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Narrative

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Generated Narrative: StructureDefinition ext-R5-Citation.citedArtifact

Name	Flags	Card.	Type	Description & Constraints
Extension		0..1	Extension(4.0.1)	R5: The article or artifact being described (new)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:identifier		0..*	Extension	R5: Unique identifier. May include DOI, PMID, PMCID, etc (new)
url		1..1	uri	"identifier"
value[x]		0..1	Identifier	Unique identifier. May include DOI, PMID, PMCID, etc
extension:relatedIdentifier		0..*	Extension	R5: Identifier not unique to the cited artifact. May include trial registry identifiers (new)
url		1..1	uri	"relatedIdentifier"
value[x]		0..1	Identifier	Identifier not unique to the cited artifact. May include trial registry identifiers
extension:dateAccessed		0..1	Extension	R5: When the cited artifact was accessed (new)
url		1..1	uri	"dateAccessed"
value[x]		0..1	dateTime	When the cited artifact was accessed
extension:version		0..1	Extension	R5: The defined version of the cited artifact (new)
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:value		1..1	Extension	R5: The version number or other version identifier (new)
url		1..1	uri	"value"
value[x]		1..1	string	The version number or other version identifier
extension:baseCitation		0..1	Extension	R5: Citation for the main version of the cited artifact (new)
url		1..1	uri	"baseCitation"
value[x]		0..1	Reference(Cross-version Profile for R5.Citation for use in FHIR R4(0.1.0) | Basic)	Citation for the main version of the cited artifact
url		1..1	uri	"version"
value[x]		0..0		Value of extension
extension:currentState		0..*	Extension	R5: The status of the cited artifact (new)
url		1..1	uri	"currentState"
value[x]		0..1	CodeableConcept	The status of the cited artifact Binding: R5CitedArtifactStatusTypeForR4 (0.1.0) (extensible)
extension:statusDate		0..*	Extension	R5: An effective date or period for a status of the cited artifact (new)
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
extension:activity		1..1	Extension	R5: Classification of the status (new)
url		1..1	uri	"activity"
value[x]		1..1	CodeableConcept	Classification of the status Binding: R5CitedArtifactStatusTypeForR4 (0.1.0) (extensible)
extension:actual		0..1	Extension	R5: Either occurred or expected (new)
url		1..1	uri	"actual"
value[x]		0..1	boolean	Either occurred or expected
extension:period		1..1	Extension	R5: When the status started and/or ended (new)
url		1..1	uri	"period"
value[x]		1..1	Period	When the status started and/or ended
url		1..1	uri	"statusDate"
value[x]		0..0		Value of extension
extension:title		0..*	Extension	R5: The title details of the article or artifact (new)
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:type		0..*	Extension	R5: The kind of title (new)
url		1..1	uri	"type"
value[x]		0..1	CodeableConcept	The kind of title Binding: R5TitleTypeForR4 (0.1.0) (extensible)
extension:language		0..1	Extension	R5: Used to express the specific language (new)
url		1..1	uri	"language"
value[x]		0..1	CodeableConcept	Used to express the specific language Binding: R5LanguagesForR4 (0.1.0) (preferred): A human language.
extension:text		1..1	Extension	R5: The title of the article or artifact (new)
url		1..1	uri	"text"
value[x]		1..1	markdown	The title of the article or artifact
url		1..1	uri	"title"
value[x]		0..0		Value of extension
extension:abstract		0..*	Extension	R5: Summary of the article or artifact (new)
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:type		0..1	Extension	R5: The kind of abstract (new)
url		1..1	uri	"type"
value[x]		0..1	CodeableConcept	The kind of abstract Binding: R5CitedArtifactAbstractTypeForR4 (0.1.0) (extensible)
extension:language		0..1	Extension	R5: Used to express the specific language (new)
url		1..1	uri	"language"
value[x]		0..1	CodeableConcept	Used to express the specific language Binding: R5LanguagesForR4 (0.1.0) (preferred): A human language.
extension:text		1..1	Extension	R5: Abstract content (new)
url		1..1	uri	"text"
value[x]		1..1	markdown	Abstract content
extension:copyright		0..1	Extension	R5: Copyright notice for the abstract (new)
url		1..1	uri	"copyright"
value[x]		0..1	markdown	Copyright notice for the abstract
url		1..1	uri	"abstract"
value[x]		0..0		Value of extension
extension:part		0..1	Extension	R5: The component of the article or artifact (new)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:type		0..1	Extension	R5: The kind of component (new)
url		1..1	uri	"type"
value[x]		0..1	CodeableConcept	The kind of component Binding: R5CitedArtifactPartTypeForR4 (0.1.0) (extensible)
extension:value		0..1	Extension	R5: The specification of the component (new)
url		1..1	uri	"value"
value[x]		0..1	string	The specification of the component
extension:baseCitation		0..1	Extension	R5: The citation for the full article or artifact (new)
url		1..1	uri	"baseCitation"
value[x]		0..1	Reference(Cross-version Profile for R5.Citation for use in FHIR R4(0.1.0) | Basic)	The citation for the full article or artifact
url		1..1	uri	"part"
value[x]		0..0		Value of extension
extension:relatesTo		0..*	Extension	R5: The artifact related to the cited artifact (new)
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:type		1..1	Extension	R5: documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | documents | specification-of | created-with | cite-as | reprint | reprint-of (new)
url		1..1	uri	"type"
value[x]		1..1	code	documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | documents | specification-of | created-with | cite-as | reprint | reprint-of Binding: R5RelatedArtifactTypeAllForR4 (0.1.0) (required)
extension:classifier		0..*	Extension	R5: Additional classifiers (new)
url		1..1	uri	"classifier"
value[x]		0..1	CodeableConcept	Additional classifiers Binding: R5CitationArtifactClassifierForR4 (0.1.0) (extensible)
extension:label		0..1	Extension	R5: Short label (new)
url		1..1	uri	"label"
value[x]		0..1	string	Short label
extension:display		0..1	Extension	R5: Brief description of the related artifact (new)
url		1..1	uri	"display"
value[x]		0..1	string	Brief description of the related artifact
extension:citation		0..1	Extension	R5: Bibliographic citation for the artifact (new)
url		1..1	uri	"citation"
value[x]		0..1	markdown	Bibliographic citation for the artifact
extension:document		0..1	Extension	R5: What document is being referenced (new)
url		1..1	uri	"document"
value[x]		0..1	Attachment	What document is being referenced
extension:resource		0..1	Extension	R5: What artifact is being referenced (new)
url		1..1	uri	"resource"
value[x]		0..1	canonical()	What artifact is being referenced
extension:resourceReference		0..1	Extension	R5: What artifact, if not a conformance resource (new)
url		1..1	uri	"resourceReference"
value[x]		0..1	Reference()	What artifact, if not a conformance resource
url		1..1	uri	"relatesTo"
value[x]		0..0		Value of extension
extension:publicationForm		0..*	Extension	R5: If multiple, used to represent alternative forms of the article that are not separate citations (new)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:publishedIn		0..1	Extension	R5: The collection the cited article or artifact is published in (new)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:type		0..1	Extension	R5: Kind of container (e.g. Periodical, database, or book) (new)
url		1..1	uri	"type"
value[x]		0..1	CodeableConcept	Kind of container (e.g. Periodical, database, or book) Binding: R5PublishedInTypeForR4 (0.1.0) (extensible)
extension:identifier		0..*	Extension	R5: Journal identifiers include ISSN, ISO Abbreviation and NLMuniqueID; Book identifiers include ISBN (new)
url		1..1	uri	"identifier"
value[x]		0..1	Identifier	Journal identifiers include ISSN, ISO Abbreviation and NLMuniqueID; Book identifiers include ISBN
extension:title		0..1	Extension	R5: Name of the database or title of the book or journal (new)
url		1..1	uri	"title"
value[x]		0..1	string	Name of the database or title of the book or journal
extension:publisher		0..1	Extension	R5: Name of or resource describing the publisher (new)
url		1..1	uri	"publisher"
value[x]		0..1	Reference(Cross-version Profile for R5.Organization for use in FHIR R4(0.1.0) | Organization)	Name of or resource describing the publisher
extension:publisherLocation		0..1	Extension	R5: Geographic location of the publisher (new)
url		1..1	uri	"publisherLocation"
value[x]		0..1	string	Geographic location of the publisher
url		1..1	uri	"publishedIn"
value[x]		0..0		Value of extension
extension:citedMedium		0..1	Extension	R5: Internet or Print (new)
url		1..1	uri	"citedMedium"
value[x]		0..1	CodeableConcept	Internet or Print Binding: R5CitedMediumForR4 (0.1.0) (extensible)
extension:volume		0..1	Extension	R5: Volume number of journal or other collection in which the article is published (new)
url		1..1	uri	"volume"
value[x]		0..1	string	Volume number of journal or other collection in which the article is published
extension:issue		0..1	Extension	R5: Issue, part or supplement of journal or other collection in which the article is published (new)
url		1..1	uri	"issue"
value[x]		0..1	string	Issue, part or supplement of journal or other collection in which the article is published
extension:articleDate		0..1	Extension	R5: The date the article was added to the database, or the date the article was released (new)
url		1..1	uri	"articleDate"
value[x]		0..1	dateTime	The date the article was added to the database, or the date the article was released
extension:publicationDateText		0..1	Extension	R5: Text representation of the date on which the issue of the cited artifact was published (new)
url		1..1	uri	"publicationDateText"
value[x]		0..1	string	Text representation of the date on which the issue of the cited artifact was published
extension:publicationDateSeason		0..1	Extension	R5: Season in which the cited artifact was published (new)
url		1..1	uri	"publicationDateSeason"
value[x]		0..1	string	Season in which the cited artifact was published
extension:lastRevisionDate		0..1	Extension	R5: The date the article was last revised or updated in the database (new)
url		1..1	uri	"lastRevisionDate"
value[x]		0..1	dateTime	The date the article was last revised or updated in the database
extension:language		0..*	Extension	R5: Language(s) in which this form of the article is published (new)
url		1..1	uri	"language"
value[x]		0..1	CodeableConcept	Language(s) in which this form of the article is published Binding: R5LanguagesForR4 (0.1.0) (preferred): A human language.
