings for `Media.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, source, tag, versionId.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/4.3/StructureDefinition/extension-Media.meta|0.1.0"
          }
        ]
      },
      {
        "id": "Media.meta.versionId",
        "path": "Media.meta.versionId",
        "short": "Version specific identifier",
        "definition": "The version specific identifier, as it appears in the version portion of the URL. This values changes when the resource is created, updated, or deleted.",
        "comment": "The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Meta.versionId",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "id"
          }
        ],
        "isSummary": true
      },
      {
        "id": "Media.meta.lastUpdated",
        "path": "Media.meta.lastUpdated",
        "short": "When the resource version last changed",
        "definition": "When the resource last changed - e.g. when the version changed.",
        "comment": "This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Meta.lastUpdated",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "instant"
          }
        ],
        "isSummary": true
      },
      {
        "id": "Media.meta.profile",
        "path": "Media.meta.profile",
        "short": "Profiles this resource claims to conform to",
        "definition": "A list of profiles (references to [StructureDefinition](http://hl7.org/fhir/STU3/structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](http://hl7.org/fhir/STU3/).",
        "comment": "It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time.  The list of profile URLs is a set.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Meta.profile",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "isSummary": true
      },
      {
        "id": "Media.meta.security",
        "path": "Media.meta.security",
        "short": "Security Labels applied to this resource",
        "definition": "Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.",
        "comment": "The security labels can be updated without changing the stated version of the resource  The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Meta.security",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Coding"
          }
        ],
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "SecurityLabels"
            }
          ],
          "strength": "extensible",
          "description": "Security Labels from the Healthcare Privacy and Security Classification System.",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/security-labels|3.0.2"
          }
        }
      },
      {
        "id": "Media.meta.tag",
        "path": "Media.meta.tag",
        "short": "Tags applied to this resource",
        "definition": "Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.",
        "comment": "The tags can be updated without changing the stated version of the resource.  The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Meta.tag",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Coding"
          }
        ],
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "Tags"
            }
          ],
          "strength": "example",
          "description": "Codes that represent various types of tags, commonly workflow-related; e.g. \"Needs review by Dr. Jones\"",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/common-tags|3.0.2"
          }
        }
      },
      {
        "id": "Media.implicitRules",
        "path": "Media.implicitRules",
        "short": "A set of rules under which this content was created",
        "definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.",
        "comment": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. \n\nThis element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Resource.implicitRules",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "isModifier": true,
        "isSummary": true
      },
      {
        "id": "Media.language",
        "path": "Media.language",
        "short": "Language of the resource content",
        "definition": "The base language in which the resource is written.",
        "comment": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource  Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Resource.language",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueReference": {
                "reference": "http://hl7.org/fhir/ValueSet/all-languages|3.0.2"
              }
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "Language"
            }
          ],
          "strength": "extensible",
          "description": "A human language.",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/languages|3.0.2"
          }
        }
      },
      {
        "id": "Media.text",
        "path": "Media.text",
        "short": "Text summary of the resource, for human interpretation",
        "definition": "A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
        "comment": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded in formation is added later.",
        "alias": [
          "narrative",
          "html",
          "xhtml",
          "display"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.text",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Narrative"
          }
        ],
        "condition": [
          "dom-1"
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "Act.text?"
          }
        ]
      },
      {
        "id": "Media.text.id",
        "path": "Media.text.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Media.text.extension",
        "path": "Media.text.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ]
      },
      {
        "id": "Media.text.extension:text",
        "path": "Media.text.extension",
        "sliceName": "text",
        "short": "R4B: text additional types",
        "definition": "R4B: `Media.text` additional types (Narrative) additional types from child elements (div, status)",
        "comment": "Element `Media.text` is mapped to FHIR STU3 element `Media.text` as `SourceIsBroaderThanTarget`.\nThe mappings for `Media.text` do not cover the following types: Narrative.\nThe mappings for `Media.text` do not cover the following types based on type expansion: div, status.\nContained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/4.3/StructureDefinition/extension-Media.text|0.1.0"
          }
        ]
      },
      {
        "id": "Media.text.status",
        "path": "Media.text.status",
        "short": "generated | extensions | additional | empty",
        "definition": "The status of the narrative - whether it's entirely generated (from just the defined data or the extensions too), or whether a human authored it and it may contain additional data.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Narrative.status",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "NarrativeStatus"
            }
          ],
          "strength": "required",
          "description": "The status of a resource narrative",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/narrative-status|3.0.2"
          }
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Media.text.div",
        "path": "Media.text.div",
        "short": "Limited xhtml content",
        "definition": "The actual narrative content, a stripped down version of XHTML.",
        "comment": "The contents of the html element are an XHTML fragment containing only the basic html formatting elements described in chapters 7-11 and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained stylesheets. The XHTML content may not contain a head, a body, external stylesheet references, scripts, forms, base/link/xlink, frames, iframes and objects.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Narrative.div",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "xhtml"
          }
        ],
        "constraint": [
          {
            "key": "txt-1",
            "severity": "error",
            "human": "The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes",
            "expression": "htmlchecks()",
            "xpath": "not(descendant-or-self::*[not(local-name(.)=('a', 'abbr', 'acronym', 'b', 'big', 'blockquote', 'br', 'caption', 'cite', 'code', 'col', 'colgroup', 'dd', 'dfn', 'div', 'dl', 'dt', 'em', 'h1', 'h2', 'h3', 'h4', 'h5', 'h6', 'hr', 'i', 'img', 'li', 'ol', 'p', 'pre', 'q', 'samp', 'small', 'span', 'strong', 'sub', 'sup', 'table', 'tbody', 'td', 'tfoot', 'th', 'thead', 'tr', 'tt', 'ul', 'var'))]) and not(descendant-or-self::*/@*[not(name(.)=('abbr', 'accesskey', 'align', 'alt', 'axis', 'bgcolor', 'border', 'cellhalign', 'cellpadding', 'cellspacing', 'cellvalign', 'char', 'charoff', 'charset', 'cite', 'class', 'colspan', 'compact', 'coords', 'dir', 'frame', 'headers', 'height', 'href', 'hreflang', 'hspace', 'id', 'lang', 'longdesc', 'name', 'nowrap', 'rel', 'rev', 'rowspan', 'rules', 'scope', 'shape', 'span', 'src', 'start', 'style', 'summary', 'tabindex', 'title', 'type', 'valign', 'value', 'vspace', 'width'))])",
            "source": "http://hl7.org/fhir/StructureDefinition/Media"
          },
          {
            "key": "txt-2",
            "severity": "error",
            "human": "The narrative SHALL have some non-whitespace content",
            "expression": "htmlchecks()",
            "xpath": "descendant::text()[normalize-space(.)!=''] or descendant::h:img[@src]",
            "source": "http://hl7.org/fhir/StructureDefinition/Media"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Media.contained",
        "path": "Media.contained",
        "short": "Contained, inline Resources",
        "definition": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
        "comment": "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.",
        "alias": [
          "inline resources",
          "anonymous resources",
          "contained resources"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "DomainResource.contained",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Resource"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Media.extension",
