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Packagehl7.fhir.uv.xver-r5.r3
Resource TypeStructureDefinition
IdStructureDefinition-ext-R5-DocumentReference.attester.json
FHIR VersionR3

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Narrative

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

Generated Narrative: StructureDefinition ext-R5-DocumentReference.attester

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..*ExtensionR5: Attests to accuracy of the document (new)
... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
.... extension:mode 1..1ExtensionR5: personal | professional | legal | official (new)
..... url 1..1uri"mode"
..... value[x] 1..1CodeableConceptpersonal | professional | legal | official
Binding: CompositionAttestationMode (preferred): The way in which a person authenticated a document.
.... extension:time 0..1ExtensionR5: When the document was attested (new)
..... url 1..1uri"time"
..... value[x] 0..1dateTimeWhen the document was attested
.... extension:party 0..1ExtensionR5: Who attested the document (new)
..... url 1..1uri"party"
..... value[x] 0..1Reference(Cross-version Profile for R5.Patient for use in FHIR STU3(0.1.0) | Patient | Cross-version Profile for R5.RelatedPerson for use in FHIR STU3(0.1.0) | RelatedPerson | Cross-version Profile for R5.Practitioner for use in FHIR STU3(0.1.0) | Practitioner | Cross-version Profile for R5.PractitionerRole for use in FHIR STU3(0.1.0) | PractitionerRole | Cross-version Profile for R5.Organization for use in FHIR STU3(0.1.0) | Organization)Who attested the document
... url 1..1uri"http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.attester"
... value[x] 0..0Value of extension