extension:accessionNumber		0..1	Extension	R5: Entry number or identifier for inclusion in a database (new)
url		1..1	uri	"accessionNumber"
value[x]		0..1	string	Entry number or identifier for inclusion in a database
extension:pageString		0..1	Extension	R5: Used for full display of pagination (new)
url		1..1	uri	"pageString"
value[x]		0..1	string	Used for full display of pagination
extension:firstPage		0..1	Extension	R5: Used for isolated representation of first page (new)
url		1..1	uri	"firstPage"
value[x]		0..1	string	Used for isolated representation of first page
extension:lastPage		0..1	Extension	R5: Used for isolated representation of last page (new)
url		1..1	uri	"lastPage"
value[x]		0..1	string	Used for isolated representation of last page
extension:pageCount		0..1	Extension	R5: Number of pages or screens (new)
url		1..1	uri	"pageCount"
value[x]		0..1	string	Number of pages or screens
extension:copyright		0..1	Extension	R5: Copyright notice for the full article or artifact (new)
url		1..1	uri	"copyright"
value[x]		0..1	markdown	Copyright notice for the full article or artifact
url		1..1	uri	"publicationForm"
value[x]		0..0		Value of extension
extension:webLocation		0..*	Extension	R5: Used for any URL for the article or artifact cited (new)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:classifier		0..*	Extension	R5: Code the reason for different URLs, e.g. abstract and full-text (new)
url		1..1	uri	"classifier"
value[x]		0..1	CodeableConcept	Code the reason for different URLs, e.g. abstract and full-text Binding: R5ArtifactUrlClassifierForR4 (0.1.0) (extensible)
extension:url		0..1	Extension	R5: The specific URL (new)
url		1..1	uri	"url"
value[x]		0..1	uri	The specific URL
url		1..1	uri	"webLocation"
value[x]		0..0		Value of extension
extension:classification		0..*	Extension	R5: The assignment to an organizing scheme (new)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:type		0..1	Extension	R5: The kind of classifier (e.g. publication type, keyword) (new)
url		1..1	uri	"type"
value[x]		0..1	CodeableConcept	The kind of classifier (e.g. publication type, keyword) Binding: R5CitedArtifactClassificationTypeForR4 (0.1.0) (extensible)
extension:classifier		0..*	Extension	R5: The specific classification value (new)
url		1..1	uri	"classifier"
value[x]		0..1	CodeableConcept	The specific classification value Binding: R5CitationArtifactClassifierForR4 (0.1.0) (example)
extension:artifactAssessment		0..*	Extension	R5: Complex or externally created classification (new)
url		1..1	uri	"artifactAssessment"
value[x]		0..1	Reference(Cross-version Profile for R5.ArtifactAssessment for use in FHIR R4(0.1.0) | Basic)	Complex or externally created classification
url		1..1	uri	"classification"
value[x]		0..0		Value of extension
extension:contributorship		0..1	Extension	R5: Attribution of authors and other contributors (new)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:complete		0..1	Extension	R5: Indicates if the list includes all authors and/or contributors (new)
url		1..1	uri	"complete"
value[x]		0..1	boolean	Indicates if the list includes all authors and/or contributors
extension:entry		0..*	Extension	R5: An individual entity named as a contributor (new)
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:contributor		1..1	Extension	R5: The identity of the individual contributor (new)
url		1..1	uri	"contributor"
value[x]		1..1	Reference(Cross-version Profile for R5.Practitioner for use in FHIR R4(0.1.0) | Practitioner | Cross-version Profile for R5.Organization for use in FHIR R4(0.1.0) | Organization)	The identity of the individual contributor
extension:forenameInitials		0..1	Extension	R5: For citation styles that use initials (new)
url		1..1	uri	"forenameInitials"
value[x]		0..1	string	For citation styles that use initials
extension:affiliation		0..*	Extension	R5: Organizational affiliation (new)
url		1..1	uri	"affiliation"
value[x]		0..1	Reference(Cross-version Profile for R5.Organization for use in FHIR R4(0.1.0) | Organization | Cross-version Profile for R5.PractitionerRole for use in FHIR R4(0.1.0) | PractitionerRole)	Organizational affiliation
extension:contributionType		0..*	Extension	R5: The specific contribution (new)
url		1..1	uri	"contributionType"
value[x]		0..1	CodeableConcept	The specific contribution Binding: R5ArtifactContributionTypeForR4 (0.1.0) (extensible)
extension:role		0..1	Extension	R5: The role of the contributor (e.g. author, editor, reviewer, funder) (new)
url		1..1	uri	"role"
value[x]		0..1	CodeableConcept	The role of the contributor (e.g. author, editor, reviewer, funder) Binding: R5ContributorRoleForR4 (0.1.0) (extensible)
extension:contributionInstance		0..*	Extension	R5: Contributions with accounting for time or number (new)
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:type		1..1	Extension	R5: The specific contribution (new)
url		1..1	uri	"type"
value[x]		1..1	CodeableConcept	The specific contribution Binding: R5ArtifactContributionInstanceTypeForR4 (0.1.0) (extensible)
extension:time		0..1	Extension	R5: The time that the contribution was made (new)
url		1..1	uri	"time"
value[x]		0..1	dateTime	The time that the contribution was made
url		1..1	uri	"contributionInstance"
value[x]		0..0		Value of extension
extension:correspondingContact		0..1	Extension	R5: Whether the contributor is the corresponding contributor for the role (new)
url		1..1	uri	"correspondingContact"
value[x]		0..1	boolean	Whether the contributor is the corresponding contributor for the role
extension:rankingOrder		0..1	Extension	R5: Ranked order of contribution (new)
url		1..1	uri	"rankingOrder"
value[x]		0..1	positiveInt	Ranked order of contribution
url		1..1	uri	"entry"
value[x]		0..0		Value of extension
extension:summary		0..*	Extension	R5: Used to record a display of the author/contributor list without separate data element for each list member (new)
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:type		0..1	Extension	R5: Such as author list, contributorship statement, funding statement, acknowledgements statement, or conflicts of interest statement (new)
url		1..1	uri	"type"
value[x]		0..1	CodeableConcept	Such as author list, contributorship statement, funding statement, acknowledgements statement, or conflicts of interest statement Binding: R5ContributorSummaryTypeForR4 (0.1.0) (extensible)
extension:style		0..1	Extension	R5: The format for the display string (new)
url		1..1	uri	"style"
value[x]		0..1	CodeableConcept	The format for the display string Binding: R5ContributorSummaryStyleForR4 (0.1.0) (extensible)
extension:source		0..1	Extension	R5: Used to code the producer or rule for creating the display string (new)
url		1..1	uri	"source"
value[x]		0..1	CodeableConcept	Used to code the producer or rule for creating the display string Binding: R5ContributorSummarySourceForR4 (0.1.0) (extensible)
extension:value		1..1	Extension	R5: The display string for the author list, contributor list, or contributorship statement (new)
url		1..1	uri	"value"
value[x]		1..1	markdown	The display string for the author list, contributor list, or contributorship statement
url		1..1	uri	"summary"
value[x]		0..0		Value of extension
url		1..1	uri	"contributorship"
value[x]		0..0		Value of extension
extension:note		0..*	Extension	R5: Any additional information or content for the article or artifact (new)
url		1..1	uri	"note"
value[x]		0..1	Annotation	Any additional information or content for the article or artifact
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-Citation.citedArtifact"
value[x]		0..0		Value of extension
Documentation for this format

Source1

{
  "resourceType": "StructureDefinition",
  "id": "ext-R5-Citation.citedArtifact",
  "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.r4"
        },
        {
          "url": "version",
          "valueString": "0.1.0"
        },
        {
          "url": "uri",
          "valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"
        }
      ],
      "url": "http://hl7.org/fhir/StructureDefinition/package-source"
    },
    {
      "extension": [
        {
          "url": "startFhirVersion",
          "valueCode": "4.0"
        },
        {
          "url": "endFhirVersion",
          "valueCode": "4.0"
        }
      ],
      "url": "http://hl7.org/fhir/StructureDefinition/version-specific-use"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 0,
      "_valueInteger": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode": "trial-use",
      "_valueCode": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Citation.citedArtifact",
  "version": "0.1.0",
  "name": "ExtensionCitation_CitedArtifact",
  "title": "R5: The article or artifact being described (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: `Citation.citedArtifact` (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 `Citation.citedArtifact` as defined in FHIR R5\r\nin FHIR R4.\r\n\r\nThe source element is defined as:\r\n`Citation.citedArtifact` 0..1 `BackboneElement`\r\n\r\nAcross FHIR versions, the element set has been mapped as:\r\n*  R5: `Citation.citedArtifact` 0..1 `BackboneElement`\r\n\r\nFollowing are the generation technical comments:\r\nElement `Citation.citedArtifact` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
  "fhirVersion": "4.0.1",
  "mapping": [
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    }
  ],
  "kind": "complex-type",
  "abstract": false,
  "context": [
    {
      "type": "element",
      "expression": "Basic"
    }
  ],
  "type": "Extension",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1",
  "derivation": "constraint",
  "snapshot": {
    "extension": [
      {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
        "valueString": "4.0.1"
      }
    ],
    "element": [
      {
        "id": "Extension",
        "path": "Extension",
        "short": "R5: The article or artifact being described (new)",
        "definition": "R5: `Citation.citedArtifact` (new:BackboneElement)",
        "comment": "Element `Citation.citedArtifact` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "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() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false
      },
      {
        "id": "Extension.id",
        "path": "Extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension",
        "path": "Extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:identifier",
        "path": "Extension.extension",
        "sliceName": "identifier",
        "short": "R5: Unique identifier. May include DOI, PMID, PMCID, etc (new)",
        "definition": "R5: `Citation.citedArtifact.identifier` (new:Identifier)",
        "comment": "Element `Citation.citedArtifact.identifier` is part of an existing definition because parent element `Citation.citedArtifact` requires a cross-version extension.\nElement `Citation.citedArtifact.identifier` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.identifier` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nThis element will contain unique identifiers that support de-duplication of citations. Commonly used identifiers for study citations include digital object identifier (DOI), PubMed ID (PMID), and PubMed Central ID (PMCID). To maintain interoperability, the suggested identifier.system values to use for these 3 identifiers are: DOI = \"https://doi.org\" PMID = \"https://pubmed.ncbi.nlm.nih.gov\" PMCID = \"https://www.ncbi.nlm.nih.gov/pmc/\"",
        "requirements": "Allows externally provided and/or usable identifiers to be associated with the cited artifact. Element `Citation.citedArtifact.identifier` is part of an existing definition because parent element `Citation.citedArtifact` requires a cross-version extension.\nElement `Citation.citedArtifact.identifier` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.identifier` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:identifier.id",
        "path": "Extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:identifier.extension",
        "path": "Extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:identifier.url",
        "path": "Extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "identifier",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:identifier.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "Unique identifier. May include DOI, PMID, PMCID, etc",
        "definition": "A formal identifier that is used to identify the cited artifact when it is represented in other formats, or referenced in a specification, model, design or an instance.",
        "comment": "This element will contain unique identifiers that support de-duplication of citations. Commonly used identifiers for study citations include digital object identifier (DOI), PubMed ID (PMID), and PubMed Central ID (PMCID). To maintain interoperability, the suggested identifier.system values to use for these 3 identifiers are: DOI = \"https://doi.org\" PMID = \"https://pubmed.ncbi.nlm.nih.gov\" PMCID = \"https://www.ncbi.nlm.nih.gov/pmc/\"",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Identifier"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:relatedIdentifier",
        "path": "Extension.extension",
        "sliceName": "relatedIdentifier",
        "short": "R5: Identifier not unique to the cited artifact. May include trial registry identifiers (new)",
        "definition": "R5: `Citation.citedArtifact.relatedIdentifier` (new:Identifier)",
        "comment": "Element `Citation.citedArtifact.relatedIdentifier` is part of an existing definition because parent element `Citation.citedArtifact` requires a cross-version extension.\nElement `Citation.citedArtifact.relatedIdentifier` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.relatedIdentifier` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nMay include trial registry identifiers, e.g. NCT04372602 from clinicaltrials.gov. This related identifier would not be used as unique identifier for the cited artifact itself. Multiple published articles (each with their own unique identifier) may relate to the same study record in a research registry. Commonly used related identifiers for study registries include ClinicalTrials.gov identifier (NCTId) and PROSPERO identifier (used for registration of systematic reviews). To maintain interoperability, the suggested identifier.system values to use for these 2 identifiers are: ClinicalTrials.gov = \"https://clinicaltrials.gov\" PROSPERO = \"https://www.crd.york.ac.uk/prospero/\"",
        "requirements": "Allows externally provided and/or usable identifiers to be associated with this the cited artifact. Element `Citation.citedArtifact.relatedIdentifier` is part of an existing definition because parent element `Citation.citedArtifact` requires a cross-version extension.\nElement `Citation.citedArtifact.relatedIdentifier` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.relatedIdentifier` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:relatedIdentifier.id",
        "path": "Extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:relatedIdentifier.extension",
        "path": "Extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:relatedIdentifier.url",
        "path": "Extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "relatedIdentifier",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:relatedIdentifier.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "Identifier not unique to the cited artifact. May include trial registry identifiers",
        "definition": "A formal identifier that is used to identify things closely related to the cited artifact.",
        "comment": "May include trial registry identifiers, e.g. NCT04372602 from clinicaltrials.gov. This related identifier would not be used as unique identifier for the cited artifact itself. Multiple published articles (each with their own unique identifier) may relate to the same study record in a research registry. Commonly used related identifiers for study registries include ClinicalTrials.gov identifier (NCTId) and PROSPERO identifier (used for registration of systematic reviews). To maintain interoperability, the suggested identifier.system values to use for these 2 identifiers are: ClinicalTrials.gov = \"https://clinicaltrials.gov\" PROSPERO = \"https://www.crd.york.ac.uk/prospero/\"",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Identifier"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:dateAccessed",
        "path": "Extension.extension",
        "sliceName": "dateAccessed",
        "short": "R5: When the cited artifact was accessed (new)",
        "definition": "R5: `Citation.citedArtifact.dateAccessed` (new:dateTime)",
        "comment": "Element `Citation.citedArtifact.dateAccessed` is part of an existing definition because parent element `Citation.citedArtifact` requires a cross-version extension.\nElement `Citation.citedArtifact.dateAccessed` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.dateAccessed` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nUse this element when citing an artifact from a potentially unstable source, such as a webpage, to note the date (and time) the source was accessed.",
        "requirements": "Element `Citation.citedArtifact.dateAccessed` is part of an existing definition because parent element `Citation.citedArtifact` requires a cross-version extension.\nElement `Citation.citedArtifact.dateAccessed` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.dateAccessed` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:dateAccessed.id",
        "path": "Extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:dateAccessed.extension",
        "path": "Extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:dateAccessed.url",
        "path": "Extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "dateAccessed",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:dateAccessed.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "When the cited artifact was accessed",
        "definition": "When the cited artifact was accessed.",
        "comment": "Use this element when citing an artifact from a potentially unstable source, such as a webpage, to note the date (and time) the source was accessed.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:version",
        "path": "Extension.extension",
        "sliceName": "version",
        "short": "R5: The defined version of the cited artifact (new)",
        "definition": "R5: `Citation.citedArtifact.version` (new:BackboneElement)",
        "comment": "Element `Citation.citedArtifact.version` is part of an existing definition because parent element `Citation.citedArtifact` requires a cross-version extension.\nElement `Citation.citedArtifact.version` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.version` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.version` is part of an existing definition because parent element `Citation.citedArtifact` requires a cross-version extension.\nElement `Citation.citedArtifact.version` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.version` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:version.id",
        "path": "Extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:version.extension",
        "path": "Extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "min": 1,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:version.extension:value",
        "path": "Extension.extension.extension",
        "sliceName": "value",
        "short": "R5: The version number or other version identifier (new)",
        "definition": "R5: `Citation.citedArtifact.version.value` (new:string)",
        "comment": "Element `Citation.citedArtifact.version.value` is part of an existing definition because parent element `Citation.citedArtifact.version` requires a cross-version extension.\nElement `Citation.citedArtifact.version.value` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.version.value` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.version.value` is part of an existing definition because parent element `Citation.citedArtifact.version` requires a cross-version extension.\nElement `Citation.citedArtifact.version.value` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.version.value` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:version.extension:value.id",
        "path": "Extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:version.extension:value.extension",
        "path": "Extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:version.extension:value.url",
        "path": "Extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "value",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:version.extension:value.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "The version number or other version identifier",
        "definition": "The version number or other version identifier.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:version.extension:baseCitation",
        "path": "Extension.extension.extension",
        "sliceName": "baseCitation",
        "short": "R5: Citation for the main version of the cited artifact (new)",
        "definition": "R5: `Citation.citedArtifact.version.baseCitation` (new:Reference(Citation))",
        "comment": "Element `Citation.citedArtifact.version.baseCitation` is part of an existing definition because parent element `Citation.citedArtifact.version` requires a cross-version extension.\nElement `Citation.citedArtifact.version.baseCitation` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.version.baseCitation` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nWhen referencing a baseCitation, one may inherit any data from the referenced Citation Resource and consider any data in the current Citation Resource as superceding to be version-specific.",
        "requirements": "Element `Citation.citedArtifact.version.baseCitation` is part of an existing definition because parent element `Citation.citedArtifact.version` requires a cross-version extension.\nElement `Citation.citedArtifact.version.baseCitation` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.version.baseCitation` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:version.extension:baseCitation.id",