        "path": "Media.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "min": 0,
        "max": "*",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ]
      },
      {
        "id": "Media.extension:partOf",
        "path": "Media.extension",
        "sliceName": "partOf",
        "short": "R4B: Part of referenced event (new)",
        "definition": "R4B: `Media.partOf` (new:Reference(Resource))",
        "comment": "Element `Media.partOf` has a context of Media based on following the parent source element upwards and mapping to `Media`.\nElement `Media.partOf` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nNot to be used to link an event to an Encounter - use Media.encounter for that.\r\r[The allowed reference resources may be adjusted as appropriate for the event resource].",
        "min": 0,
        "max": "*",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/4.3/StructureDefinition/extension-Media.partOf|0.1.0"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() | (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false
      },
      {
        "id": "Media.extension:issued",
        "path": "Media.extension",
        "sliceName": "issued",
        "short": "R4B: Date/Time this version was made available (new)",
        "definition": "R4B: `Media.issued` (new:instant)",
        "comment": "Element `Media.issued` has a context of Media based on following the parent source element upwards and mapping to `Media`.\nElement `Media.issued` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nIt may be the same as the [`lastUpdated` ](https://hl7.org/fhir/resource-definiti.html#Meta.lastUpdated) time of the resource itself.  For Observations that do require review and verification for certain updates, it might not be the same as the `lastUpdated` time of the resource itself due to a non-clinically significant update that does not require the new version to be reviewed and verified again.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/4.3/StructureDefinition/extension-Media.issued|0.1.0"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() | (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false
      },
      {
        "id": "Media.extension:deviceName",
        "path": "Media.extension",
        "sliceName": "deviceName",
        "short": "R4B: Name of the device/manufacturer (new)",
        "definition": "R4B: `Media.deviceName` (new:string)",
        "comment": "Element `Media.deviceName` has a context of Media based on following the parent source element upwards and mapping to `Media`.\nElement `Media.deviceName` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/4.3/StructureDefinition/extension-Media.deviceName|0.1.0"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() | (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false
      },
      {
        "id": "Media.modifierExtension",
        "path": "Media.modifierExtension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "min": 0,
        "max": "*",
        "base": {
          "path": "DomainResource.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "isModifier": true
      },
      {
        "id": "Media.modifierExtension:status",
        "path": "Media.modifierExtension",
        "sliceName": "status",
        "short": "R4B: preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown (new)",
        "definition": "R4B: `Media.status` (new:code)",
        "comment": "Element `Media.status` has a context of Media based on following the parent source element upwards and mapping to `Media`.\nElement `Media.status` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nA nominal state-transition diagram can be found in the [[event.html#statemachine | Event pattern]] documentation\r\rUnknown does not represent \"other\" - one of the defined statuses must apply.  Unknown is used when the authoring system is not sure what the current status is.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "DomainResource.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/4.3/StructureDefinition/extension-Media.status|0.1.0"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() | (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": true
      },
      {
        "id": "Media.identifier",
        "path": "Media.identifier",
        "short": "Identifier(s) for the image",
        "definition": "Identifiers associated with the image - these may include identifiers for the image itself, identifiers for the context of its collection (e.g. series ids) and context ids such as accession numbers or other workflow identifiers.",
        "comment": "The identifier label and use can be used to determine what kind of identifier it is.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Media.identifier",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Identifier"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": ".id"
          },
          {
            "identity": "dicom",
            "map": "0008,0018 | ~0008,0050 | 0020,000D | 0020,000E"
          },
          {
            "identity": "w5",
            "map": "id"
          }
        ]
      },
      {
        "id": "Media.identifier.id",
        "path": "Media.identifier.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Media.identifier.extension",
        "path": "Media.identifier.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ]
      },
      {
        "id": "Media.identifier.extension:identifier",
        "path": "Media.identifier.extension",
        "sliceName": "identifier",
        "short": "R4B: identifier additional types",
        "definition": "R4B: `Media.identifier` additional types (Identifier) additional types from child elements (assigner, period, system, type, use, value)",
        "comment": "Element `Media.identifier` is mapped to FHIR STU3 element `Media.identifier` as `SourceIsBroaderThanTarget`.\nThe mappings for `Media.identifier` do not cover the following types: Identifier.\nThe mappings for `Media.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value.\nThe identifier label and use can be used to determine what kind of identifier it is.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/4.3/StructureDefinition/extension-Media.identifier|0.1.0"
          }
        ]
      },
      {
        "id": "Media.identifier.use",
        "path": "Media.identifier.use",
        "short": "usual | official | temp | secondary (If known)",
        "definition": "The purpose of this identifier.",
        "comment": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.",
        "requirements": "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Identifier.use",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "isModifier": true,
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "IdentifierUse"
            }
          ],
          "strength": "required",
          "description": "Identifies the purpose for this identifier, if known .",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/identifier-use|3.0.2"
          }
        },
        "mapping": [
          {
            "identity": "v2",
            "map": "N/A"
          },
          {
            "identity": "rim",
            "map": "Role.code or implied by context"
          }
        ]
      },
      {
        "id": "Media.identifier.type",
        "path": "Media.identifier.type",
        "short": "Description of identifier",
        "definition": "A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.",
        "comment": "This element deals only with general categories of identifiers.  It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. \n\nWhere the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.",
        "requirements": "Allows users to make use of identifiers when the identifier system is not known.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Identifier.type",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "IdentifierType"
            }
          ],
          "strength": "extensible",
          "description": "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/identifier-type|3.0.2"
          }
        },
        "mapping": [
          {
            "identity": "v2",
            "map": "CX.5"
          },
          {
            "identity": "rim",
            "map": "Role.code or implied by context"
          }
        ]
      },
      {
        "id": "Media.identifier.system",
        "path": "Media.identifier.system",
        "short": "The namespace for the identifier value",
        "definition": "Establishes the namespace for the value - that is, a URL that describes a set values that are unique.",
        "requirements": "There are many sets  of identifiers.  To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Identifier.system",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "example": [
          {
            "label": "General",
            "valueUri": "http://www.acme.com/identifiers/patient"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "CX.4 / EI-2-4"
          },
          {
            "identity": "rim",
            "map": "II.root or Role.id.root"
          },
          {
            "identity": "servd",
            "map": "./IdentifierType"
          }
        ]
      },
      {
        "id": "Media.identifier.value",
        "path": "Media.identifier.value",
        "short": "The value that is unique",
        "definition": "The portion of the identifier typically relevant to the user and which is unique within the context of the system.",
        "comment": "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986.  The value's primary purpose is computational mapping.  As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.)  A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/STU3/extension-rendered-value.html).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Identifier.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "example": [
          {
            "label": "General",
            "valueString": "123456"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "CX.1 / EI.1"
          },
          {
            "identity": "rim",