doco Documentation for this format

Source1

{
  "resourceType": "StructureDefinition",
  "id": "ext-R5-DocumentReference.attester",
  "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-DocumentReference.attester",
  "version": "0.1.0",
  "name": "ExtensionDocumentReference_Attester",
  "title": "R5: Attests to accuracy of the document (new)",
  "status": "active",
  "experimental": false,
  "date": "2026-03-17T21:02:03.8104715+00:00",
  "publisher": "FHIR Infrastructure",
  "contact": [
    {
      "name": "FHIR Infrastructure",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/fiwg"
        }
      ]
    }
  ],
  "description": "R5: `DocumentReference.attester` (new:BackboneElement)",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "purpose": "This extension is part of the cross-version definitions generated to enable use of the\r\nelement `DocumentReference.attester` as defined in FHIR R5\r\nin FHIR STU3.\r\n\r\nThe source element is defined as:\r\n`DocumentReference.attester` 0..* `BackboneElement`\r\n\r\nAcross FHIR versions, the element set has been mapped as:\r\n*  R5: `DocumentReference.attester` 0..* `BackboneElement`\n*  R5: `DocumentReference.attester` 0..* `BackboneElement`\r\n\r\nFollowing are the generation technical comments:\r\nElement `DocumentReference.attester` has a context of DocumentReference based on following the parent source element upwards and mapping to `DocumentReference`.\nElement `DocumentReference.attester` has a context of Media based on following the parent source element upwards and mapping to `Media`.\nElement `DocumentReference.attester` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
  "fhirVersion": "3.0.2",
  "mapping": [
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    }
  ],
  "kind": "complex-type",
  "abstract": false,
  "contextType": "resource",
  "context": [
    "DocumentReference",
    "Media"
  ],
  "type": "Extension",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
  "derivation": "constraint",
  "snapshot": {
    "element": [
      {
        "id": "Extension",
        "path": "Extension",
        "short": "R5: Attests to accuracy of the document (new)",
        "definition": "R5: `DocumentReference.attester` (new:BackboneElement)",
        "comment": "Element `DocumentReference.attester` has a context of DocumentReference based on following the parent source element upwards and mapping to `DocumentReference`.\nElement `DocumentReference.attester` has a context of Media based on following the parent source element upwards and mapping to `Media`.\nElement `DocumentReference.attester` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nOnly list each attester once.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Extension",
          "min": 0,
          "max": "*"
        },
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() | (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false
      },
      {
        "id": "Extension.id",
        "path": "Extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension",
        "path": "Extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "min": 1,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ]
      },
      {
        "id": "Extension.extension:mode",
        "path": "Extension.extension",
        "sliceName": "mode",
        "short": "R5: personal | professional | legal | official (new)",
        "definition": "R5: `DocumentReference.attester.mode` (new:CodeableConcept)",
        "comment": "Element `DocumentReference.attester.mode` is part of an existing definition because parent element `DocumentReference.attester` requires a cross-version extension.\nElement `DocumentReference.attester.mode` has a context of DocumentReference based on following the parent source element upwards and mapping to `DocumentReference`.\nElement `DocumentReference.attester.mode` has a context of Media based on following the parent source element upwards and mapping to `Media`.\nElement `DocumentReference.attester.mode` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "requirements": "Indicates the level of authority of the attestation. Element `DocumentReference.attester.mode` is part of an existing definition because parent element `DocumentReference.attester` requires a cross-version extension.\nElement `DocumentReference.attester.mode` has a context of DocumentReference based on following the parent source element upwards and mapping to `DocumentReference`.\nElement `DocumentReference.attester.mode` has a context of Media based on following the parent source element upwards and mapping to `Media`.\nElement `DocumentReference.attester.mode` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ]
      },
      {
        "id": "Extension.extension:mode.id",
        "path": "Extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:mode.extension",
        "path": "Extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional Content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:mode.url",
        "path": "Extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "fixedUri": "mode",
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:mode.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "personal | professional | legal | official",
        "definition": "The type of attestation the authenticator offers.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "preferred",
          "description": "The way in which a person authenticated a document.",
          "valueSetUri": "http://hl7.org/fhir/ValueSet/composition-attestation-mode|3.0.2"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:time",
        "path": "Extension.extension",
        "sliceName": "time",
        "short": "R5: When the document was attested (new)",
        "definition": "R5: `DocumentReference.attester.time` (new:dateTime)",
        "comment": "Element `DocumentReference.attester.time` is part of an existing definition because parent element `DocumentReference.attester` requires a cross-version extension.\nElement `DocumentReference.attester.time` has a context of DocumentReference based on following the parent source element upwards and mapping to `DocumentReference`.\nElement `DocumentReference.attester.time` has a context of Media based on following the parent source element upwards and mapping to `Media`.\nElement `DocumentReference.attester.time` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "requirements": "Identifies when the information in the document was deemed accurate.  (Things may have changed since then.). Element `DocumentReference.attester.time` is part of an existing definition because parent element `DocumentReference.attester` requires a cross-version extension.\nElement `DocumentReference.attester.time` has a context of DocumentReference based on following the parent source element upwards and mapping to `DocumentReference`.\nElement `DocumentReference.attester.time` has a context of Media based on following the parent source element upwards and mapping to `Media`.\nElement `DocumentReference.attester.time` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ]