        "path": "Extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:version.extension:baseCitation.extension",
        "path": "Extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:version.extension:baseCitation.url",
        "path": "Extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "baseCitation",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:version.extension:baseCitation.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "Citation for the main version of the cited artifact",
        "definition": "Citation for the main version of the cited artifact.",
        "comment": "When referencing a baseCitation, one may inherit any data from the referenced Citation Resource and consider any data in the current Citation Resource as superceding to be version-specific.",
        "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-Citation|0.1.0",
              "http://hl7.org/fhir/StructureDefinition/Basic|4.0.1"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:version.url",
        "path": "Extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "version",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:version.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "Value of extension",
        "definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "base64Binary"
          },
          {
            "code": "boolean"
          },
          {
            "code": "canonical"
          },
          {
            "code": "code"
          },
          {
            "code": "date"
          },
          {
            "code": "dateTime"
          },
          {
            "code": "decimal"
          },
          {
            "code": "id"
          },
          {
            "code": "instant"
          },
          {
            "code": "integer"
          },
          {
            "code": "markdown"
          },
          {
            "code": "oid"
          },
          {
            "code": "positiveInt"
          },
          {
            "code": "string"
          },
          {
            "code": "time"
          },
          {
            "code": "unsignedInt"
          },
          {
            "code": "uri"
          },
          {
            "code": "url"
          },
          {
            "code": "uuid"
          },
          {
            "code": "Address"
          },
          {
            "code": "Age"
          },
          {
            "code": "Annotation"
          },
          {
            "code": "Attachment"
          },
          {
            "code": "CodeableConcept"
          },
          {
            "code": "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": "ContactDetail"
          },
          {
            "code": "Contributor"
          },
          {
            "code": "DataRequirement"
          },
          {
            "code": "Expression"
          },
          {
            "code": "ParameterDefinition"
          },
          {
            "code": "RelatedArtifact"
          },
          {
            "code": "TriggerDefinition"
          },
          {
            "code": "UsageContext"
          },
          {
            "code": "Dosage"
          },
          {
            "code": "Meta"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:currentState",
        "path": "Extension.extension",
        "sliceName": "currentState",
        "short": "R5: The status of the cited artifact (new)",
        "definition": "R5: `Citation.citedArtifact.currentState` (new:CodeableConcept)",
        "comment": "Element `Citation.citedArtifact.currentState` is part of an existing definition because parent element `Citation.citedArtifact` requires a cross-version extension.\nElement `Citation.citedArtifact.currentState` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.currentState` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.currentState` is part of an existing definition because parent element `Citation.citedArtifact` requires a cross-version extension.\nElement `Citation.citedArtifact.currentState` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.currentState` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:currentState.id",
        "path": "Extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:currentState.extension",
        "path": "Extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:currentState.url",
        "path": "Extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "currentState",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:currentState.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "The status of the cited artifact",
        "definition": "The status of the cited artifact.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "strength": "extensible",
          "valueSet": "http://hl7.org/fhir/uv/xver/ValueSet/R5-cited-artifact-status-type-for-R4|0.1.0"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:statusDate",
        "path": "Extension.extension",
        "sliceName": "statusDate",
        "short": "R5: An effective date or period for a status of the cited artifact (new)",
        "definition": "R5: `Citation.citedArtifact.statusDate` (new:BackboneElement)",
        "comment": "Element `Citation.citedArtifact.statusDate` is part of an existing definition because parent element `Citation.citedArtifact` requires a cross-version extension.\nElement `Citation.citedArtifact.statusDate` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.statusDate` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.statusDate` is part of an existing definition because parent element `Citation.citedArtifact` requires a cross-version extension.\nElement `Citation.citedArtifact.statusDate` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.statusDate` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:statusDate.id",
        "path": "Extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:statusDate.extension",
        "path": "Extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "min": 2,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:statusDate.extension:activity",
        "path": "Extension.extension.extension",
        "sliceName": "activity",
        "short": "R5: Classification of the status (new)",
        "definition": "R5: `Citation.citedArtifact.statusDate.activity` (new:CodeableConcept)",
        "comment": "Element `Citation.citedArtifact.statusDate.activity` is part of an existing definition because parent element `Citation.citedArtifact.statusDate` requires a cross-version extension.\nElement `Citation.citedArtifact.statusDate.activity` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.statusDate.activity` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.statusDate.activity` is part of an existing definition because parent element `Citation.citedArtifact.statusDate` requires a cross-version extension.\nElement `Citation.citedArtifact.statusDate.activity` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.statusDate.activity` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:statusDate.extension:activity.id",
        "path": "Extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:statusDate.extension:activity.extension",
        "path": "Extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:statusDate.extension:activity.url",
        "path": "Extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "activity",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:statusDate.extension:activity.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "Classification of the status",
        "definition": "A definition of the status associated with a date or period.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "strength": "extensible",
          "valueSet": "http://hl7.org/fhir/uv/xver/ValueSet/R5-cited-artifact-status-type-for-R4|0.1.0"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:statusDate.extension:actual",
        "path": "Extension.extension.extension",
        "sliceName": "actual",
        "short": "R5: Either occurred or expected (new)",
        "definition": "R5: `Citation.citedArtifact.statusDate.actual` (new:boolean)",
        "comment": "Element `Citation.citedArtifact.statusDate.actual` is part of an existing definition because parent element `Citation.citedArtifact.statusDate` requires a cross-version extension.\nElement `Citation.citedArtifact.statusDate.actual` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.statusDate.actual` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.statusDate.actual` is part of an existing definition because parent element `Citation.citedArtifact.statusDate` requires a cross-version extension.\nElement `Citation.citedArtifact.statusDate.actual` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.statusDate.actual` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:statusDate.extension:actual.id",
        "path": "Extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:statusDate.extension:actual.extension",
        "path": "Extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:statusDate.extension:actual.url",
        "path": "Extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "actual",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:statusDate.extension:actual.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "Either occurred or expected",
        "definition": "Either occurred or expected.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:statusDate.extension:period",
        "path": "Extension.extension.extension",
        "sliceName": "period",
        "short": "R5: When the status started and/or ended (new)",
        "definition": "R5: `Citation.citedArtifact.statusDate.period` (new:Period)",
        "comment": "Element `Citation.citedArtifact.statusDate.period` is part of an existing definition because parent element `Citation.citedArtifact.statusDate` requires a cross-version extension.\nElement `Citation.citedArtifact.statusDate.period` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.statusDate.period` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nFor an instance, place the same value in both start and end elements.",
        "requirements": "Element `Citation.citedArtifact.statusDate.period` is part of an existing definition because parent element `Citation.citedArtifact.statusDate` requires a cross-version extension.\nElement `Citation.citedArtifact.statusDate.period` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.statusDate.period` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:statusDate.extension:period.id",
        "path": "Extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:statusDate.extension:period.extension",
        "path": "Extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:statusDate.extension:period.url",
        "path": "Extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "period",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:statusDate.extension:period.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "When the status started and/or ended",
        "definition": "When the status started and/or ended.",
        "comment": "For an instance, place the same value in both start and end elements.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Period"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:statusDate.url",
        "path": "Extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "statusDate",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:statusDate.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "Value of extension",
        "definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "base64Binary"
          },
          {
            "code": "boolean"
          },
          {
            "code": "canonical"
          },
          {
            "code": "code"
          },
          {
            "code": "date"
          },
          {
            "code": "dateTime"
          },
          {
            "code": "decimal"
          },
          {
            "code": "id"
          },
          {
            "code": "instant"
          },
          {
            "code": "integer"
          },
          {
            "code": "markdown"
          },
          {
            "code": "oid"
          },
          {
            "code": "positiveInt"
          },
          {
            "code": "string"
          },
          {
            "code": "time"
          },
          {
            "code": "unsignedInt"
          },
          {
            "code": "uri"
          },
          {
            "code": "url"
          },
          {
            "code": "uuid"
          },
          {
            "code": "Address"
          },
          {
            "code": "Age"
          },
          {
            "code": "Annotation"
          },
          {
            "code": "Attachment"
          },
          {
            "code": "CodeableConcept"
          },
          {
            "code": "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": "ContactDetail"
          },
          {
            "code": "Contributor"
          },
          {
            "code": "DataRequirement"
          },
          {
            "code": "Expression"
          },
          {
            "code": "ParameterDefinition"
          },
          {
            "code": "RelatedArtifact"
          },
          {
            "code": "TriggerDefinition"
          },
          {
            "code": "UsageContext"
          },
          {
            "code": "Dosage"
          },
          {
            "code": "Meta"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:title",
        "path": "Extension.extension",
        "sliceName": "title",
        "short": "R5: The title details of the article or artifact (new)",
        "definition": "R5: `Citation.citedArtifact.title` (new:BackboneElement)",
        "comment": "Element `Citation.citedArtifact.title` is part of an existing definition because parent element `Citation.citedArtifact` requires a cross-version extension.\nElement `Citation.citedArtifact.title` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.title` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.title` is part of an existing definition because parent element `Citation.citedArtifact` requires a cross-version extension.\nElement `Citation.citedArtifact.title` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.title` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:title.id",
        "path": "Extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:title.extension",
        "path": "Extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "min": 1,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:title.extension:type",
        "path": "Extension.extension.extension",
        "sliceName": "type",
        "short": "R5: The kind of title (new)",
        "definition": "R5: `Citation.citedArtifact.title.type` (new:CodeableConcept)",
        "comment": "Element `Citation.citedArtifact.title.type` is part of an existing definition because parent element `Citation.citedArtifact.title` requires a cross-version extension.\nElement `Citation.citedArtifact.title.type` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.title.type` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.title.type` is part of an existing definition because parent element `Citation.citedArtifact.title` requires a cross-version extension.\nElement `Citation.citedArtifact.title.type` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.title.type` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:title.extension:type.id",
        "path": "Extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:title.extension:type.extension",
        "path": "Extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:title.extension:type.url",
        "path": "Extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "type",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:title.extension:type.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "The kind of title",
        "definition": "Used to express the reason for or classification of the title.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "strength": "extensible",
          "valueSet": "http://hl7.org/fhir/uv/xver/ValueSet/R5-title-type-for-R4|0.1.0"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:title.extension:language",
        "path": "Extension.extension.extension",
        "sliceName": "language",
        "short": "R5: Used to express the specific language (new)",
        "definition": "R5: `Citation.citedArtifact.title.language` (new:CodeableConcept)",
        "comment": "Element `Citation.citedArtifact.title.language` is part of an existing definition because parent element `Citation.citedArtifact.title` requires a cross-version extension.\nElement `Citation.citedArtifact.title.language` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.title.language` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.title.language` is part of an existing definition because parent element `Citation.citedArtifact.title` requires a cross-version extension.\nElement `Citation.citedArtifact.title.language` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.title.language` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:title.extension:language.id",
        "path": "Extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:title.extension:language.extension",
        "path": "Extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:title.extension:language.url",
        "path": "Extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "language",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:title.extension:language.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "Used to express the specific language",
        "definition": "Used to express the specific language of the title.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "strength": "preferred",
          "description": "A human language.",
          "valueSet": "http://hl7.org/fhir/uv/xver/ValueSet/R5-languages-for-R4|0.1.0"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:title.extension:text",
        "path": "Extension.extension.extension",
        "sliceName": "text",
        "short": "R5: The title of the article or artifact (new)",
        "definition": "R5: `Citation.citedArtifact.title.text` (new:markdown)",
        "comment": "Element `Citation.citedArtifact.title.text` is part of an existing definition because parent element `Citation.citedArtifact.title` requires a cross-version extension.\nElement `Citation.citedArtifact.title.text` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.title.text` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.title.text` is part of an existing definition because parent element `Citation.citedArtifact.title` requires a cross-version extension.\nElement `Citation.citedArtifact.title.text` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.title.text` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:title.extension:text.id",
        "path": "Extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:title.extension:text.extension",
        "path": "Extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:title.extension:text.url",
        "path": "Extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "text",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:title.extension:text.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "The title of the article or artifact",
        "definition": "The title of the article or artifact.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "markdown"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:title.url",
        "path": "Extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "title",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:title.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "Value of extension",
        "definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "base64Binary"
          },
          {
            "code": "boolean"
          },
          {
            "code": "canonical"
          },
          {
            "code": "code"
          },
          {
            "code": "date"
          },
          {
            "code": "dateTime"
          },
          {
            "code": "decimal"
          },
          {
            "code": "id"
          },
          {
            "code": "instant"
          },
          {
            "code": "integer"
          },
          {
            "code": "markdown"
          },
          {
            "code": "oid"
          },
          {
            "code": "positiveInt"
          },
          {
            "code": "string"
          },
          {
            "code": "time"
          },
          {
            "code": "unsignedInt"
          },
          {
            "code": "uri"
          },
          {
            "code": "url"
          },
          {
            "code": "uuid"
          },
          {
            "code": "Address"
          },
          {
            "code": "Age"
          },
          {
            "code": "Annotation"
          },
          {
            "code": "Attachment"
          },
          {
            "code": "CodeableConcept"
          },
          {
            "code": "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": "ContactDetail"
          },
          {
            "code": "Contributor"
          },
          {
            "code": "DataRequirement"
          },
          {
            "code": "Expression"
          },
          {
            "code": "ParameterDefinition"
          },
          {
            "code": "RelatedArtifact"
          },
          {
            "code": "TriggerDefinition"
          },
          {
            "code": "UsageContext"
          },
          {
            "code": "Dosage"
          },
          {
            "code": "Meta"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:abstract",
        "path": "Extension.extension",
        "sliceName": "abstract",
        "short": "R5: Summary of the article or artifact (new)",
        "definition": "R5: `Citation.citedArtifact.abstract` (new:BackboneElement)",