            "map": "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)"
          },
          {
            "identity": "servd",
            "map": "./Value"
          }
        ]
      },
      {
        "id": "Media.identifier.period",
        "path": "Media.identifier.period",
        "short": "Time period when id is/was valid for use",
        "definition": "Time period during which identifier is/was valid for use.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Identifier.period",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Period"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "CX.7 + CX.8"
          },
          {
            "identity": "rim",
            "map": "Role.effectiveTime or implied by context"
          },
          {
            "identity": "servd",
            "map": "./StartDate and ./EndDate"
          }
        ]
      },
      {
        "id": "Media.identifier.assigner",
        "path": "Media.identifier.assigner",
        "short": "Organization that issued id (may be just text)",
        "definition": "Organization that issued/manages the identifier.",
        "comment": "The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Identifier.assigner",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Organization"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "CX.4 / (CX.4,CX.9,CX.10)"
          },
          {
            "identity": "rim",
            "map": "II.assigningAuthorityName but note that this is an improper use by the definition of the field.  Also Role.scoper"
          },
          {
            "identity": "servd",
            "map": "./IdentifierIssuingAuthority"
          }
        ]
      },
      {
        "id": "Media.basedOn",
        "path": "Media.basedOn",
        "short": "Procedure that caused this media to be created",
        "definition": "A procedure that is fulfilled in whole or in part by the creation of this media.",
        "requirements": "Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon.",
        "alias": [
          "fulfills"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Media.basedOn",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/ProcedureRequest"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=FLFS].target"
          }
        ]
      },
      {
        "id": "Media.basedOn.id",
        "path": "Media.basedOn.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Media.basedOn.extension",
        "path": "Media.basedOn.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ]
      },
      {
        "id": "Media.basedOn.extension:basedOn",
        "path": "Media.basedOn.extension",
        "sliceName": "basedOn",
        "short": "R4B: basedOn additional types",
        "definition": "R4B: `Media.basedOn` additional types from child elements (display, identifier, reference, type)",
        "comment": "Element `Media.basedOn` is mapped to FHIR STU3 element `Media.basedOn` as `SourceIsBroaderThanTarget`.\nThe mappings for `Media.basedOn` do not cover the following types based on type expansion: display, identifier, reference, type.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `Media.basedOn` with unmapped reference targets: CarePlan, ServiceRequest.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/StructureDefinition/alternate-reference"
          }
        ]
      },
      {
        "id": "Media.basedOn.reference",
        "path": "Media.basedOn.reference",
        "short": "Literal reference, Relative, internal or absolute URL",
        "definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
        "comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Reference.reference",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "condition": [
          "ref-1"
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Media.basedOn.identifier",
        "path": "Media.basedOn.identifier",
        "short": "Logical reference, when literal reference is not known",
        "definition": "An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.",
        "comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Reference.identifier",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Identifier"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": ".identifier"
          }
        ]
      },
      {
        "id": "Media.basedOn.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Media.basedOn.display",
        "short": "Text alternative for the resource",
        "definition": "Plain text narrative that identifies the resource in addition to the resource reference.",
        "comment": "This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Reference.display",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Media.type",
        "path": "Media.type",
        "short": "photo | video | audio",
        "definition": "Whether the media is a photo (still image), an audio recording, or a video recording.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Media.type",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "DigitalMediaType"
            }
          ],
          "strength": "required",
          "description": "Whether the media is a photo, video, or audio",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/digital-media-type|3.0.2"
          }
        },
        "mapping": [
          {
            "identity": "rim",
            "map": ".code"
          },
          {
            "identity": "w5",
            "map": "class"
          }
        ]
      },
      {
        "id": "Media.type.id",
        "path": "Media.type.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "definition": "unique id for the element within a resource (for internal references)",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Media.type.extension",
        "path": "Media.type.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ]
      },
      {
        "id": "Media.type.extension:type",
        "path": "Media.type.extension",
        "sliceName": "type",
        "short": "R4B: Classification of media as image, video, or audio additional types",
        "definition": "R4B: `Media.type` additional types (CodeableConcept) additional types from child elements (coding)",
        "comment": "Element `Media.type` is mapped to FHIR STU3 element `Media.type` as `SourceIsBroaderThanTarget`.\nThe mappings for `Media.type` do not cover the following types: CodeableConcept.\nThe mappings for `Media.type` do not cover the following types based on type expansion: coding.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/4.3/StructureDefinition/extension-Media.type|0.1.0"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() | (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false
      },
      {
        "id": "Media.type.value",
        "path": "Media.type.value",
        "representation": [
          "xmlAttr"
        ],
        "short": "Primitive value for code",
        "definition": "Primitive value for code",
        "min": 0,
        "max": "1",
        "base": {
          "path": "string.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-regex",
                "valueString": "[^\\s]+([\\s]?[^\\s]+)*"
              }
            ],
            "_code": {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-json-type",
                  "valueString": "string"
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-xml-type",
                  "valueString": "xsd:token"
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-rdf-type",
                  "valueString": "xsd:token"
                }
              ]
            }
          }
        ]
      },
      {
        "id": "Media.subtype",
        "path": "Media.subtype",
        "short": "The type of acquisition equipment/process",
        "definition": "Details of the type of the media - usually, how it was acquired (what type of device). If images sourced from a DICOM system, are wrapped in a Media resource, then this is the modality.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Media.subtype",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "DigitalMediaSubtype"
            }
          ],
          "strength": "example",
          "description": "Detailed information about the type of the image - its kind, purpose, or the kind of equipment used to generate it",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/digital-media-subtype|3.0.2"
          }
        },
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code"
          },
          {
            "identity": "dicom",
            "map": "0008,0060 | 0008,1032"
          },
          {
            "identity": "w5",
            "map": "class"
          }
        ]
      },
      {
        "id": "Media.view",
        "path": "Media.view",
        "short": "Imaging view, e.g. Lateral or Antero-posterior",
        "definition": "The name of the imaging view e.g. Lateral or Antero-posterior (AP).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Media.view",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "MediaView"
            }
          ],
          "strength": "example",
          "description": "Imaging view (projection) used when collecting an image",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/media-view|3.0.2"
          }
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "DiagnosticImage.subjectOrientationCode"
          },
          {
            "identity": "w5",
            "map": "class"
          }
        ]
      },
      {
        "id": "Media.subject",
        "path": "Media.subject",
        "short": "Who/What this Media is a record of",
        "definition": "Who/What this Media is a record of.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Media.subject",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Patient"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Practitioner"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Group"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Device"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Specimen"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": ".participation[typeCode=\"SUBJ\"]???"
