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Packagehl7.fhir.uv.xver-r5.r3
Resource TypeStructureDefinition
IdStructureDefinition-ext-R5-AdverseEvent.sus.instance.json
FHIR VersionR3

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Narrative

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

Generated Narrative: StructureDefinition ext-R5-AdverseEvent.sus.instance

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 1..1ExtensionR5: instance additional types
... url 1..1uri"http://hl7.org/fhir/5.0/StructureDefinition/extension-AdverseEvent.suspectEntity.instance"
... value[x] 1..1CodeableConceptRefers to the specific entity that caused the adverse event

doco Documentation for this format

Source1

{
  "resourceType": "StructureDefinition",
  "id": "ext-R5-AdverseEvent.sus.instance",
  "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-r5.r3"
        },
        {
          "url": "version",
          "valueString": "0.1.0"
        },
        {
          "url": "uri",
          "valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r3"
        }
      ],
      "url": "http://hl7.org/fhir/StructureDefinition/package-source"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 0,
      "_valueInteger": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.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-r5.r3"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-AdverseEvent.suspectEntity.instance",
  "version": "0.1.0",
  "name": "ExtensionAdverseEvent_SuspectEntity_Instance",
  "title": "R5: instance additional types",
  "status": "active",
  "experimental": false,
  "date": "2026-03-17T21:02:03.8104715+00:00",
  "publisher": "FHIR Infrastructure",
  "contact": [
    {
      "name": "FHIR Infrastructure",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/fiwg"
        }
      ]
    }
  ],
  "description": "R5: `AdverseEvent.suspectEntity.instance[x]` additional types (CodeableConcept)",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "purpose": "This extension is part of the cross-version definitions generated to enable use of the\r\nelement `AdverseEvent.suspectEntity.instance[x]` as defined in FHIR R5\r\nin FHIR STU3.\r\n\r\nThe source element is defined as:\r\n`AdverseEvent.suspectEntity.instance[x]` 1..1 `CodeableConcept, Reference(http://hl7.org/fhir/StructureDefinition/Immunization,http://hl7.org/fhir/StructureDefinition/Procedure,http://hl7.org/fhir/StructureDefinition/Substance,http://hl7.org/fhir/StructureDefinition/Medication,http://hl7.org/fhir/StructureDefinition/MedicationAdministration,http://hl7.org/fhir/StructureDefinition/MedicationStatement,http://hl7.org/fhir/StructureDefinition/Device,http://hl7.org/fhir/StructureDefinition/BiologicallyDerivedProduct,http://hl7.org/fhir/StructureDefinition/ResearchStudy)`\r\n\r\nAcross FHIR versions, the element set has been mapped as:\r\n*  R5: `AdverseEvent.suspectEntity.instance[x]` 1..1 `CodeableConcept, Reference(http://hl7.org/fhir/StructureDefinition/Immunization,http://hl7.org/fhir/StructureDefinition/Procedure,http://hl7.org/fhir/StructureDefinition/Substance,http://hl7.org/fhir/StructureDefinition/Medication,http://hl7.org/fhir/StructureDefinition/MedicationAdministration,http://hl7.org/fhir/StructureDefinition/MedicationStatement,http://hl7.org/fhir/StructureDefinition/Device,http://hl7.org/fhir/StructureDefinition/BiologicallyDerivedProduct,http://hl7.org/fhir/StructureDefinition/ResearchStudy)`\n*  R4B: `AdverseEvent.suspectEntity.instance` 1..1 `Reference(http://hl7.org/fhir/StructureDefinition/Immunization,http://hl7.org/fhir/StructureDefinition/Procedure,http://hl7.org/fhir/StructureDefinition/Substance,http://hl7.org/fhir/StructureDefinition/Medication,http://hl7.org/fhir/StructureDefinition/MedicationAdministration,http://hl7.org/fhir/StructureDefinition/MedicationStatement,http://hl7.org/fhir/StructureDefinition/Device)`\n*  R4: `AdverseEvent.suspectEntity.instance` 1..1 `Reference(http://hl7.org/fhir/StructureDefinition/Immunization,http://hl7.org/fhir/StructureDefinition/Procedure,http://hl7.org/fhir/StructureDefinition/Substance,http://hl7.org/fhir/StructureDefinition/Medication,http://hl7.org/fhir/StructureDefinition/MedicationAdministration,http://hl7.org/fhir/StructureDefinition/MedicationStatement,http://hl7.org/fhir/StructureDefinition/Device)`\n*  STU3: `AdverseEvent.suspectEntity.instance` 1..1 `Reference(http://hl7.org/fhir/StructureDefinition/Substance,http://hl7.org/fhir/StructureDefinition/Medication,http://hl7.org/fhir/StructureDefinition/MedicationAdministration,http://hl7.org/fhir/StructureDefinition/MedicationStatement,http://hl7.org/fhir/StructureDefinition/Device)`\r\n\r\nFollowing are the generation technical comments:\r\nElement `AdverseEvent.suspectEntity.instance[x]` is mapped to FHIR STU3 element `AdverseEvent.suspectEntity.instance` as `SourceIsBroaderThanTarget`.\nThe mappings for `AdverseEvent.suspectEntity.instance[x]` do not cover the following types: CodeableConcept.\nThe standard extension `alternate-reference` has been mapped as PART of the representation of FHIR R5 element `AdverseEvent.suspectEntity.instance[x]` with unmapped reference targets: BiologicallyDerivedProduct, Device, Immunization, Medication, MedicationAdministration, MedicationStatement, Procedure, ResearchStudy, Substance.",