        "comment": "Element `Citation.citedArtifact.abstract` is part of an existing definition because parent element `Citation.citedArtifact` requires a cross-version extension.\nElement `Citation.citedArtifact.abstract` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.abstract` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.abstract` is part of an existing definition because parent element `Citation.citedArtifact` requires a cross-version extension.\nElement `Citation.citedArtifact.abstract` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.abstract` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:abstract.id",
        "path": "Extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:abstract.extension",
        "path": "Extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "min": 1,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:abstract.extension:type",
        "path": "Extension.extension.extension",
        "sliceName": "type",
        "short": "R5: The kind of abstract (new)",
        "definition": "R5: `Citation.citedArtifact.abstract.type` (new:CodeableConcept)",
        "comment": "Element `Citation.citedArtifact.abstract.type` is part of an existing definition because parent element `Citation.citedArtifact.abstract` requires a cross-version extension.\nElement `Citation.citedArtifact.abstract.type` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.abstract.type` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.abstract.type` is part of an existing definition because parent element `Citation.citedArtifact.abstract` requires a cross-version extension.\nElement `Citation.citedArtifact.abstract.type` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.abstract.type` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:abstract.extension:type.id",
        "path": "Extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:abstract.extension:type.extension",
        "path": "Extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:abstract.extension:type.url",
        "path": "Extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "type",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:abstract.extension:type.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "The kind of abstract",
        "definition": "Used to express the reason for or classification of the abstract.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "strength": "extensible",
          "valueSet": "http://hl7.org/fhir/uv/xver/ValueSet/R5-cited-artifact-abstract-type-for-R4|0.1.0"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:abstract.extension:language",
        "path": "Extension.extension.extension",
        "sliceName": "language",
        "short": "R5: Used to express the specific language (new)",
        "definition": "R5: `Citation.citedArtifact.abstract.language` (new:CodeableConcept)",
        "comment": "Element `Citation.citedArtifact.abstract.language` is part of an existing definition because parent element `Citation.citedArtifact.abstract` requires a cross-version extension.\nElement `Citation.citedArtifact.abstract.language` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.abstract.language` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.abstract.language` is part of an existing definition because parent element `Citation.citedArtifact.abstract` requires a cross-version extension.\nElement `Citation.citedArtifact.abstract.language` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.abstract.language` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:abstract.extension:language.id",
        "path": "Extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:abstract.extension:language.extension",
        "path": "Extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:abstract.extension:language.url",
        "path": "Extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "language",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:abstract.extension:language.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "Used to express the specific language",
        "definition": "Used to express the specific language of the abstract.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "strength": "preferred",
          "description": "A human language.",
          "valueSet": "http://hl7.org/fhir/uv/xver/ValueSet/R5-languages-for-R4|0.1.0"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:abstract.extension:text",
        "path": "Extension.extension.extension",
        "sliceName": "text",
        "short": "R5: Abstract content (new)",
        "definition": "R5: `Citation.citedArtifact.abstract.text` (new:markdown)",
        "comment": "Element `Citation.citedArtifact.abstract.text` is part of an existing definition because parent element `Citation.citedArtifact.abstract` requires a cross-version extension.\nElement `Citation.citedArtifact.abstract.text` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.abstract.text` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.abstract.text` is part of an existing definition because parent element `Citation.citedArtifact.abstract` requires a cross-version extension.\nElement `Citation.citedArtifact.abstract.text` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.abstract.text` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:abstract.extension:text.id",
        "path": "Extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:abstract.extension:text.extension",
        "path": "Extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:abstract.extension:text.url",
        "path": "Extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "text",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:abstract.extension:text.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "Abstract content",
        "definition": "Abstract content.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "markdown"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:abstract.extension:copyright",
        "path": "Extension.extension.extension",
        "sliceName": "copyright",
        "short": "R5: Copyright notice for the abstract (new)",
        "definition": "R5: `Citation.citedArtifact.abstract.copyright` (new:markdown)",
        "comment": "Element `Citation.citedArtifact.abstract.copyright` is part of an existing definition because parent element `Citation.citedArtifact.abstract` requires a cross-version extension.\nElement `Citation.citedArtifact.abstract.copyright` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.abstract.copyright` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nThere is also a copyright element in the publicationForm element, so this copyright element is intended for copyright of the abstract.",
        "requirements": "Element `Citation.citedArtifact.abstract.copyright` is part of an existing definition because parent element `Citation.citedArtifact.abstract` requires a cross-version extension.\nElement `Citation.citedArtifact.abstract.copyright` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.abstract.copyright` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:abstract.extension:copyright.id",
        "path": "Extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:abstract.extension:copyright.extension",
        "path": "Extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:abstract.extension:copyright.url",
        "path": "Extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "copyright",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:abstract.extension:copyright.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "Copyright notice for the abstract",
        "definition": "Copyright notice for the abstract.",
        "comment": "There is also a copyright element in the publicationForm element, so this copyright element is intended for copyright of the abstract.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "markdown"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:abstract.url",
        "path": "Extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "abstract",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:abstract.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "Value of extension",
        "definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "base64Binary"
          },
          {
            "code": "boolean"
          },
          {
            "code": "canonical"
          },
          {
            "code": "code"
          },
          {
            "code": "date"
          },
          {
            "code": "dateTime"
          },
          {
            "code": "decimal"
          },
          {
            "code": "id"
          },
          {
            "code": "instant"
          },
          {
            "code": "integer"
          },
          {
            "code": "markdown"
          },
          {
            "code": "oid"
          },
          {
            "code": "positiveInt"
          },
          {
            "code": "string"
          },
          {
            "code": "time"
          },
          {
            "code": "unsignedInt"
          },
          {
            "code": "uri"
          },
          {
            "code": "url"
          },
          {
            "code": "uuid"
          },
          {
            "code": "Address"
          },
          {
            "code": "Age"
          },
          {
            "code": "Annotation"
          },
          {
            "code": "Attachment"
          },
          {
            "code": "CodeableConcept"
          },
          {
            "code": "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": "ContactDetail"
          },
          {
            "code": "Contributor"
          },
          {
            "code": "DataRequirement"
          },
          {
            "code": "Expression"
          },
          {
            "code": "ParameterDefinition"
          },
          {
            "code": "RelatedArtifact"
          },
          {
            "code": "TriggerDefinition"
          },
          {
            "code": "UsageContext"
          },
          {
            "code": "Dosage"
          },
          {
            "code": "Meta"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:part",
        "path": "Extension.extension",
        "sliceName": "part",
        "short": "R5: The component of the article or artifact (new)",
        "definition": "R5: `Citation.citedArtifact.part` (new:BackboneElement)",
        "comment": "Element `Citation.citedArtifact.part` is part of an existing definition because parent element `Citation.citedArtifact` requires a cross-version extension.\nElement `Citation.citedArtifact.part` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.part` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.part` is part of an existing definition because parent element `Citation.citedArtifact` requires a cross-version extension.\nElement `Citation.citedArtifact.part` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.part` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:part.id",
        "path": "Extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:part.extension",
        "path": "Extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:part.extension:type",
        "path": "Extension.extension.extension",
        "sliceName": "type",
        "short": "R5: The kind of component (new)",
        "definition": "R5: `Citation.citedArtifact.part.type` (new:CodeableConcept)",
        "comment": "Element `Citation.citedArtifact.part.type` is part of an existing definition because parent element `Citation.citedArtifact.part` requires a cross-version extension.\nElement `Citation.citedArtifact.part.type` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.part.type` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.part.type` is part of an existing definition because parent element `Citation.citedArtifact.part` requires a cross-version extension.\nElement `Citation.citedArtifact.part.type` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.part.type` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:part.extension:type.id",
        "path": "Extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:part.extension:type.extension",
        "path": "Extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:part.extension:type.url",
        "path": "Extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "type",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:part.extension:type.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "The kind of component",
        "definition": "The kind of component.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "strength": "extensible",
          "valueSet": "http://hl7.org/fhir/uv/xver/ValueSet/R5-cited-artifact-part-type-for-R4|0.1.0"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:part.extension:value",
        "path": "Extension.extension.extension",
        "sliceName": "value",
        "short": "R5: The specification of the component (new)",
        "definition": "R5: `Citation.citedArtifact.part.value` (new:string)",
        "comment": "Element `Citation.citedArtifact.part.value` is part of an existing definition because parent element `Citation.citedArtifact.part` requires a cross-version extension.\nElement `Citation.citedArtifact.part.value` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.part.value` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.part.value` is part of an existing definition because parent element `Citation.citedArtifact.part` requires a cross-version extension.\nElement `Citation.citedArtifact.part.value` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.part.value` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:part.extension:value.id",
        "path": "Extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:part.extension:value.extension",
        "path": "Extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:part.extension:value.url",
        "path": "Extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "value",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:part.extension:value.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "The specification of the component",
        "definition": "The specification of the component.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:part.extension:baseCitation",
        "path": "Extension.extension.extension",
        "sliceName": "baseCitation",
        "short": "R5: The citation for the full article or artifact (new)",
        "definition": "R5: `Citation.citedArtifact.part.baseCitation` (new:Reference(Citation))",
        "comment": "Element `Citation.citedArtifact.part.baseCitation` is part of an existing definition because parent element `Citation.citedArtifact.part` requires a cross-version extension.\nElement `Citation.citedArtifact.part.baseCitation` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.part.baseCitation` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nWhen referencing a baseCitation, one may inherit any data from the referenced Citation Resource and consider any data in the current Citation Resource as superceding to be specific to the citation of the specified part. For example, the part-specific Citation may have additional contributorship data that supercedes the contributorship data for the full citation when there is a need to uniquely report the contributorship for an image or supplement associated with the fuller citation record.",
        "requirements": "Element `Citation.citedArtifact.part.baseCitation` is part of an existing definition because parent element `Citation.citedArtifact.part` requires a cross-version extension.\nElement `Citation.citedArtifact.part.baseCitation` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.part.baseCitation` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:part.extension:baseCitation.id",
        "path": "Extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:part.extension:baseCitation.extension",
        "path": "Extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:part.extension:baseCitation.url",
        "path": "Extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "baseCitation",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:part.extension:baseCitation.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "The citation for the full article or artifact",
        "definition": "The citation for the full article or artifact.",
        "comment": "When referencing a baseCitation, one may inherit any data from the referenced Citation Resource and consider any data in the current Citation Resource as superceding to be specific to the citation of the specified part. For example, the part-specific Citation may have additional contributorship data that supercedes the contributorship data for the full citation when there is a need to uniquely report the contributorship for an image or supplement associated with the fuller citation record.",
        "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-Citation|0.1.0",
              "http://hl7.org/fhir/StructureDefinition/Basic|4.0.1"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:part.url",
        "path": "Extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "part",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:part.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "Value of extension",
        "definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "base64Binary"
          },
          {
            "code": "boolean"
          },
          {
            "code": "canonical"
          },
          {
            "code": "code"
          },
          {
            "code": "date"
          },
          {
            "code": "dateTime"
          },
          {
            "code": "decimal"
          },
          {
            "code": "id"
          },
          {
            "code": "instant"
          },
          {
            "code": "integer"
          },
          {
            "code": "markdown"
          },
          {
            "code": "oid"
          },
          {
            "code": "positiveInt"
          },
          {
            "code": "string"
          },
          {
            "code": "time"
          },
          {
            "code": "unsignedInt"
          },
          {
            "code": "uri"
          },
          {
            "code": "url"
          },
          {
            "code": "uuid"
          },
          {
            "code": "Address"
          },
          {
            "code": "Age"
          },
          {
            "code": "Annotation"
          },
          {
            "code": "Attachment"
          },
          {
            "code": "CodeableConcept"
          },
          {
            "code": "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": "ContactDetail"
          },
          {
            "code": "Contributor"
          },
          {
            "code": "DataRequirement"
          },
          {
            "code": "Expression"
          },
          {
            "code": "ParameterDefinition"
          },
          {
            "code": "RelatedArtifact"
          },
          {
            "code": "TriggerDefinition"
          },
          {
            "code": "UsageContext"
          },
          {
            "code": "Dosage"
          },
          {
            "code": "Meta"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:relatesTo",
        "path": "Extension.extension",
        "sliceName": "relatesTo",
        "short": "R5: The artifact related to the cited artifact (new)",
        "definition": "R5: `Citation.citedArtifact.relatesTo` (new:BackboneElement)",
        "comment": "Element `Citation.citedArtifact.relatesTo` is part of an existing definition because parent element `Citation.citedArtifact` requires a cross-version extension.\nElement `Citation.citedArtifact.relatesTo` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.relatesTo` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nThe citedArtifact.relatesTo element uses a BackboneElement instead of the RelatedArtifact Datatype to enable use of an extended value set for the required code for the type of relationship.",
        "requirements": "Element `Citation.citedArtifact.relatesTo` is part of an existing definition because parent element `Citation.citedArtifact` requires a cross-version extension.\nElement `Citation.citedArtifact.relatesTo` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.relatesTo` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:relatesTo.id",
        "path": "Extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:relatesTo.extension",
        "path": "Extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "min": 1,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:relatesTo.extension:type",
        "path": "Extension.extension.extension",
        "sliceName": "type",
        "short": "R5: documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | documents | specification-of | created-with | cite-as | reprint | reprint-of (new)",
        "definition": "R5: `Citation.citedArtifact.relatesTo.type` (new:code)",
        "comment": "Element `Citation.citedArtifact.relatesTo.type` is part of an existing definition because parent element `Citation.citedArtifact.relatesTo` requires a cross-version extension.\nElement `Citation.citedArtifact.relatesTo.type` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.relatesTo.type` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.relatesTo.type` is part of an existing definition because parent element `Citation.citedArtifact.relatesTo` requires a cross-version extension.\nElement `Citation.citedArtifact.relatesTo.type` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.relatesTo.type` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:relatesTo.extension:type.id",
        "path": "Extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:relatesTo.extension:type.extension",
        "path": "Extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:relatesTo.extension:type.url",
        "path": "Extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "type",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:relatesTo.extension:type.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | documents | specification-of | created-with | cite-as | reprint | reprint-of",