          },
          {
            "identity": "dicom",
            "map": "~0010,0020"
          },
          {
            "identity": "w5",
            "map": "who.focus"
          }
        ]
      },
      {
        "id": "Media.subject.id",
        "path": "Media.subject.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Media.subject.extension",
        "path": "Media.subject.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ]
      },
      {
        "id": "Media.subject.extension:subject",
        "path": "Media.subject.extension",
        "sliceName": "subject",
        "short": "R4B: subject",
        "definition": "R4B: `Media.subject`",
        "comment": "Element `Media.subject` is mapped to FHIR STU3 element `Media.subject` as `SourceIsBroaderThanTarget`.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `Media.subject` with unmapped reference targets: Device, Group, Location, Patient, Practitioner, PractitionerRole, Specimen.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/StructureDefinition/alternate-reference"
          }
        ]
      },
      {
        "id": "Media.subject.reference",
        "path": "Media.subject.reference",
        "short": "Literal reference, Relative, internal or absolute URL",
        "definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
        "comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Reference.reference",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "condition": [
          "ref-1"
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Media.subject.identifier",
        "path": "Media.subject.identifier",
        "short": "Logical reference, when literal reference is not known",
        "definition": "An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.",
        "comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Reference.identifier",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Identifier"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": ".identifier"
          }
        ]
      },
      {
        "id": "Media.subject.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Media.subject.display",
        "short": "Text alternative for the resource",
        "definition": "Plain text narrative that identifies the resource in addition to the resource reference.",
        "comment": "This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Reference.display",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Media.context",
        "path": "Media.context",
        "short": "Encounter / Episode associated with media",
        "definition": "The encounter or episode of care that establishes the context for this media.",
        "comment": "This will typically be the encounter the media occurred within.",
        "requirements": "Links the media to the Encounter context.",
        "alias": [
          "encounter"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "Media.context",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Encounter"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": ".inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN]"
          },
          {
            "identity": "w5",
            "map": "context"
          }
        ]
      },
      {
        "id": "Media.context.id",
        "path": "Media.context.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Media.context.extension",
        "path": "Media.context.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ]
      },
      {
        "id": "Media.context.extension:encounter",
        "path": "Media.context.extension",
        "sliceName": "encounter",
        "short": "R4B: Encounter associated with media additional types",
        "definition": "R4B: `Media.encounter` additional types from child elements (display, identifier, reference, type)",
        "comment": "Element `Media.encounter` is mapped to FHIR STU3 element `Media.context` as `SourceIsBroaderThanTarget`.\nThe mappings for `Media.encounter` do not cover the following types based on type expansion: display, identifier, reference, type.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `Media.encounter` with unmapped reference targets: Encounter.\nThis will typically be the encounter the media occurred within.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/StructureDefinition/alternate-reference"
          }
        ]
      },
      {
        "id": "Media.context.reference",
        "path": "Media.context.reference",
        "short": "Literal reference, Relative, internal or absolute URL",
        "definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
        "comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Reference.reference",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "condition": [
          "ref-1"
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Media.context.identifier",
        "path": "Media.context.identifier",
        "short": "Logical reference, when literal reference is not known",
        "definition": "An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.",
        "comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Reference.identifier",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Identifier"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": ".identifier"
          }
        ]
      },
      {
        "id": "Media.context.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Media.context.display",
        "short": "Text alternative for the resource",
        "definition": "Plain text narrative that identifies the resource in addition to the resource reference.",
        "comment": "This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Reference.display",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Media.occurrence[x]",
        "path": "Media.occurrence[x]",
        "short": "When Media was collected",
        "definition": "The date and time(s) at which the media was collected.",
        "alias": [
          "timing"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "Media.occurrence[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          },
          {
            "code": "Period"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": ".effectiveTime"
          },
          {
            "identity": "w5",
            "map": "when.done"
          }
        ]
      },
      {
        "id": "Media.operator",
        "path": "Media.operator",
        "short": "The person who generated the image",
        "definition": "The person who administered the collection of the image.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Media.operator",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Practitioner"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": ".participation[typeCode=\"PERF\"]???"
          },
          {
            "identity": "dicom",
            "map": "0008,1060?"
          },
          {
            "identity": "w5",
            "map": "who.actor"
          }
        ]
      },
      {
        "id": "Media.operator.id",
        "path": "Media.operator.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Media.operator.extension",
        "path": "Media.operator.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ]
      },
      {
        "id": "Media.operator.extension:operator",
        "path": "Media.operator.extension",
        "sliceName": "operator",
        "short": "R4B: operator",
        "definition": "R4B: `Media.operator`",
        "comment": "Element `Media.operator` is mapped to FHIR STU3 element `Media.operator` as `SourceIsBroaderThanTarget`.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `Media.operator` with unmapped reference targets: CareTeam, Device, Organization, Patient, Practitioner, PractitionerRole, RelatedPerson.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/StructureDefinition/alternate-reference"
          }
        ]
      },
      {
        "id": "Media.operator.reference",
        "path": "Media.operator.reference",
        "short": "Literal reference, Relative, internal or absolute URL",
        "definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
        "comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Reference.reference",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "condition": [
          "ref-1"
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Media.operator.identifier",
        "path": "Media.operator.identifier",
        "short": "Logical reference, when literal reference is not known",
        "definition": "An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.",
        "comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Reference.identifier",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Identifier"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": ".identifier"
          }
        ]
      },
      {
        "id": "Media.operator.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Media.operator.display",
        "short": "Text alternative for the resource",
        "definition": "Plain text narrative that identifies the resource in addition to the resource reference.",
        "comment": "This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Reference.display",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Media.reasonCode",
        "path": "Media.reasonCode",
        "short": "Why was event performed?",
        "definition": "Describes why the event occurred in coded or textual form.",
        "comment": "Textual reasons can be caprued using reasonCode.text.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Media.reasonCode",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "MediaReason"
            }
          ],
          "strength": "example",