      },
      {
        "id": "Extension.extension:time.id",
        "path": "Extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:time.extension",
        "path": "Extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional Content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:time.url",
        "path": "Extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "fixedUri": "time",
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:time.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "When the document was attested",
        "definition": "When the document was attested by the party.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:party",
        "path": "Extension.extension",
        "sliceName": "party",
        "short": "R5: Who attested the document (new)",
        "definition": "R5: `DocumentReference.attester.party` (new:Reference(Patient,RelatedPerson,Practitioner,PractitionerRole,Organization))",
        "comment": "Element `DocumentReference.attester.party` is part of an existing definition because parent element `DocumentReference.attester` requires a cross-version extension.\nElement `DocumentReference.attester.party` has a context of DocumentReference based on following the parent source element upwards and mapping to `DocumentReference`.\nElement `DocumentReference.attester.party` has a context of Media based on following the parent source element upwards and mapping to `Media`.\nElement `DocumentReference.attester.party` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "requirements": "Identifies who has taken on the responsibility for accuracy of the document content. Element `DocumentReference.attester.party` is part of an existing definition because parent element `DocumentReference.attester` requires a cross-version extension.\nElement `DocumentReference.attester.party` has a context of DocumentReference based on following the parent source element upwards and mapping to `DocumentReference`.\nElement `DocumentReference.attester.party` has a context of Media based on following the parent source element upwards and mapping to `Media`.\nElement `DocumentReference.attester.party` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ]
      },
      {
        "id": "Extension.extension:party.id",
        "path": "Extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:party.extension",
        "path": "Extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional Content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:party.url",
        "path": "Extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "fixedUri": "party",
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:party.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "Who attested the document",
        "definition": "Who attested the document in the specified way.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/5.0/StructureDefinition/profile-Patient|0.1.0"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Patient"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/5.0/StructureDefinition/profile-RelatedPerson|0.1.0"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/RelatedPerson"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/5.0/StructureDefinition/profile-Practitioner|0.1.0"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Practitioner"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/5.0/StructureDefinition/profile-PractitionerRole|0.1.0"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/PractitionerRole"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/5.0/StructureDefinition/profile-Organization|0.1.0"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Organization"
          }
        ],
        "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-DocumentReference.attester",
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.value[x]",
        "path": "Extension.value[x]",
        "short": "Value of extension",
        "definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "base64Binary"
          },
          {
            "code": "boolean"
          },
          {
            "code": "code"
          },
          {
            "code": "date"
          },
          {
            "code": "dateTime"
          },
          {
            "code": "decimal"
          },
          {
            "code": "id"
          },
          {
            "code": "instant"
          },
          {
            "code": "integer"
          },
          {
            "code": "markdown"
          },
          {
            "code": "oid"
          },
          {
            "code": "positiveInt"
          },
          {
            "code": "string"
          },
          {
            "code": "time"
          },
          {
            "code": "unsignedInt"
          },
          {
            "code": "uri"
          },
          {
            "code": "Address"
          },
          {
            "code": "Age"
          },
          {
            "code": "Annotation"
          },
          {
            "code": "Attachment"
          },
          {
            "code": "CodeableConcept"
          },
          {
            "code": "Coding"
          },
          {
            "code": "ContactPoint"
          },
          {
            "code": "Count"
          },
          {
            "code": "Distance"
          },
          {
            "code": "Duration"
          },
          {
            "code": "HumanName"
          },
          {
            "code": "Identifier"
          },
          {
            "code": "Money"
          },
          {
            "code": "Period"
          },
          {
            "code": "Quantity"
          },
          {
            "code": "Range"
          },
          {
            "code": "Ratio"
          },
          {
            "code": "Reference"
          },
          {
            "code": "SampledData"
          },
          {
            "code": "Signature"
          },
          {
            "code": "Timing"
          },
          {
            "code": "Meta"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      }
    ]
  },
  "differential": {
    "element": [
      {
        "id": "Extension",
        "path": "Extension",
        "short": "R5: Attests to accuracy of the document (new)",
        "definition": "R5: `DocumentReference.attester` (new:BackboneElement)",
        "comment": "Element `DocumentReference.attester` has a context of DocumentReference based on following the parent source element upwards and mapping to `DocumentReference`.\nElement `DocumentReference.attester` has a context of Media based on following the parent source element upwards and mapping to `Media`.\nElement `DocumentReference.attester` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nOnly list each attester once.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Extension",
          "min": 0,
          "max": "*"
        },
        "isModifier": false
      },
      {
        "id": "Extension.extension",
        "path": "Extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 1,