        "definition": "The type of relationship to the related artifact.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "strength": "required",
          "valueSet": "http://hl7.org/fhir/uv/xver/ValueSet/R5-related-artifact-type-all-for-R4|0.1.0"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:relatesTo.extension:classifier",
        "path": "Extension.extension.extension",
        "sliceName": "classifier",
        "short": "R5: Additional classifiers (new)",
        "definition": "R5: `Citation.citedArtifact.relatesTo.classifier` (new:CodeableConcept)",
        "comment": "Element `Citation.citedArtifact.relatesTo.classifier` is part of an existing definition because parent element `Citation.citedArtifact.relatesTo` requires a cross-version extension.\nElement `Citation.citedArtifact.relatesTo.classifier` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.relatesTo.classifier` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.relatesTo.classifier` is part of an existing definition because parent element `Citation.citedArtifact.relatesTo` requires a cross-version extension.\nElement `Citation.citedArtifact.relatesTo.classifier` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.relatesTo.classifier` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:relatesTo.extension:classifier.id",
        "path": "Extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:relatesTo.extension:classifier.extension",
        "path": "Extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:relatesTo.extension:classifier.url",
        "path": "Extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "classifier",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:relatesTo.extension:classifier.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "Additional classifiers",
        "definition": "Provides additional classifiers of the related artifact.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "strength": "extensible",
          "valueSet": "http://hl7.org/fhir/uv/xver/ValueSet/R5-citation-artifact-classifier-for-R4|0.1.0"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:relatesTo.extension:label",
        "path": "Extension.extension.extension",
        "sliceName": "label",
        "short": "R5: Short label (new)",
        "definition": "R5: `Citation.citedArtifact.relatesTo.label` (new:string)",
        "comment": "Element `Citation.citedArtifact.relatesTo.label` is part of an existing definition because parent element `Citation.citedArtifact.relatesTo` requires a cross-version extension.\nElement `Citation.citedArtifact.relatesTo.label` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.relatesTo.label` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nThough not commonly used in citation records, this could be used for referencing other articles in the abstract or explanatory notes.",
        "requirements": "Element `Citation.citedArtifact.relatesTo.label` is part of an existing definition because parent element `Citation.citedArtifact.relatesTo` requires a cross-version extension.\nElement `Citation.citedArtifact.relatesTo.label` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.relatesTo.label` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:relatesTo.extension:label.id",
        "path": "Extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:relatesTo.extension:label.extension",
        "path": "Extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:relatesTo.extension:label.url",
        "path": "Extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "label",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:relatesTo.extension:label.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "Short label",
        "definition": "A short label that can be used to reference the related artifact from elsewhere in the containing artifact, such as a footnote index.",
        "comment": "Though not commonly used in citation records, this could be used for referencing other articles in the abstract or explanatory notes.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:relatesTo.extension:display",
        "path": "Extension.extension.extension",
        "sliceName": "display",
        "short": "R5: Brief description of the related artifact (new)",
        "definition": "R5: `Citation.citedArtifact.relatesTo.display` (new:string)",
        "comment": "Element `Citation.citedArtifact.relatesTo.display` is part of an existing definition because parent element `Citation.citedArtifact.relatesTo` requires a cross-version extension.\nElement `Citation.citedArtifact.relatesTo.display` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.relatesTo.display` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.relatesTo.display` is part of an existing definition because parent element `Citation.citedArtifact.relatesTo` requires a cross-version extension.\nElement `Citation.citedArtifact.relatesTo.display` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.relatesTo.display` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:relatesTo.extension:display.id",
        "path": "Extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:relatesTo.extension:display.extension",
        "path": "Extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:relatesTo.extension:display.url",
        "path": "Extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "display",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:relatesTo.extension:display.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "Brief description of the related artifact",
        "definition": "A brief description of the document or knowledge resource being referenced, suitable for display to a consumer.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:relatesTo.extension:citation",
        "path": "Extension.extension.extension",
        "sliceName": "citation",
        "short": "R5: Bibliographic citation for the artifact (new)",
        "definition": "R5: `Citation.citedArtifact.relatesTo.citation` (new:markdown)",
        "comment": "Element `Citation.citedArtifact.relatesTo.citation` is part of an existing definition because parent element `Citation.citedArtifact.relatesTo` requires a cross-version extension.\nElement `Citation.citedArtifact.relatesTo.citation` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.relatesTo.citation` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.relatesTo.citation` is part of an existing definition because parent element `Citation.citedArtifact.relatesTo` requires a cross-version extension.\nElement `Citation.citedArtifact.relatesTo.citation` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.relatesTo.citation` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:relatesTo.extension:citation.id",
        "path": "Extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:relatesTo.extension:citation.extension",
        "path": "Extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:relatesTo.extension:citation.url",
        "path": "Extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "citation",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:relatesTo.extension:citation.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "Bibliographic citation for the artifact",
        "definition": "A bibliographic citation for the related artifact. This text SHOULD be formatted according to an accepted citation format.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "markdown"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:relatesTo.extension:document",
        "path": "Extension.extension.extension",
        "sliceName": "document",
        "short": "R5: What document is being referenced (new)",
        "definition": "R5: `Citation.citedArtifact.relatesTo.document` (new:Attachment)",
        "comment": "Element `Citation.citedArtifact.relatesTo.document` is part of an existing definition because parent element `Citation.citedArtifact.relatesTo` requires a cross-version extension.\nElement `Citation.citedArtifact.relatesTo.document` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.relatesTo.document` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nTo refer to related artifacts by URL, the FHIR Attachment Datatype includes a url element, so the path would be Citation.citedArtifact.relatesTo.document.url",
        "requirements": "Element `Citation.citedArtifact.relatesTo.document` is part of an existing definition because parent element `Citation.citedArtifact.relatesTo` requires a cross-version extension.\nElement `Citation.citedArtifact.relatesTo.document` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.relatesTo.document` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:relatesTo.extension:document.id",
        "path": "Extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:relatesTo.extension:document.extension",
        "path": "Extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:relatesTo.extension:document.url",
        "path": "Extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "document",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:relatesTo.extension:document.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "What document is being referenced",
        "definition": "The document being referenced, represented as an attachment. Do not use this element if using the resource element to provide the canonical to the related artifact.",
        "comment": "To refer to related artifacts by URL, the FHIR Attachment Datatype includes a url element, so the path would be Citation.citedArtifact.relatesTo.document.url",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Attachment"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:relatesTo.extension:resource",
        "path": "Extension.extension.extension",
        "sliceName": "resource",
        "short": "R5: What artifact is being referenced (new)",
        "definition": "R5: `Citation.citedArtifact.relatesTo.resource` (new:canonical)",
        "comment": "Element `Citation.citedArtifact.relatesTo.resource` is part of an existing definition because parent element `Citation.citedArtifact.relatesTo` requires a cross-version extension.\nElement `Citation.citedArtifact.relatesTo.resource` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.relatesTo.resource` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nIf the type is predecessor, this is a reference to the succeeding knowledge resource. If the type is successor, this is a reference to the prior knowledge resource",
        "requirements": "Element `Citation.citedArtifact.relatesTo.resource` is part of an existing definition because parent element `Citation.citedArtifact.relatesTo` requires a cross-version extension.\nElement `Citation.citedArtifact.relatesTo.resource` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.relatesTo.resource` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:relatesTo.extension:resource.id",
        "path": "Extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:relatesTo.extension:resource.extension",
        "path": "Extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:relatesTo.extension:resource.url",
        "path": "Extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "resource",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:relatesTo.extension:resource.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "What artifact is being referenced",
        "definition": "The related artifact, such as a library, value set, profile, or other knowledge resource.",
        "comment": "If the type is predecessor, this is a reference to the succeeding knowledge resource. If the type is successor, this is a reference to the prior knowledge resource",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "canonical"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:relatesTo.extension:resourceReference",
        "path": "Extension.extension.extension",
        "sliceName": "resourceReference",
        "short": "R5: What artifact, if not a conformance resource (new)",
        "definition": "R5: `Citation.citedArtifact.relatesTo.resourceReference` (new:Reference)",
        "comment": "Element `Citation.citedArtifact.relatesTo.resourceReference` is part of an existing definition because parent element `Citation.citedArtifact.relatesTo` requires a cross-version extension.\nElement `Citation.citedArtifact.relatesTo.resourceReference` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.relatesTo.resourceReference` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nIf both resource and resourceReference are present, they SHOULD be consistent and reference the same resource. Although relatedArtifact is intended to support references to definitional resources, there are cases where non-definitional resources can be definitional (such as Location where the kind is mode). Related artifacts SHOULD be used to reference definitional resources, and profiles SHOULD be used to make that explicit for particular use cases.",
        "requirements": "Element `Citation.citedArtifact.relatesTo.resourceReference` is part of an existing definition because parent element `Citation.citedArtifact.relatesTo` requires a cross-version extension.\nElement `Citation.citedArtifact.relatesTo.resourceReference` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.relatesTo.resourceReference` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:relatesTo.extension:resourceReference.id",
        "path": "Extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:relatesTo.extension:resourceReference.extension",
        "path": "Extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:relatesTo.extension:resourceReference.url",
        "path": "Extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "resourceReference",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:relatesTo.extension:resourceReference.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "What artifact, if not a conformance resource",
        "definition": "The related artifact, if the artifact is not a canonical resource, or a resource reference to a canonical resource.",
        "comment": "If both resource and resourceReference are present, they SHOULD be consistent and reference the same resource. Although relatedArtifact is intended to support references to definitional resources, there are cases where non-definitional resources can be definitional (such as Location where the kind is mode). Related artifacts SHOULD be used to reference definitional resources, and profiles SHOULD be used to make that explicit for particular use cases.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:relatesTo.url",
        "path": "Extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "relatesTo",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:relatesTo.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "Value of extension",
        "definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "base64Binary"
          },
          {
            "code": "boolean"
          },
          {
            "code": "canonical"
          },
          {
            "code": "code"
          },
          {
            "code": "date"
          },
          {
            "code": "dateTime"
          },
          {
            "code": "decimal"
          },
          {
            "code": "id"
          },
          {
            "code": "instant"
          },
          {
            "code": "integer"
          },
          {
            "code": "markdown"
          },
          {
            "code": "oid"
          },
          {
            "code": "positiveInt"
          },
          {
            "code": "string"
          },
          {
            "code": "time"
          },
          {
            "code": "unsignedInt"
          },
          {
            "code": "uri"
          },
          {
            "code": "url"
          },
          {
            "code": "uuid"
          },
          {
            "code": "Address"
          },
          {
            "code": "Age"
          },
          {
            "code": "Annotation"
          },
          {
            "code": "Attachment"
          },
          {
            "code": "CodeableConcept"
          },
          {
            "code": "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": "ContactDetail"
          },
          {
            "code": "Contributor"
          },
          {
            "code": "DataRequirement"
          },
          {
            "code": "Expression"
          },
          {
            "code": "ParameterDefinition"
          },
          {
            "code": "RelatedArtifact"
          },
          {
            "code": "TriggerDefinition"
          },
          {
            "code": "UsageContext"
          },
          {
            "code": "Dosage"
          },
          {
            "code": "Meta"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm",
        "path": "Extension.extension",
        "sliceName": "publicationForm",
        "short": "R5: If multiple, used to represent alternative forms of the article that are not separate citations (new)",
        "definition": "R5: `Citation.citedArtifact.publicationForm` (new:BackboneElement)",
        "comment": "Element `Citation.citedArtifact.publicationForm` is part of an existing definition because parent element `Citation.citedArtifact` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nA common use is a journal article with a publication date and pagination for a print version and a different publication date for the online version of the same article.",
        "requirements": "Element `Citation.citedArtifact.publicationForm` is part of an existing definition because parent element `Citation.citedArtifact` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:publicationForm.id",
        "path": "Extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension",
        "path": "Extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:publicationForm.extension:publishedIn",
        "path": "Extension.extension.extension",
        "sliceName": "publishedIn",
        "short": "R5: The collection the cited article or artifact is published in (new)",
        "definition": "R5: `Citation.citedArtifact.publicationForm.publishedIn` (new:BackboneElement)",
        "comment": "Element `Citation.citedArtifact.publicationForm.publishedIn` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.publishedIn` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.publishedIn` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.publicationForm.publishedIn` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.publishedIn` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.publishedIn` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:publicationForm.extension:publishedIn.id",
        "path": "Extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:publishedIn.extension",
        "path": "Extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:publicationForm.extension:publishedIn.extension:type",
        "path": "Extension.extension.extension.extension",
        "sliceName": "type",
        "short": "R5: Kind of container (e.g. Periodical, database, or book) (new)",
        "definition": "R5: `Citation.citedArtifact.publicationForm.publishedIn.type` (new:CodeableConcept)",
        "comment": "Element `Citation.citedArtifact.publicationForm.publishedIn.type` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm.publishedIn` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.publishedIn.type` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.publishedIn.type` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nJournals and newspapers are coded as Periodical.",
        "requirements": "Element `Citation.citedArtifact.publicationForm.publishedIn.type` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm.publishedIn` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.publishedIn.type` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.publishedIn.type` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:publicationForm.extension:publishedIn.extension:type.id",
        "path": "Extension.extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:publishedIn.extension:type.extension",
        "path": "Extension.extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:publishedIn.extension:type.url",
        "path": "Extension.extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "type",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:publishedIn.extension:type.value[x]",
        "path": "Extension.extension.extension.extension.value[x]",
        "short": "Kind of container (e.g. Periodical, database, or book)",
        "definition": "Kind of container (e.g. Periodical, database, or book).",
        "comment": "Journals and newspapers are coded as Periodical.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "strength": "extensible",
          "valueSet": "http://hl7.org/fhir/uv/xver/ValueSet/R5-published-in-type-for-R4|0.1.0"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:publishedIn.extension:identifier",
        "path": "Extension.extension.extension.extension",
        "sliceName": "identifier",
        "short": "R5: Journal identifiers include ISSN, ISO Abbreviation and NLMuniqueID; Book identifiers include ISBN (new)",
        "definition": "R5: `Citation.citedArtifact.publicationForm.publishedIn.identifier` (new:Identifier)",
        "comment": "Element `Citation.citedArtifact.publicationForm.publishedIn.identifier` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm.publishedIn` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.publishedIn.identifier` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.publishedIn.identifier` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.publicationForm.publishedIn.identifier` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm.publishedIn` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.publishedIn.identifier` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.publishedIn.identifier` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:publicationForm.extension:publishedIn.extension:identifier.id",