          "description": "The reason for the media",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/procedure-reason|3.0.2"
          }
        },
        "mapping": [
          {
            "identity": "rim",
            "map": ".reasonCode"
          },
          {
            "identity": "w5",
            "map": "why"
          }
        ]
      },
      {
        "id": "Media.bodySite",
        "path": "Media.bodySite",
        "short": "Body part in media",
        "definition": "Indicates the site on the subject's body where the media was collected (i.e. the target site).",
        "comment": "If the use case requires BodySite to be handled as a separate resource (e.g. to identify and track separately) then use The standard extension[ body-site-instance](http://hl7.org/fhir/STU3/extension-body-site-instance.html).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Media.bodySite",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "BodySite"
            }
          ],
          "strength": "example",
          "description": "Codes describing anatomical locations. May include laterality.",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/body-site|3.0.2"
          }
        },
        "mapping": [
          {
            "identity": "sct-concept",
            "map": "< 123037004 |Body structure|"
          },
          {
            "identity": "rim",
            "map": "targetSiteCode"
          },
          {
            "identity": "sct-attr",
            "map": "718497002 |Inherent location|"
          }
        ]
      },
      {
        "id": "Media.device",
        "path": "Media.device",
        "short": "Observing Device",
        "definition": "The device used to collect the media.",
        "comment": "An extension should be used if further typing of the device is needed.  Scondary devices used to support collecting a media can be represented using either extension or through the Observation.related element.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Media.device",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Device"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/DeviceMetric"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "sct-concept",
            "map": "< 49062001 |Device|"
          },
          {
            "identity": "rim",
            "map": "participation[typeCode=DEV]"
          },
          {
            "identity": "sct-attr",
            "map": "424226004 |Using device|"
          }
        ]
      },
      {
        "id": "Media.device.id",
        "path": "Media.device.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Media.device.extension",
        "path": "Media.device.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ]
      },
      {
        "id": "Media.device.extension:device",
        "path": "Media.device.extension",
        "sliceName": "device",
        "short": "R4B: device",
        "definition": "R4B: `Media.device`",
        "comment": "Element `Media.device` is mapped to FHIR STU3 element `Media.device` as `SourceIsBroaderThanTarget`.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `Media.device` with unmapped reference targets: Device, DeviceMetric.\nAn extension should be used if further typing of the device is needed.  Secondary devices used to support collecting a media can be represented using either extension or through the Observation.related element.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/StructureDefinition/alternate-reference"
          }
        ]
      },
      {
        "id": "Media.device.reference",
        "path": "Media.device.reference",
        "short": "Literal reference, Relative, internal or absolute URL",
        "definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
        "comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Reference.reference",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "condition": [
          "ref-1"
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Media.device.identifier",
        "path": "Media.device.identifier",
        "short": "Logical reference, when literal reference is not known",
        "definition": "An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.",
        "comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Reference.identifier",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Identifier"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": ".identifier"
          }
        ]
      },
      {
        "id": "Media.device.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Media.device.display",
        "short": "Text alternative for the resource",
        "definition": "Plain text narrative that identifies the resource in addition to the resource reference.",
        "comment": "This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Reference.display",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Media.height",
        "path": "Media.height",
        "short": "Height of the image in pixels (photo/video)",
        "definition": "Height of the image in pixels (photo/video).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Media.height",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "positiveInt"
          }
        ],
        "condition": [
          "mda-1"
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=\"COMP].target[classCode=\"OBS\", moodCode=\"EVN\",code=\"<CODE>\"].value"
          },
          {
            "identity": "dicom",
            "map": "0028,0010"
          }
        ]
      },
      {
        "id": "Media.width",
        "path": "Media.width",
        "short": "Width of the image in pixels (photo/video)",
        "definition": "Width of the image in pixels (photo/video).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Media.width",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "positiveInt"
          }
        ],
        "condition": [
          "mda-2"
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=\"COMP].target[classCode=\"OBS\", moodCode=\"EVN\",code=\"<CODE>\"].value"
          },
          {
            "identity": "dicom",
            "map": "0028,0011"
          }
        ]
      },
      {
        "id": "Media.frames",
        "path": "Media.frames",
        "short": "Number of frames if > 1 (photo)",
        "definition": "The number of frames in a photo. This is used with a multi-page fax, or an imaging acquisition context that takes multiple slices in a single image, or an animated gif. If there is more than one frame, this SHALL have a value in order to alert interface software that a multi-frame capable rendering widget is required.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Media.frames",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "positiveInt"
          }
        ],
        "defaultValuePositiveInt": 1,
        "condition": [
          "mda-3"
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=\"COMP].target[classCode=\"OBS\", moodCode=\"EVN\",code=\"<CODE>\"].value"
          }
        ]
      },
      {
        "id": "Media.duration",
        "path": "Media.duration",
        "short": "Length in seconds (audio / video)",
        "definition": "The duration of the recording in seconds - for audio and video.",
        "comment": "The duration might differ from occurrencePeriod if recording was paused.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Media.duration",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "unsignedInt"
          }
        ],
        "condition": [
          "mda-4"
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=\"COMP].target[classCode=\"OBS\", moodCode=\"EVN\",code=\"<CODE>\"].value"
          },
          {
            "identity": "dicom",
            "map": "~0028,0002"
          }
        ]
      },
      {
        "id": "Media.duration.id",
        "path": "Media.duration.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "definition": "unique id for the element within a resource (for internal references)",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Media.duration.extension",
        "path": "Media.duration.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ]
      },
      {
        "id": "Media.duration.extension:duration",
        "path": "Media.duration.extension",
        "sliceName": "duration",
        "short": "R4B: duration additional types",
        "definition": "R4B: `Media.duration` additional types (decimal) additional types from child elements (value)",
        "comment": "Element `Media.duration` is mapped to FHIR STU3 element `Media.duration` as `SourceIsBroaderThanTarget`.\nThe mappings for `Media.duration` do not cover the following types: decimal.\nThe mappings for `Media.duration` do not cover the following types based on type expansion: value.\nThe duration might differ from occurrencePeriod if recording was paused.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/4.3/StructureDefinition/extension-Media.duration|0.1.0"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() | (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false
      },
      {
        "id": "Media.duration.value",
        "path": "Media.duration.value",
        "representation": [
          "xmlAttr"
        ],
        "short": "Primitive value for unsignedInt",
        "definition": "Primitive value for unsignedInt",
        "min": 0,
        "max": "1",
        "base": {
          "path": "integer.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-regex",
                "valueString": "[0]|([1-9][0-9]*)"
              }
            ],
            "_code": {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-json-type",
                  "valueString": "number"