        "max": "*",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:mode",
        "path": "Extension.extension",
        "sliceName": "mode",
        "short": "R5: personal | professional | legal | official (new)",
        "definition": "R5: `DocumentReference.attester.mode` (new:CodeableConcept)",
        "comment": "Element `DocumentReference.attester.mode` is part of an existing definition because parent element `DocumentReference.attester` requires a cross-version extension.\nElement `DocumentReference.attester.mode` has a context of DocumentReference based on following the parent source element upwards and mapping to `DocumentReference`.\nElement `DocumentReference.attester.mode` has a context of Media based on following the parent source element upwards and mapping to `Media`.\nElement `DocumentReference.attester.mode` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "requirements": "Indicates the level of authority of the attestation. Element `DocumentReference.attester.mode` is part of an existing definition because parent element `DocumentReference.attester` requires a cross-version extension.\nElement `DocumentReference.attester.mode` has a context of DocumentReference based on following the parent source element upwards and mapping to `DocumentReference`.\nElement `DocumentReference.attester.mode` has a context of Media based on following the parent source element upwards and mapping to `Media`.\nElement `DocumentReference.attester.mode` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:mode.url",
        "path": "Extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "mode"
      },
      {
        "id": "Extension.extension:mode.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "personal | professional | legal | official",
        "definition": "The type of attestation the authenticator offers.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "preferred",
          "description": "The way in which a person authenticated a document.",
          "valueSetUri": "http://hl7.org/fhir/ValueSet/composition-attestation-mode|3.0.2"
        }
      },
      {
        "id": "Extension.extension:time",
        "path": "Extension.extension",
        "sliceName": "time",
        "short": "R5: When the document was attested (new)",
        "definition": "R5: `DocumentReference.attester.time` (new:dateTime)",
        "comment": "Element `DocumentReference.attester.time` is part of an existing definition because parent element `DocumentReference.attester` requires a cross-version extension.\nElement `DocumentReference.attester.time` has a context of DocumentReference based on following the parent source element upwards and mapping to `DocumentReference`.\nElement `DocumentReference.attester.time` has a context of Media based on following the parent source element upwards and mapping to `Media`.\nElement `DocumentReference.attester.time` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "requirements": "Identifies when the information in the document was deemed accurate.  (Things may have changed since then.). Element `DocumentReference.attester.time` is part of an existing definition because parent element `DocumentReference.attester` requires a cross-version extension.\nElement `DocumentReference.attester.time` has a context of DocumentReference based on following the parent source element upwards and mapping to `DocumentReference`.\nElement `DocumentReference.attester.time` has a context of Media based on following the parent source element upwards and mapping to `Media`.\nElement `DocumentReference.attester.time` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:time.url",
        "path": "Extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "time"
      },
      {
        "id": "Extension.extension:time.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "When the document was attested",
        "definition": "When the document was attested by the party.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          }
        ]
      },
      {
        "id": "Extension.extension:party",
        "path": "Extension.extension",
        "sliceName": "party",
        "short": "R5: Who attested the document (new)",
        "definition": "R5: `DocumentReference.attester.party` (new:Reference(Patient,RelatedPerson,Practitioner,PractitionerRole,Organization))",
        "comment": "Element `DocumentReference.attester.party` is part of an existing definition because parent element `DocumentReference.attester` requires a cross-version extension.\nElement `DocumentReference.attester.party` has a context of DocumentReference based on following the parent source element upwards and mapping to `DocumentReference`.\nElement `DocumentReference.attester.party` has a context of Media based on following the parent source element upwards and mapping to `Media`.\nElement `DocumentReference.attester.party` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "requirements": "Identifies who has taken on the responsibility for accuracy of the document content. Element `DocumentReference.attester.party` is part of an existing definition because parent element `DocumentReference.attester` requires a cross-version extension.\nElement `DocumentReference.attester.party` has a context of DocumentReference based on following the parent source element upwards and mapping to `DocumentReference`.\nElement `DocumentReference.attester.party` has a context of Media based on following the parent source element upwards and mapping to `Media`.\nElement `DocumentReference.attester.party` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:party.url",
        "path": "Extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "party"
      },
      {
        "id": "Extension.extension:party.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "Who attested the document",
        "definition": "Who attested the document in the specified way.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/5.0/StructureDefinition/profile-Patient|0.1.0"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Patient"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/5.0/StructureDefinition/profile-RelatedPerson|0.1.0"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/RelatedPerson"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/5.0/StructureDefinition/profile-Practitioner|0.1.0"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Practitioner"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/5.0/StructureDefinition/profile-PractitionerRole|0.1.0"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/PractitionerRole"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/5.0/StructureDefinition/profile-Organization|0.1.0"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Organization"
          }
        ]
      },
      {
        "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-DocumentReference.attester"
      },
      {
        "id": "Extension.value[x]",
        "path": "Extension.value[x]",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        }
      }
    ]
  }
}