        "path": "Extension.extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:publishedIn.extension:identifier.extension",
        "path": "Extension.extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:publishedIn.extension:identifier.url",
        "path": "Extension.extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "identifier",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:publishedIn.extension:identifier.value[x]",
        "path": "Extension.extension.extension.extension.value[x]",
        "short": "Journal identifiers include ISSN, ISO Abbreviation and NLMuniqueID; Book identifiers include ISBN",
        "definition": "Journal identifiers include ISSN, ISO Abbreviation and NLMuniqueID; Book identifiers include ISBN.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Identifier"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:publishedIn.extension:title",
        "path": "Extension.extension.extension.extension",
        "sliceName": "title",
        "short": "R5: Name of the database or title of the book or journal (new)",
        "definition": "R5: `Citation.citedArtifact.publicationForm.publishedIn.title` (new:string)",
        "comment": "Element `Citation.citedArtifact.publicationForm.publishedIn.title` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm.publishedIn` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.publishedIn.title` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.publishedIn.title` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nClinicalTrials.gov is a name of a database.",
        "requirements": "Element `Citation.citedArtifact.publicationForm.publishedIn.title` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm.publishedIn` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.publishedIn.title` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.publishedIn.title` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:publicationForm.extension:publishedIn.extension:title.id",
        "path": "Extension.extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:publishedIn.extension:title.extension",
        "path": "Extension.extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:publishedIn.extension:title.url",
        "path": "Extension.extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "title",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:publishedIn.extension:title.value[x]",
        "path": "Extension.extension.extension.extension.value[x]",
        "short": "Name of the database or title of the book or journal",
        "definition": "Name of the database or title of the book or journal.",
        "comment": "ClinicalTrials.gov is a name of a database.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:publishedIn.extension:publisher",
        "path": "Extension.extension.extension.extension",
        "sliceName": "publisher",
        "short": "R5: Name of or resource describing the publisher (new)",
        "definition": "R5: `Citation.citedArtifact.publicationForm.publishedIn.publisher` (new:Reference(Organization))",
        "comment": "Element `Citation.citedArtifact.publicationForm.publishedIn.publisher` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm.publishedIn` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.publishedIn.publisher` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.publishedIn.publisher` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.publicationForm.publishedIn.publisher` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm.publishedIn` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.publishedIn.publisher` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.publishedIn.publisher` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:publicationForm.extension:publishedIn.extension:publisher.id",
        "path": "Extension.extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:publishedIn.extension:publisher.extension",
        "path": "Extension.extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:publishedIn.extension:publisher.url",
        "path": "Extension.extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "publisher",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:publishedIn.extension:publisher.value[x]",
        "path": "Extension.extension.extension.extension.value[x]",
        "short": "Name of or resource describing the publisher",
        "definition": "Name of or resource describing the publisher.",
        "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-Organization|0.1.0",
              "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:publishedIn.extension:publisherLocation",
        "path": "Extension.extension.extension.extension",
        "sliceName": "publisherLocation",
        "short": "R5: Geographic location of the publisher (new)",
        "definition": "R5: `Citation.citedArtifact.publicationForm.publishedIn.publisherLocation` (new:string)",
        "comment": "Element `Citation.citedArtifact.publicationForm.publishedIn.publisherLocation` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm.publishedIn` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.publishedIn.publisherLocation` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.publishedIn.publisherLocation` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.publicationForm.publishedIn.publisherLocation` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm.publishedIn` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.publishedIn.publisherLocation` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.publishedIn.publisherLocation` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:publicationForm.extension:publishedIn.extension:publisherLocation.id",
        "path": "Extension.extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:publishedIn.extension:publisherLocation.extension",
        "path": "Extension.extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:publishedIn.extension:publisherLocation.url",
        "path": "Extension.extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "publisherLocation",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:publishedIn.extension:publisherLocation.value[x]",
        "path": "Extension.extension.extension.extension.value[x]",
        "short": "Geographic location of the publisher",
        "definition": "Geographic location of the publisher.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:publishedIn.url",
        "path": "Extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "publishedIn",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:publishedIn.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "Value of extension",
        "definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "base64Binary"
          },
          {
            "code": "boolean"
          },
          {
            "code": "canonical"
          },
          {
            "code": "code"
          },
          {
            "code": "date"
          },
          {
            "code": "dateTime"
          },
          {
            "code": "decimal"
          },
          {
            "code": "id"
          },
          {
            "code": "instant"
          },
          {
            "code": "integer"
          },
          {
            "code": "markdown"
          },
          {
            "code": "oid"
          },
          {
            "code": "positiveInt"
          },
          {
            "code": "string"
          },
          {
            "code": "time"
          },
          {
            "code": "unsignedInt"
          },
          {
            "code": "uri"
          },
          {
            "code": "url"
          },
          {
            "code": "uuid"
          },
          {
            "code": "Address"
          },
          {
            "code": "Age"
          },
          {
            "code": "Annotation"
          },
          {
            "code": "Attachment"
          },
          {
            "code": "CodeableConcept"
          },
          {
            "code": "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": "ContactDetail"
          },
          {
            "code": "Contributor"
          },
          {
            "code": "DataRequirement"
          },
          {
            "code": "Expression"
          },
          {
            "code": "ParameterDefinition"
          },
          {
            "code": "RelatedArtifact"
          },
          {
            "code": "TriggerDefinition"
          },
          {
            "code": "UsageContext"
          },
          {
            "code": "Dosage"
          },
          {
            "code": "Meta"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:citedMedium",
        "path": "Extension.extension.extension",
        "sliceName": "citedMedium",
        "short": "R5: Internet or Print (new)",
        "definition": "R5: `Citation.citedArtifact.publicationForm.citedMedium` (new:CodeableConcept)",
        "comment": "Element `Citation.citedArtifact.publicationForm.citedMedium` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.citedMedium` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.citedMedium` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.publicationForm.citedMedium` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.citedMedium` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.citedMedium` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:publicationForm.extension:citedMedium.id",
        "path": "Extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:citedMedium.extension",
        "path": "Extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:citedMedium.url",
        "path": "Extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "citedMedium",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:citedMedium.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "Internet or Print",
        "definition": "Describes the form of the medium cited. Common codes are \"Internet\" or \"Print\". The CitedMedium value set has 6 codes. The codes internet, print, and offline-digital-storage are the common codes for a typical publication form, though internet and print are more common for study citations. Three additional codes (each appending one of the primary codes with \"-without-issue\" are used for situations when a study is published both within an issue (of a periodical release as commonly done for journals) AND is published separately from the issue (as commonly done with early online publication), to represent specific identification of the publication form not associated with the issue.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "strength": "extensible",
          "valueSet": "http://hl7.org/fhir/uv/xver/ValueSet/R5-cited-medium-for-R4|0.1.0"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:volume",
        "path": "Extension.extension.extension",
        "sliceName": "volume",
        "short": "R5: Volume number of journal or other collection in which the article is published (new)",
        "definition": "R5: `Citation.citedArtifact.publicationForm.volume` (new:string)",
        "comment": "Element `Citation.citedArtifact.publicationForm.volume` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.volume` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.volume` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.publicationForm.volume` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.volume` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.volume` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:publicationForm.extension:volume.id",
        "path": "Extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:volume.extension",
        "path": "Extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:volume.url",
        "path": "Extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "volume",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:volume.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "Volume number of journal or other collection in which the article is published",
        "definition": "Volume number of journal or other collection in which the article is published.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:issue",
        "path": "Extension.extension.extension",
        "sliceName": "issue",
        "short": "R5: Issue, part or supplement of journal or other collection in which the article is published (new)",
        "definition": "R5: `Citation.citedArtifact.publicationForm.issue` (new:string)",
        "comment": "Element `Citation.citedArtifact.publicationForm.issue` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.issue` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.issue` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.publicationForm.issue` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.issue` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.issue` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:publicationForm.extension:issue.id",
        "path": "Extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:issue.extension",
        "path": "Extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:issue.url",
        "path": "Extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "issue",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:issue.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "Issue, part or supplement of journal or other collection in which the article is published",
        "definition": "Issue, part or supplement of journal or other collection in which the article is published.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:articleDate",
        "path": "Extension.extension.extension",
        "sliceName": "articleDate",
        "short": "R5: The date the article was added to the database, or the date the article was released (new)",
        "definition": "R5: `Citation.citedArtifact.publicationForm.articleDate` (new:dateTime)",
        "comment": "Element `Citation.citedArtifact.publicationForm.articleDate` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.articleDate` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.articleDate` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nThe articleDate is the preferred element for expressing the publication date as structured data.",
        "requirements": "Element `Citation.citedArtifact.publicationForm.articleDate` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.articleDate` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.articleDate` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:publicationForm.extension:articleDate.id",
        "path": "Extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:articleDate.extension",
        "path": "Extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:articleDate.url",
        "path": "Extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "articleDate",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:articleDate.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "The date the article was added to the database, or the date the article was released",
        "definition": "The date the article was added to the database, or the date the article was released.",
        "comment": "The articleDate is the preferred element for expressing the publication date as structured data.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:publicationDateText",
        "path": "Extension.extension.extension",
        "sliceName": "publicationDateText",
        "short": "R5: Text representation of the date on which the issue of the cited artifact was published (new)",
        "definition": "R5: `Citation.citedArtifact.publicationForm.publicationDateText` (new:string)",
        "comment": "Element `Citation.citedArtifact.publicationForm.publicationDateText` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.publicationDateText` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.publicationDateText` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nThe publicationDateText element is prefererntially used when a date is not represented in a form that can be handled as structured data in other elements.",
        "requirements": "Element `Citation.citedArtifact.publicationForm.publicationDateText` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.publicationDateText` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.publicationDateText` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:publicationForm.extension:publicationDateText.id",
        "path": "Extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:publicationDateText.extension",
        "path": "Extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:publicationDateText.url",
        "path": "Extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "publicationDateText",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:publicationDateText.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "Text representation of the date on which the issue of the cited artifact was published",
        "definition": "Text representation of the date on which the issue of the cited artifact was published.",
        "comment": "The publicationDateText element is prefererntially used when a date is not represented in a form that can be handled as structured data in other elements.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:publicationDateSeason",
        "path": "Extension.extension.extension",
        "sliceName": "publicationDateSeason",
        "short": "R5: Season in which the cited artifact was published (new)",
        "definition": "R5: `Citation.citedArtifact.publicationForm.publicationDateSeason` (new:string)",
        "comment": "Element `Citation.citedArtifact.publicationForm.publicationDateSeason` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.publicationDateSeason` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.publicationDateSeason` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.publicationForm.publicationDateSeason` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.publicationDateSeason` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.publicationDateSeason` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:publicationForm.extension:publicationDateSeason.id",
        "path": "Extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:publicationDateSeason.extension",
        "path": "Extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:publicationDateSeason.url",
        "path": "Extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "publicationDateSeason",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:publicationDateSeason.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "Season in which the cited artifact was published",
        "definition": "Spring, Summer, Fall/Autumn, Winter.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:lastRevisionDate",
        "path": "Extension.extension.extension",
        "sliceName": "lastRevisionDate",
        "short": "R5: The date the article was last revised or updated in the database (new)",
        "definition": "R5: `Citation.citedArtifact.publicationForm.lastRevisionDate` (new:dateTime)",
        "comment": "Element `Citation.citedArtifact.publicationForm.lastRevisionDate` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.lastRevisionDate` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.lastRevisionDate` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nThe lastRevisionDate is used for the cited article and not the date the Citation Resource is last revised.",
        "requirements": "Element `Citation.citedArtifact.publicationForm.lastRevisionDate` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.lastRevisionDate` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.lastRevisionDate` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:publicationForm.extension:lastRevisionDate.id",
        "path": "Extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:lastRevisionDate.extension",
        "path": "Extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:lastRevisionDate.url",
        "path": "Extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "lastRevisionDate",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:lastRevisionDate.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "The date the article was last revised or updated in the database",
        "definition": "The date the article was last revised or updated in the database.",
        "comment": "The lastRevisionDate is used for the cited article and not the date the Citation Resource is last revised.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:language",
        "path": "Extension.extension.extension",
        "sliceName": "language",
        "short": "R5: Language(s) in which this form of the article is published (new)",
        "definition": "R5: `Citation.citedArtifact.publicationForm.language` (new:CodeableConcept)",
        "comment": "Element `Citation.citedArtifact.publicationForm.language` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.language` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.language` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.publicationForm.language` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.language` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.language` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:publicationForm.extension:language.id",
        "path": "Extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:language.extension",
        "path": "Extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:language.url",
        "path": "Extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "language",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:language.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "Language(s) in which this form of the article is published",
        "definition": "The language or languages in which this form of the article is published.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "strength": "preferred",
          "description": "A human language.",
          "valueSet": "http://hl7.org/fhir/uv/xver/ValueSet/R5-languages-for-R4|0.1.0"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:accessionNumber",