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-xml-type",
                  "valueString": "xsd:nonNegativeInteger"
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-rdf-type",
                  "valueString": "xsd:nonNegativeInteger"
                }
              ]
            }
          }
        ]
      },
      {
        "id": "Media.content",
        "path": "Media.content",
        "short": "Actual Media - reference or data",
        "definition": "The actual content of the media - inline or by direct reference to the media source file.",
        "comment": "Recommended content types: image/jpeg, image/png, image/tiff, video/mpeg, audio/mp4, application/dicom. Application/dicom can contain the transfer syntax as a parameter.  For an media that covers a period of time (video/sound), the content.creationTime is the end time. Creation time is used for tracking, organizing versions and searching.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Media.content",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "Attachment"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": ".text"
          }
        ]
      },
      {
        "id": "Media.content.id",
        "path": "Media.content.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Media.content.extension",
        "path": "Media.content.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ]
      },
      {
        "id": "Media.content.extension:content",
        "path": "Media.content.extension",
        "sliceName": "content",
        "short": "R4B: content additional types",
        "definition": "R4B: `Media.content` additional types (Attachment) additional types from child elements (contentType, creation, data, hash, language, size, title, url)",
        "comment": "Element `Media.content` is mapped to FHIR STU3 element `Media.content` as `SourceIsBroaderThanTarget`.\nThe mappings for `Media.content` do not cover the following types: Attachment.\nThe mappings for `Media.content` do not cover the following types based on type expansion: contentType, creation, data, hash, language, size, title, url.\nRecommended content types: image/jpeg, image/png, image/tiff, video/mpeg, audio/mp4, application/dicom. Application/dicom can contain the transfer syntax as a parameter.  For media that covers a period of time (video/sound), the content.creationTime is the end time. Creation time is used for tracking, organizing versions and searching.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/4.3/StructureDefinition/extension-Media.content|0.1.0"
          }
        ]
      },
      {
        "id": "Media.content.contentType",
        "path": "Media.content.contentType",
        "short": "Mime type of the content, with charset etc.",
        "definition": "Identifies the type of the data in the attachment and allows a method to be chosen to interpret or render the data. Includes mime type parameters such as charset where appropriate.",
        "requirements": "Processors of the data need to be able to know how to interpret the data.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Attachment.contentType",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "example": [
          {
            "label": "General",
            "valueCode": "text/plain; charset=UTF-8, image/png"
          }
        ],
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "MimeType"
            }
          ],
          "strength": "required",
          "description": "The mime type of an attachment. Any valid mime type is allowed.",
          "valueSetUri": "http://www.rfc-editor.org/bcp/bcp13.txt"
        },
        "mapping": [
          {
            "identity": "v2",
            "map": "ED.2+ED.3/RP.2+RP.3. Note conversion may be needed if old style values are being used"
          },
          {
            "identity": "rim",
            "map": "./mediaType, ./charset"
          }
        ]
      },
      {
        "id": "Media.content.language",
        "path": "Media.content.language",
        "short": "Human language of the content (BCP-47)",
        "definition": "The human language of the content. The value can be any valid value according to BCP 47.",
        "requirements": "Users need to be able to choose between the languages in a set of attachments.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Attachment.language",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "example": [
          {
            "label": "General",
            "valueCode": "en-AU"
          }
        ],
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueReference": {
                "reference": "http://hl7.org/fhir/ValueSet/all-languages|3.0.2"
              }
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "Language"
            }
          ],
          "strength": "extensible",
          "description": "A human language.",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/languages|3.0.2"
          }
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "./language"
          }
        ]
      },
      {
        "id": "Media.content.data",
        "path": "Media.content.data",
        "short": "Data inline, base64ed",
        "definition": "The actual data of the attachment - a sequence of bytes. In XML, represented using base64.",
        "comment": "The base64-encoded data SHALL be expressed in the same character set as the base resource XML or JSON.",
        "requirements": "The data needs to able to be transmitted inline.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Attachment.data",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "base64Binary"
          }
        ],
        "mapping": [
          {
            "identity": "v2",
            "map": "ED.5"
          },
          {
            "identity": "rim",
            "map": "./data"
          }
        ]
      },
      {
        "id": "Media.content.url",
        "path": "Media.content.url",
        "short": "Uri where the data can be found",
        "definition": "An alternative location where the data can be accessed.",
        "comment": "If both data and url are provided, the url SHALL point to the same content as the data contains. Urls may be relative references or may reference transient locations such as a wrapping envelope using cid: though this has ramifications for using signatures. Relative URLs are interpreted relative to the service url, like a resource reference, rather than relative to the resource itself. If a URL is provided, it SHALL resolve to actual data.",
        "requirements": "The data needs to be transmitted by reference.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Attachment.url",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "example": [
          {
            "label": "General",
            "valueUri": "http://www.acme.com/logo-small.png"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "RP.1+RP.2 - if they refer to a URL (see v2.6)"
          },
          {
            "identity": "rim",
            "map": "./reference/literal"
          }
        ]
      },
      {
        "id": "Media.content.size",
        "path": "Media.content.size",
        "short": "Number of bytes of content (if url provided)",
        "definition": "The number of bytes of data that make up this attachment (before base64 encoding, if that is done).",
        "comment": "The number of bytes is redundant if the data is provided as a base64binary, but is useful if the data is provided as a url reference.",
        "requirements": "Representing the size allows applications to determine whether they should fetch the content automatically in advance, or refuse to fetch it at all.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Attachment.size",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "unsignedInt"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A (needs data type R3 proposal)"
          }
        ]
      },
      {
        "id": "Media.content.hash",
        "path": "Media.content.hash",
        "short": "Hash of the data (sha-1, base64ed)",
        "definition": "The calculated hash of the data using SHA-1. Represented using base64.",
        "comment": "The hash is calculated on the data prior to base64 encoding, if the data is based64 encoded.",
        "requirements": "Included so that applications can verify that the contents of a location have not changed and so that a signature of the content can implicitly sign the content of an image without having to include the data in the instance or reference the url in the signature.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Attachment.hash",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "base64Binary"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": ".integrityCheck[parent::ED/integrityCheckAlgorithm=\"SHA-1\"]"
          }
        ]
      },
      {
        "id": "Media.content.title",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Media.content.title",
        "short": "Label to display in place of the data",
        "definition": "A label or set of text to display in place of the data.",
        "requirements": "Applications need a label to display to a human user in place of the actual data if the data cannot be rendered or perceived by the viewer.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Attachment.title",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "example": [
          {
            "label": "General",
            "valueString": "Official Corporate Logo"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "./title/data"
          }
        ]
      },
      {
        "id": "Media.content.creation",
        "path": "Media.content.creation",