  "fhirVersion": "3.0.2",
  "mapping": [
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    }
  ],
  "kind": "complex-type",
  "abstract": false,
  "contextType": "resource",
  "context": [
    "AdverseEvent.suspectEntity.instance"
  ],
  "type": "Extension",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
  "derivation": "constraint",
  "snapshot": {
    "element": [
      {
        "id": "Extension",
        "path": "Extension",
        "short": "R5: instance additional types",
        "definition": "R5: `AdverseEvent.suspectEntity.instance[x]` additional types (CodeableConcept)",
        "comment": "Element `AdverseEvent.suspectEntity.instance[x]` is mapped to FHIR STU3 element `AdverseEvent.suspectEntity.instance` as `SourceIsBroaderThanTarget`.\nThe mappings for `AdverseEvent.suspectEntity.instance[x]` do not cover the following types: CodeableConcept.\nThe standard extension `alternate-reference` has been mapped as PART of the representation of FHIR R5 element `AdverseEvent.suspectEntity.instance[x]` with unmapped reference targets: BiologicallyDerivedProduct, Device, Immunization, Medication, MedicationAdministration, MedicationStatement, Procedure, ResearchStudy, Substance.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension",
          "min": 0,
          "max": "*"
        },
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() | (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false
      },
      {
        "id": "Extension.id",
        "path": "Extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension",
        "path": "Extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional Content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.url",
        "path": "Extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "fixedUri": "http://hl7.org/fhir/5.0/StructureDefinition/extension-AdverseEvent.suspectEntity.instance",
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.value[x]",
        "path": "Extension.value[x]",
        "short": "Refers to the specific entity that caused the adverse event",
        "definition": "Identifies the actual instance of what caused the adverse event.  May be a substance, medication, medication administration, medication statement or a device.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      }
    ]
  },
  "differential": {
    "element": [
      {
        "id": "Extension",
        "path": "Extension",
        "short": "R5: instance additional types",
        "definition": "R5: `AdverseEvent.suspectEntity.instance[x]` additional types (CodeableConcept)",
        "comment": "Element `AdverseEvent.suspectEntity.instance[x]` is mapped to FHIR STU3 element `AdverseEvent.suspectEntity.instance` as `SourceIsBroaderThanTarget`.\nThe mappings for `AdverseEvent.suspectEntity.instance[x]` do not cover the following types: CodeableConcept.\nThe standard extension `alternate-reference` has been mapped as PART of the representation of FHIR R5 element `AdverseEvent.suspectEntity.instance[x]` with unmapped reference targets: BiologicallyDerivedProduct, Device, Immunization, Medication, MedicationAdministration, MedicationStatement, Procedure, ResearchStudy, Substance.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension",
          "min": 0,
          "max": "*"
        },
        "isModifier": false
      },
      {
        "id": "Extension.url",
        "path": "Extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "http://hl7.org/fhir/5.0/StructureDefinition/extension-AdverseEvent.suspectEntity.instance"
      },
      {
        "id": "Extension.value[x]",
        "path": "Extension.value[x]",
        "short": "Refers to the specific entity that caused the adverse event",
        "definition": "Identifies the actual instance of what caused the adverse event.  May be a substance, medication, medication administration, medication statement or a device.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ]
      }
    ]
  }
}