        "path": "Extension.extension.extension",
        "sliceName": "accessionNumber",
        "short": "R5: Entry number or identifier for inclusion in a database (new)",
        "definition": "R5: `Citation.citedArtifact.publicationForm.accessionNumber` (new:string)",
        "comment": "Element `Citation.citedArtifact.publicationForm.accessionNumber` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.accessionNumber` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.accessionNumber` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nAccession numbers may be used instead of or in addition to page numbers.  Accession numbers are functionally identifiers when coupled with the identity of the database for which they are accession numbers. Accession numbers which are used for indexing citations in a dataset of citations should NOT be entered in Citation.citedArtifact.publicationForm.accessionNumber -- this use would be a type of Citation.identifier for the citation record itself.",
        "requirements": "Element `Citation.citedArtifact.publicationForm.accessionNumber` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.accessionNumber` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.accessionNumber` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:publicationForm.extension:accessionNumber.id",
        "path": "Extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:accessionNumber.extension",
        "path": "Extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:accessionNumber.url",
        "path": "Extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "accessionNumber",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:accessionNumber.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "Entry number or identifier for inclusion in a database",
        "definition": "Entry number or identifier for inclusion in a database.",
        "comment": "Accession numbers may be used instead of or in addition to page numbers.  Accession numbers are functionally identifiers when coupled with the identity of the database for which they are accession numbers. Accession numbers which are used for indexing citations in a dataset of citations should NOT be entered in Citation.citedArtifact.publicationForm.accessionNumber -- this use would be a type of Citation.identifier for the citation record itself.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:pageString",
        "path": "Extension.extension.extension",
        "sliceName": "pageString",
        "short": "R5: Used for full display of pagination (new)",
        "definition": "R5: `Citation.citedArtifact.publicationForm.pageString` (new:string)",
        "comment": "Element `Citation.citedArtifact.publicationForm.pageString` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.pageString` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.pageString` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.publicationForm.pageString` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.pageString` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.pageString` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:publicationForm.extension:pageString.id",
        "path": "Extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:pageString.extension",
        "path": "Extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:pageString.url",
        "path": "Extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "pageString",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:pageString.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "Used for full display of pagination",
        "definition": "Used for full display of pagination.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:firstPage",
        "path": "Extension.extension.extension",
        "sliceName": "firstPage",
        "short": "R5: Used for isolated representation of first page (new)",
        "definition": "R5: `Citation.citedArtifact.publicationForm.firstPage` (new:string)",
        "comment": "Element `Citation.citedArtifact.publicationForm.firstPage` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.firstPage` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.firstPage` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.publicationForm.firstPage` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.firstPage` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.firstPage` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:publicationForm.extension:firstPage.id",
        "path": "Extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:firstPage.extension",
        "path": "Extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:firstPage.url",
        "path": "Extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "firstPage",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:firstPage.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "Used for isolated representation of first page",
        "definition": "Used for isolated representation of first page.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:lastPage",
        "path": "Extension.extension.extension",
        "sliceName": "lastPage",
        "short": "R5: Used for isolated representation of last page (new)",
        "definition": "R5: `Citation.citedArtifact.publicationForm.lastPage` (new:string)",
        "comment": "Element `Citation.citedArtifact.publicationForm.lastPage` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.lastPage` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.lastPage` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.publicationForm.lastPage` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.lastPage` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.lastPage` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:publicationForm.extension:lastPage.id",
        "path": "Extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:lastPage.extension",
        "path": "Extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:lastPage.url",
        "path": "Extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "lastPage",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:lastPage.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "Used for isolated representation of last page",
        "definition": "Used for isolated representation of last page.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:pageCount",
        "path": "Extension.extension.extension",
        "sliceName": "pageCount",
        "short": "R5: Number of pages or screens (new)",
        "definition": "R5: `Citation.citedArtifact.publicationForm.pageCount` (new:string)",
        "comment": "Element `Citation.citedArtifact.publicationForm.pageCount` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.pageCount` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.pageCount` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.publicationForm.pageCount` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.pageCount` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.pageCount` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:publicationForm.extension:pageCount.id",
        "path": "Extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:pageCount.extension",
        "path": "Extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:pageCount.url",
        "path": "Extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "pageCount",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:pageCount.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "Number of pages or screens",
        "definition": "Actual or approximate number of pages or screens. Distinct from reporting the page numbers.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:copyright",
        "path": "Extension.extension.extension",
        "sliceName": "copyright",
        "short": "R5: Copyright notice for the full article or artifact (new)",
        "definition": "R5: `Citation.citedArtifact.publicationForm.copyright` (new:markdown)",
        "comment": "Element `Citation.citedArtifact.publicationForm.copyright` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.copyright` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.copyright` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nIt is possible that different publication forms have different copyright notices.",
        "requirements": "Element `Citation.citedArtifact.publicationForm.copyright` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.copyright` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.copyright` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:publicationForm.extension:copyright.id",
        "path": "Extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:copyright.extension",
        "path": "Extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:copyright.url",
        "path": "Extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "copyright",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:copyright.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "Copyright notice for the full article or artifact",
        "definition": "Copyright notice for the full article or artifact.",
        "comment": "It is possible that different publication forms have different copyright notices.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "markdown"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.url",
        "path": "Extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "publicationForm",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "Value of extension",
        "definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "base64Binary"
          },
          {
            "code": "boolean"
          },
          {
            "code": "canonical"
          },
          {
            "code": "code"
          },
          {
            "code": "date"
          },
          {
            "code": "dateTime"
          },
          {
            "code": "decimal"
          },
          {
            "code": "id"
          },
          {
            "code": "instant"
          },
          {
            "code": "integer"
          },
          {
            "code": "markdown"
          },
          {
            "code": "oid"
          },
          {
            "code": "positiveInt"
          },
          {
            "code": "string"
          },
          {
            "code": "time"
          },
          {
            "code": "unsignedInt"
          },
          {
            "code": "uri"
          },
          {
            "code": "url"
          },
          {
            "code": "uuid"
          },
          {
            "code": "Address"
          },
          {
            "code": "Age"
          },
          {
            "code": "Annotation"
          },
          {
            "code": "Attachment"
          },
          {
            "code": "CodeableConcept"
          },
          {
            "code": "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": "ContactDetail"
          },
          {
            "code": "Contributor"
          },
          {
            "code": "DataRequirement"
          },
          {
            "code": "Expression"
          },
          {
            "code": "ParameterDefinition"
          },
          {
            "code": "RelatedArtifact"
          },
          {
            "code": "TriggerDefinition"
          },
          {
            "code": "UsageContext"
          },
          {
            "code": "Dosage"
          },
          {
            "code": "Meta"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:webLocation",
        "path": "Extension.extension",
        "sliceName": "webLocation",
        "short": "R5: Used for any URL for the article or artifact cited (new)",
        "definition": "R5: `Citation.citedArtifact.webLocation` (new:BackboneElement)",
        "comment": "Element `Citation.citedArtifact.webLocation` is part of an existing definition because parent element `Citation.citedArtifact` requires a cross-version extension.\nElement `Citation.citedArtifact.webLocation` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.webLocation` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.webLocation` is part of an existing definition because parent element `Citation.citedArtifact` requires a cross-version extension.\nElement `Citation.citedArtifact.webLocation` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.webLocation` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:webLocation.id",
        "path": "Extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:webLocation.extension",
        "path": "Extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:webLocation.extension:classifier",
        "path": "Extension.extension.extension",
        "sliceName": "classifier",
        "short": "R5: Code the reason for different URLs, e.g. abstract and full-text (new)",
        "definition": "R5: `Citation.citedArtifact.webLocation.classifier` (new:CodeableConcept)",
        "comment": "Element `Citation.citedArtifact.webLocation.classifier` is part of an existing definition because parent element `Citation.citedArtifact.webLocation` requires a cross-version extension.\nElement `Citation.citedArtifact.webLocation.classifier` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.webLocation.classifier` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nCategories that may be frequently used for study citations may include abstract, full-text, supplement, webpage, and doi-based.",
        "requirements": "Element `Citation.citedArtifact.webLocation.classifier` is part of an existing definition because parent element `Citation.citedArtifact.webLocation` requires a cross-version extension.\nElement `Citation.citedArtifact.webLocation.classifier` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.webLocation.classifier` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:webLocation.extension:classifier.id",
        "path": "Extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:webLocation.extension:classifier.extension",
        "path": "Extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:webLocation.extension:classifier.url",
        "path": "Extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "classifier",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:webLocation.extension:classifier.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "Code the reason for different URLs, e.g. abstract and full-text",
        "definition": "A characterization of the object expected at the web location.",
        "comment": "Categories that may be frequently used for study citations may include abstract, full-text, supplement, webpage, and doi-based.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "strength": "extensible",
          "valueSet": "http://hl7.org/fhir/uv/xver/ValueSet/R5-artifact-url-classifier-for-R4|0.1.0"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:webLocation.extension:url",
        "path": "Extension.extension.extension",
        "sliceName": "url",
        "short": "R5: The specific URL (new)",
        "definition": "R5: `Citation.citedArtifact.webLocation.url` (new:uri)",
        "comment": "Element `Citation.citedArtifact.webLocation.url` is part of an existing definition because parent element `Citation.citedArtifact.webLocation` requires a cross-version extension.\nElement `Citation.citedArtifact.webLocation.url` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.webLocation.url` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nPersistent URLs, like doi, are preferred.",
        "requirements": "Element `Citation.citedArtifact.webLocation.url` is part of an existing definition because parent element `Citation.citedArtifact.webLocation` requires a cross-version extension.\nElement `Citation.citedArtifact.webLocation.url` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.webLocation.url` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:webLocation.extension:url.id",
        "path": "Extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:webLocation.extension:url.extension",
        "path": "Extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:webLocation.extension:url.url",
        "path": "Extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "url",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:webLocation.extension:url.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "The specific URL",
        "definition": "The specific URL.",
        "comment": "Persistent URLs, like doi, are preferred.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:webLocation.url",
        "path": "Extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "webLocation",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:webLocation.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "Value of extension",
        "definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "base64Binary"
          },
          {
            "code": "boolean"
          },
          {
            "code": "canonical"
          },
          {
            "code": "code"
          },
          {
            "code": "date"
          },
          {
            "code": "dateTime"
          },
          {
            "code": "decimal"
          },
          {
            "code": "id"
          },
          {
            "code": "instant"
          },
          {
            "code": "integer"
          },
          {
            "code": "markdown"
          },
          {
            "code": "oid"
          },
          {
            "code": "positiveInt"
          },
          {
            "code": "string"
          },
          {
            "code": "time"
          },
          {
            "code": "unsignedInt"
          },
          {
            "code": "uri"
          },
          {
            "code": "url"
          },
          {
            "code": "uuid"
          },
          {
            "code": "Address"
          },
          {
            "code": "Age"
          },
          {
            "code": "Annotation"
          },
          {
            "code": "Attachment"
          },
          {
            "code": "CodeableConcept"
          },
          {
            "code": "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": "ContactDetail"
          },
          {
            "code": "Contributor"
          },
          {
            "code": "DataRequirement"
          },
          {
            "code": "Expression"
          },
          {
            "code": "ParameterDefinition"
          },
          {
            "code": "RelatedArtifact"
          },
          {
            "code": "TriggerDefinition"
          },
          {
            "code": "UsageContext"
          },
          {
            "code": "Dosage"
          },
          {
            "code": "Meta"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:classification",
        "path": "Extension.extension",
        "sliceName": "classification",
        "short": "R5: The assignment to an organizing scheme (new)",
        "definition": "R5: `Citation.citedArtifact.classification` (new:BackboneElement)",
        "comment": "Element `Citation.citedArtifact.classification` is part of an existing definition because parent element `Citation.citedArtifact` requires a cross-version extension.\nElement `Citation.citedArtifact.classification` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.classification` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.classification` is part of an existing definition because parent element `Citation.citedArtifact` requires a cross-version extension.\nElement `Citation.citedArtifact.classification` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.classification` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:classification.id",
        "path": "Extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:classification.extension",
        "path": "Extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:classification.extension:type",
        "path": "Extension.extension.extension",
        "sliceName": "type",
        "short": "R5: The kind of classifier (e.g. publication type, keyword) (new)",
        "definition": "R5: `Citation.citedArtifact.classification.type` (new:CodeableConcept)",
        "comment": "Element `Citation.citedArtifact.classification.type` is part of an existing definition because parent element `Citation.citedArtifact.classification` requires a cross-version extension.\nElement `Citation.citedArtifact.classification.type` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.classification.type` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.classification.type` is part of an existing definition because parent element `Citation.citedArtifact.classification` requires a cross-version extension.\nElement `Citation.citedArtifact.classification.type` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.classification.type` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:classification.extension:type.id",
        "path": "Extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:classification.extension:type.extension",
        "path": "Extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:classification.extension:type.url",
        "path": "Extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "type",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:classification.extension:type.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "The kind of classifier (e.g. publication type, keyword)",
        "definition": "The kind of classifier (e.g. publication type, keyword).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "strength": "extensible",
          "valueSet": "http://hl7.org/fhir/uv/xver/ValueSet/R5-cited-artifact-classification-type-for-R4|0.1.0"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:classification.extension:classifier",
        "path": "Extension.extension.extension",
        "sliceName": "classifier",
        "short": "R5: The specific classification value (new)",
        "definition": "R5: `Citation.citedArtifact.classification.classifier` (new:CodeableConcept)",