        "short": "Date attachment was first created",
        "definition": "The date that the attachment was first created.",
        "requirements": "This is often tracked as an integrity issue for use of the attachment.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Attachment.creation",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A (needs data type R3 proposal)"
          }
        ]
      },
      {
        "id": "Media.note",
        "path": "Media.note",
        "short": "Comments made about the media",
        "definition": "Comments made about the media by the performer, subject or other participants.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Media.note",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Annotation"
          }
        ],
        "mapping": [
          {
            "identity": "v2",
            "map": "NTE"
          },
          {
            "identity": "rim",
            "map": ".inboundRelationship(typeCode=SUBJ].source[classCode=ANNGEN, moodCode=EVN].value[xsi:type=ST]"
          }
        ]
      },
      {
        "id": "Media.note.id",
        "path": "Media.note.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Media.note.extension",
        "path": "Media.note.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ]
      },
      {
        "id": "Media.note.extension:note",
        "path": "Media.note.extension",
        "sliceName": "note",
        "short": "R4B: note additional types",
        "definition": "R4B: `Media.note` additional types (Annotation) additional types from child elements (author[x], text, time)",
        "comment": "Element `Media.note` is mapped to FHIR STU3 element `Media.note` as `SourceIsBroaderThanTarget`.\nThe mappings for `Media.note` do not cover the following types: Annotation.\nThe mappings for `Media.note` do not cover the following types based on type expansion: author[x], text, time.\nNot to be used for observations, conclusions, etc. Instead use an [Observation](https://hl7.org/fhir/observation.html) based on the Media/ImagingStudy resource.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/4.3/StructureDefinition/extension-Media.note|0.1.0"
          }
        ]
      },
      {
        "id": "Media.note.author[x]",
        "path": "Media.note.author[x]",
        "short": "Individual responsible for the annotation",
        "definition": "The individual responsible for making the annotation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Annotation.author[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Practitioner"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Patient"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/RelatedPerson"
          },
          {
            "code": "string"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "N/A"
          },
          {
            "identity": "rim",
            "map": "Act.participant[typeCode=AUT].role"
          }
        ]
      },
      {
        "id": "Media.note.time",
        "path": "Media.note.time",
        "short": "When the annotation was made",
        "definition": "Indicates when this particular annotation was made.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Annotation.time",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "N/A"
          },
          {
            "identity": "rim",
            "map": "Act.effectiveTime"
          }
        ]
      },
      {
        "id": "Media.note.text",
        "path": "Media.note.text",
        "short": "The annotation  - text content",
        "definition": "The text of the annotation.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Annotation.text",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "v2",
            "map": "N/A"
          },
          {
            "identity": "rim",
            "map": "Act.text"
          }
        ]
      }
    ]
  },
  "differential": {
    "element": [
      {
        "id": "Media",
        "path": "Media"
      },
      {
        "id": "Media.meta.extension",
        "path": "Media.meta.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 0,
        "max": "*"
      },
      {
        "id": "Media.meta.extension:meta",
        "path": "Media.meta.extension",
        "sliceName": "meta",
        "short": "R4B: meta additional types",
        "definition": "R4B: `Media.meta` additional types (Meta) additional types from child elements (lastUpdated, profile, security, source, tag, versionId)",
        "comment": "Element `Media.meta` is mapped to FHIR STU3 element `Media.meta` as `SourceIsBroaderThanTarget`.\nThe mappings for `Media.meta` do not cover the following types: Meta.\nThe mappings for `Media.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, source, tag, versionId.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/4.3/StructureDefinition/extension-Media.meta|0.1.0"
          }
        ]
      },
      {
        "id": "Media.text.extension",
        "path": "Media.text.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 0,
        "max": "*"
      },
      {
        "id": "Media.text.extension:text",
        "path": "Media.text.extension",
        "sliceName": "text",
        "short": "R4B: text additional types",
        "definition": "R4B: `Media.text` additional types (Narrative) additional types from child elements (div, status)",
        "comment": "Element `Media.text` is mapped to FHIR STU3 element `Media.text` as `SourceIsBroaderThanTarget`.\nThe mappings for `Media.text` do not cover the following types: Narrative.\nThe mappings for `Media.text` do not cover the following types based on type expansion: div, status.\nContained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/4.3/StructureDefinition/extension-Media.text|0.1.0"
          }
        ]
      },
      {
        "id": "Media.extension",
        "path": "Media.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 0,
        "max": "*"
      },
      {
        "id": "Media.extension:partOf",
        "path": "Media.extension",
        "sliceName": "partOf",
        "short": "R4B: Part of referenced event (new)",
        "definition": "R4B: `Media.partOf` (new:Reference(Resource))",
        "comment": "Element `Media.partOf` has a context of Media based on following the parent source element upwards and mapping to `Media`.\nElement `Media.partOf` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nNot to be used to link an event to an Encounter - use Media.encounter for that.\r\r[The allowed reference resources may be adjusted as appropriate for the event resource].",
        "min": 0,
        "max": "*",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/4.3/StructureDefinition/extension-Media.partOf|0.1.0"
          }
        ]
      },
      {
        "id": "Media.extension:issued",
        "path": "Media.extension",
        "sliceName": "issued",
        "short": "R4B: Date/Time this version was made available (new)",
        "definition": "R4B: `Media.issued` (new:instant)",
        "comment": "Element `Media.issued` has a context of Media based on following the parent source element upwards and mapping to `Media`.\nElement `Media.issued` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nIt may be the same as the [`lastUpdated` ](https://hl7.org/fhir/resource-definiti.html#Meta.lastUpdated) time of the resource itself.  For Observations that do require review and verification for certain updates, it might not be the same as the `lastUpdated` time of the resource itself due to a non-clinically significant update that does not require the new version to be reviewed and verified again.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/4.3/StructureDefinition/extension-Media.issued|0.1.0"
          }
        ]
      },
      {
        "id": "Media.extension:deviceName",
        "path": "Media.extension",
        "sliceName": "deviceName",
        "short": "R4B: Name of the device/manufacturer (new)",
        "definition": "R4B: `Media.deviceName` (new:string)",
        "comment": "Element `Media.deviceName` has a context of Media based on following the parent source element upwards and mapping to `Media`.\nElement `Media.deviceName` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/4.3/StructureDefinition/extension-Media.deviceName|0.1.0"
          }
        ]
      },
      {
        "id": "Media.modifierExtension",
        "path": "Media.modifierExtension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 0,
        "max": "*"
      },
      {
        "id": "Media.modifierExtension:status",
        "path": "Media.modifierExtension",
        "sliceName": "status",
        "short": "R4B: preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown (new)",
        "definition": "R4B: `Media.status` (new:code)",
        "comment": "Element `Media.status` has a context of Media based on following the parent source element upwards and mapping to `Media`.\nElement `Media.status` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nA nominal state-transition diagram can be found in the [[event.html#statemachine | Event pattern]] documentation\r\rUnknown does not represent \"other\" - one of the defined statuses must apply.  Unknown is used when the authoring system is not sure what the current status is.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/4.3/StructureDefinition/extension-Media.status|0.1.0"
          }
        ]
      },
      {
        "id": "Media.identifier.extension",
        "path": "Media.identifier.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 0,
        "max": "*"
      },
      {
        "id": "Media.identifier.extension:identifier",
        "path": "Media.identifier.extension",
        "sliceName": "identifier",
        "short": "R4B: identifier additional types",
        "definition": "R4B: `Media.identifier` additional types (Identifier) additional types from child elements (assigner, period, system, type, use, value)",
        "comment": "Element `Media.identifier` is mapped to FHIR STU3 element `Media.identifier` as `SourceIsBroaderThanTarget`.\nThe mappings for `Media.identifier` do not cover the following types: Identifier.\nThe mappings for `Media.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value.\nThe identifier label and use can be used to determine what kind of identifier it is.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/4.3/StructureDefinition/extension-Media.identifier|0.1.0"
          }
        ]
      },
      {
        "id": "Media.basedOn.extension",
        "path": "Media.basedOn.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 0,
        "max": "*"
      },
      {
        "id": "Media.basedOn.extension:basedOn",
        "path": "Media.basedOn.extension",
        "sliceName": "basedOn",
        "short": "R4B: basedOn additional types",
        "definition": "R4B: `Media.basedOn` additional types from child elements (display, identifier, reference, type)",
        "comment": "Element `Media.basedOn` is mapped to FHIR STU3 element `Media.basedOn` as `SourceIsBroaderThanTarget`.\nThe mappings for `Media.basedOn` do not cover the following types based on type expansion: display, identifier, reference, type.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `Media.basedOn` with unmapped reference targets: CarePlan, ServiceRequest.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/StructureDefinition/alternate-reference"
          }
        ]
      },
      {
        "id": "Media.type.extension",
        "path": "Media.type.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 0,
        "max": "*"
      },
      {
        "id": "Media.type.extension:type",
        "path": "Media.type.extension",
        "sliceName": "type",
        "short": "R4B: Classification of media as image, video, or audio additional types",
        "definition": "R4B: `Media.type` additional types (CodeableConcept) additional types from child elements (coding)",
        "comment": "Element `Media.type` is mapped to FHIR STU3 element `Media.type` as `SourceIsBroaderThanTarget`.\nThe mappings for `Media.type` do not cover the following types: CodeableConcept.\nThe mappings for `Media.type` do not cover the following types based on type expansion: coding.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/4.3/StructureDefinition/extension-Media.type|0.1.0"
          }
        ]
      },
      {
        "id": "Media.subject.extension",
        "path": "Media.subject.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 0,
        "max": "*"
      },
      {
        "id": "Media.subject.extension:subject",
        "path": "Media.subject.extension",
        "sliceName": "subject",
        "short": "R4B: subject",
        "definition": "R4B: `Media.subject`",
        "comment": "Element `Media.subject` is mapped to FHIR STU3 element `Media.subject` as `SourceIsBroaderThanTarget`.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `Media.subject` with unmapped reference targets: Device, Group, Location, Patient, Practitioner, PractitionerRole, Specimen.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/StructureDefinition/alternate-reference"
          }
        ]
      },
      {
        "id": "Media.context.extension",
        "path": "Media.context.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 0,
        "max": "*"
      },
      {
        "id": "Media.context.extension:encounter",
        "path": "Media.context.extension",
        "sliceName": "encounter",
        "short": "R4B: Encounter associated with media additional types",
        "definition": "R4B: `Media.encounter` additional types from child elements (display, identifier, reference, type)",
        "comment": "Element `Media.encounter` is mapped to FHIR STU3 element `Media.context` as `SourceIsBroaderThanTarget`.\nThe mappings for `Media.encounter` do not cover the following types based on type expansion: display, identifier, reference, type.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `Media.encounter` with unmapped reference targets: Encounter.\nThis will typically be the encounter the media occurred within.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/StructureDefinition/alternate-reference"
          }
        ]
      },
      {
        "id": "Media.operator.extension",
        "path": "Media.operator.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 0,
        "max": "*"
      },
      {
        "id": "Media.operator.extension:operator",
        "path": "Media.operator.extension",
        "sliceName": "operator",
        "short": "R4B: operator",
        "definition": "R4B: `Media.operator`",
        "comment": "Element `Media.operator` is mapped to FHIR STU3 element `Media.operator` as `SourceIsBroaderThanTarget`.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `Media.operator` with unmapped reference targets: CareTeam, Device, Organization, Patient, Practitioner, PractitionerRole, RelatedPerson.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/StructureDefinition/alternate-reference"
          }
        ]
      },
      {
        "id": "Media.device.extension",
        "path": "Media.device.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 0,
        "max": "*"
      },
      {
        "id": "Media.device.extension:device",
        "path": "Media.device.extension",
        "sliceName": "device",
        "short": "R4B: device",
        "definition": "R4B: `Media.device`",
        "comment": "Element `Media.device` is mapped to FHIR STU3 element `Media.device` as `SourceIsBroaderThanTarget`.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `Media.device` with unmapped reference targets: Device, DeviceMetric.\nAn extension should be used if further typing of the device is needed.  Secondary devices used to support collecting a media can be represented using either extension or through the Observation.related element.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/StructureDefinition/alternate-reference"
          }
        ]
      },
      {
        "id": "Media.duration.extension",
        "path": "Media.duration.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 0,
        "max": "*"
      },
      {
        "id": "Media.duration.extension:duration",
        "path": "Media.duration.extension",
        "sliceName": "duration",
        "short": "R4B: duration additional types",
        "definition": "R4B: `Media.duration` additional types (decimal) additional types from child elements (value)",
        "comment": "Element `Media.duration` is mapped to FHIR STU3 element `Media.duration` as `SourceIsBroaderThanTarget`.\nThe mappings for `Media.duration` do not cover the following types: decimal.\nThe mappings for `Media.duration` do not cover the following types based on type expansion: value.\nThe duration might differ from occurrencePeriod if recording was paused.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/4.3/StructureDefinition/extension-Media.duration|0.1.0"
          }
        ]
      },
      {
        "id": "Media.content.extension",
        "path": "Media.content.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 0,
        "max": "*"
      },
      {
        "id": "Media.content.extension:content",
        "path": "Media.content.extension",
        "sliceName": "content",
        "short": "R4B: content additional types",
        "definition": "R4B: `Media.content` additional types (Attachment) additional types from child elements (contentType, creation, data, hash, language, size, title, url)",
        "comment": "Element `Media.content` is mapped to FHIR STU3 element `Media.content` as `SourceIsBroaderThanTarget`.\nThe mappings for `Media.content` do not cover the following types: Attachment.\nThe mappings for `Media.content` do not cover the following types based on type expansion: contentType, creation, data, hash, language, size, title, url.\nRecommended content types: image/jpeg, image/png, image/tiff, video/mpeg, audio/mp4, application/dicom. Application/dicom can contain the transfer syntax as a parameter.  For media that covers a period of time (video/sound), the content.creationTime is the end time. Creation time is used for tracking, organizing versions and searching.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/4.3/StructureDefinition/extension-Media.content|0.1.0"
          }
        ]
      },
      {
        "id": "Media.note.extension",
        "path": "Media.note.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 0,
        "max": "*"
      },
      {
        "id": "Media.note.extension:note",
        "path": "Media.note.extension",
        "sliceName": "note",
        "short": "R4B: note additional types",
        "definition": "R4B: `Media.note` additional types (Annotation) additional types from child elements (author[x], text, time)",
        "comment": "Element `Media.note` is mapped to FHIR STU3 element `Media.note` as `SourceIsBroaderThanTarget`.\nThe mappings for `Media.note` do not cover the following types: Annotation.\nThe mappings for `Media.note` do not cover the following types based on type expansion: author[x], text, time.\nNot to be used for observations, conclusions, etc. Instead use an [Observation](https://hl7.org/fhir/observation.html) based on the Media/ImagingStudy resource.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/4.3/StructureDefinition/extension-Media.note|0.1.0"
          }
        ]
      }
    ]
  }
}