        "comment": "Element `Citation.citedArtifact.classification.classifier` is part of an existing definition because parent element `Citation.citedArtifact.classification` requires a cross-version extension.\nElement `Citation.citedArtifact.classification.classifier` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.classification.classifier` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.classification.classifier` is part of an existing definition because parent element `Citation.citedArtifact.classification` requires a cross-version extension.\nElement `Citation.citedArtifact.classification.classifier` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.classification.classifier` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:classification.extension:classifier.id",
        "path": "Extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:classification.extension:classifier.extension",
        "path": "Extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:classification.extension:classifier.url",
        "path": "Extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "classifier",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:classification.extension:classifier.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "The specific classification value",
        "definition": "The specific classification value.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "strength": "example",
          "valueSet": "http://hl7.org/fhir/uv/xver/ValueSet/R5-citation-artifact-classifier-for-R4|0.1.0"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:classification.extension:artifactAssessment",
        "path": "Extension.extension.extension",
        "sliceName": "artifactAssessment",
        "short": "R5: Complex or externally created classification (new)",
        "definition": "R5: `Citation.citedArtifact.classification.artifactAssessment` (new:Reference(ArtifactAssessment))",
        "comment": "Element `Citation.citedArtifact.classification.artifactAssessment` is part of an existing definition because parent element `Citation.citedArtifact.classification` requires a cross-version extension.\nElement `Citation.citedArtifact.classification.artifactAssessment` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.classification.artifactAssessment` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nExamples relevant to study citations include MeSH Headings or Keywords that contain qualifier codings or sub-classifications, and include risk of bias assessments created by persons different from the creator of the citation record.",
        "requirements": "Element `Citation.citedArtifact.classification.artifactAssessment` is part of an existing definition because parent element `Citation.citedArtifact.classification` requires a cross-version extension.\nElement `Citation.citedArtifact.classification.artifactAssessment` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.classification.artifactAssessment` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:classification.extension:artifactAssessment.id",
        "path": "Extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:classification.extension:artifactAssessment.extension",
        "path": "Extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:classification.extension:artifactAssessment.url",
        "path": "Extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "artifactAssessment",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:classification.extension:artifactAssessment.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "Complex or externally created classification",
        "definition": "Complex or externally created classification.",
        "comment": "Examples relevant to study citations include MeSH Headings or Keywords that contain qualifier codings or sub-classifications, and include risk of bias assessments created by persons different from the creator of the citation record.",
        "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-ArtifactAssessment|0.1.0",
              "http://hl7.org/fhir/StructureDefinition/Basic|4.0.1"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:classification.url",
        "path": "Extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "classification",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:classification.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "Value of extension",
        "definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "base64Binary"
          },
          {
            "code": "boolean"
          },
          {
            "code": "canonical"
          },
          {
            "code": "code"
          },
          {
            "code": "date"
          },
          {
            "code": "dateTime"
          },
          {
            "code": "decimal"
          },
          {
            "code": "id"
          },
          {
            "code": "instant"
          },
          {
            "code": "integer"
          },
          {
            "code": "markdown"
          },
          {
            "code": "oid"
          },
          {
            "code": "positiveInt"
          },
          {
            "code": "string"
          },
          {
            "code": "time"
          },
          {
            "code": "unsignedInt"
          },
          {
            "code": "uri"
          },
          {
            "code": "url"
          },
          {
            "code": "uuid"
          },
          {
            "code": "Address"
          },
          {
            "code": "Age"
          },
          {
            "code": "Annotation"
          },
          {
            "code": "Attachment"
          },
          {
            "code": "CodeableConcept"
          },
          {
            "code": "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": "ContactDetail"
          },
          {
            "code": "Contributor"
          },
          {
            "code": "DataRequirement"
          },
          {
            "code": "Expression"
          },
          {
            "code": "ParameterDefinition"
          },
          {
            "code": "RelatedArtifact"
          },
          {
            "code": "TriggerDefinition"
          },
          {
            "code": "UsageContext"
          },
          {
            "code": "Dosage"
          },
          {
            "code": "Meta"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship",
        "path": "Extension.extension",
        "sliceName": "contributorship",
        "short": "R5: Attribution of authors and other contributors (new)",
        "definition": "R5: `Citation.citedArtifact.contributorship` (new:BackboneElement)",
        "comment": "Element `Citation.citedArtifact.contributorship` is part of an existing definition because parent element `Citation.citedArtifact` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Need to support individualized and collective attribution of authorship and contributorship to people and groups. Element `Citation.citedArtifact.contributorship` is part of an existing definition because parent element `Citation.citedArtifact` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:contributorship.id",
        "path": "Extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension",
        "path": "Extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:contributorship.extension:complete",
        "path": "Extension.extension.extension",
        "sliceName": "complete",
        "short": "R5: Indicates if the list includes all authors and/or contributors (new)",
        "definition": "R5: `Citation.citedArtifact.contributorship.complete` (new:boolean)",
        "comment": "Element `Citation.citedArtifact.contributorship.complete` is part of an existing definition because parent element `Citation.citedArtifact.contributorship` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.complete` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.complete` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nIf list is incomplete, \"et al\" can be appended to Contributorship.summary.value for display purposes.",
        "requirements": "Element `Citation.citedArtifact.contributorship.complete` is part of an existing definition because parent element `Citation.citedArtifact.contributorship` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.complete` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.complete` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:contributorship.extension:complete.id",
        "path": "Extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:complete.extension",
        "path": "Extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:complete.url",
        "path": "Extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "complete",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:complete.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "Indicates if the list includes all authors and/or contributors",
        "definition": "Indicates if the list includes all authors and/or contributors.",
        "comment": "If list is incomplete, \"et al\" can be appended to Contributorship.summary.value for display purposes.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:entry",
        "path": "Extension.extension.extension",
        "sliceName": "entry",
        "short": "R5: An individual entity named as a contributor (new)",
        "definition": "R5: `Citation.citedArtifact.contributorship.entry` (new:BackboneElement)",
        "comment": "Element `Citation.citedArtifact.contributorship.entry` is part of an existing definition because parent element `Citation.citedArtifact.contributorship` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.entry` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.entry` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nUsed to report contributorship in individualized ways.",
        "requirements": "Element `Citation.citedArtifact.contributorship.entry` is part of an existing definition because parent element `Citation.citedArtifact.contributorship` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.entry` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.entry` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.id",
        "path": "Extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension",
        "path": "Extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "min": 1,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:contributor",
        "path": "Extension.extension.extension.extension",
        "sliceName": "contributor",
        "short": "R5: The identity of the individual contributor (new)",
        "definition": "R5: `Citation.citedArtifact.contributorship.entry.contributor` (new:Reference(Practitioner,Organization))",
        "comment": "Element `Citation.citedArtifact.contributorship.entry.contributor` is part of an existing definition because parent element `Citation.citedArtifact.contributorship.entry` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.entry.contributor` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.entry.contributor` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nIf naming a contributor without additional detail or further structured data, the display element within the Reference datatype may be used for a simple string without referencing another resource.",
        "requirements": "Element `Citation.citedArtifact.contributorship.entry.contributor` is part of an existing definition because parent element `Citation.citedArtifact.contributorship.entry` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.entry.contributor` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.entry.contributor` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:contributor.id",
        "path": "Extension.extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:contributor.extension",
        "path": "Extension.extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:contributor.url",
        "path": "Extension.extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "contributor",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:contributor.value[x]",
        "path": "Extension.extension.extension.extension.value[x]",
        "short": "The identity of the individual contributor",
        "definition": "The identity of the individual contributor.",
        "comment": "If naming a contributor without additional detail or further structured data, the display element within the Reference datatype may be used for a simple string without referencing another resource.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/5.0/StructureDefinition/profile-Practitioner|0.1.0",
              "http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1",
              "http://hl7.org/fhir/5.0/StructureDefinition/profile-Organization|0.1.0",
              "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:forenameInitials",
        "path": "Extension.extension.extension.extension",
        "sliceName": "forenameInitials",
        "short": "R5: For citation styles that use initials (new)",
        "definition": "R5: `Citation.citedArtifact.contributorship.entry.forenameInitials` (new:string)",
        "comment": "Element `Citation.citedArtifact.contributorship.entry.forenameInitials` is part of an existing definition because parent element `Citation.citedArtifact.contributorship.entry` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.entry.forenameInitials` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.entry.forenameInitials` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nThis element is used to support a data element used for citations that is not otherwise supported fully by FHIR HumanName datatype. In some citation summary styles (e.g. Medline), authors are presented with full spelling of their last name (family name) and initials for all forenames (first names, middle names, preceding names, given names). As the FHIR HumanName Datatype does not have a specific element for forename initials and this is common in citation usage, the element is added to contributorship.entry directly.",
        "requirements": "Element `Citation.citedArtifact.contributorship.entry.forenameInitials` is part of an existing definition because parent element `Citation.citedArtifact.contributorship.entry` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.entry.forenameInitials` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.entry.forenameInitials` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:forenameInitials.id",
        "path": "Extension.extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:forenameInitials.extension",
        "path": "Extension.extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:forenameInitials.url",
        "path": "Extension.extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "forenameInitials",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:forenameInitials.value[x]",
        "path": "Extension.extension.extension.extension.value[x]",
        "short": "For citation styles that use initials",
        "definition": "For citation styles that use initials.",
        "comment": "This element is used to support a data element used for citations that is not otherwise supported fully by FHIR HumanName datatype. In some citation summary styles (e.g. Medline), authors are presented with full spelling of their last name (family name) and initials for all forenames (first names, middle names, preceding names, given names). As the FHIR HumanName Datatype does not have a specific element for forename initials and this is common in citation usage, the element is added to contributorship.entry directly.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:affiliation",
        "path": "Extension.extension.extension.extension",
        "sliceName": "affiliation",
        "short": "R5: Organizational affiliation (new)",
        "definition": "R5: `Citation.citedArtifact.contributorship.entry.affiliation` (new:Reference(Organization,PractitionerRole))",
        "comment": "Element `Citation.citedArtifact.contributorship.entry.affiliation` is part of an existing definition because parent element `Citation.citedArtifact.contributorship.entry` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.entry.affiliation` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.entry.affiliation` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nIf naming an organization without additional detail or further structured data, the display element within the Reference datatype may be used for a simple string without referencing another resource.",
        "requirements": "Element `Citation.citedArtifact.contributorship.entry.affiliation` is part of an existing definition because parent element `Citation.citedArtifact.contributorship.entry` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.entry.affiliation` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.entry.affiliation` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:affiliation.id",
        "path": "Extension.extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:affiliation.extension",
        "path": "Extension.extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:affiliation.url",
        "path": "Extension.extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "affiliation",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:affiliation.value[x]",
        "path": "Extension.extension.extension.extension.value[x]",
        "short": "Organizational affiliation",
        "definition": "Organization affiliated with the contributor.",
        "comment": "If naming an organization without additional detail or further structured data, the display element within the Reference datatype may be used for a simple string without referencing another resource.",
        "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-Organization|0.1.0",
              "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1",
              "http://hl7.org/fhir/5.0/StructureDefinition/profile-PractitionerRole|0.1.0",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:contributionType",
        "path": "Extension.extension.extension.extension",
        "sliceName": "contributionType",
        "short": "R5: The specific contribution (new)",
        "definition": "R5: `Citation.citedArtifact.contributorship.entry.contributionType` (new:CodeableConcept)",
        "comment": "Element `Citation.citedArtifact.contributorship.entry.contributionType` is part of an existing definition because parent element `Citation.citedArtifact.contributorship.entry` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.entry.contributionType` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.entry.contributionType` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nThe CreDiT taxonomy provides a way to encode contribution information. The purpose of CRediT is to provide transparency in contributions to scholarly published work, to enable improved systems of attribution, credit, and accountability.",
        "requirements": "Element `Citation.citedArtifact.contributorship.entry.contributionType` is part of an existing definition because parent element `Citation.citedArtifact.contributorship.entry` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.entry.contributionType` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.entry.contributionType` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:contributionType.id",
        "path": "Extension.extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:contributionType.extension",
        "path": "Extension.extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:contributionType.url",
        "path": "Extension.extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "contributionType",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:contributionType.value[x]",
        "path": "Extension.extension.extension.extension.value[x]",
        "short": "The specific contribution",
        "definition": "This element identifies the specific nature of an individual’s contribution with respect to the cited work.",
        "comment": "The CreDiT taxonomy provides a way to encode contribution information. The purpose of CRediT is to provide transparency in contributions to scholarly published work, to enable improved systems of attribution, credit, and accountability.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "strength": "extensible",
          "valueSet": "http://hl7.org/fhir/uv/xver/ValueSet/R5-artifact-contribution-type-for-R4|0.1.0"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:role",
        "path": "Extension.extension.extension.extension",
        "sliceName": "role",
        "short": "R5: The role of the contributor (e.g. author, editor, reviewer, funder) (new)",
        "definition": "R5: `Citation.citedArtifact.contributorship.entry.role` (new:CodeableConcept)",
        "comment": "Element `Citation.citedArtifact.contributorship.entry.role` is part of an existing definition because parent element `Citation.citedArtifact.contributorship.entry` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.entry.role` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.entry.role` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.contributorship.entry.role` is part of an existing definition because parent element `Citation.citedArtifact.contributorship.entry` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.entry.role` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.entry.role` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:role.id",
        "path": "Extension.extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:role.extension",
        "path": "Extension.extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:role.url",
        "path": "Extension.extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "role",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:role.value[x]",
        "path": "Extension.extension.extension.extension.value[x]",
        "short": "The role of the contributor (e.g. author, editor, reviewer, funder)",
        "definition": "The role of the contributor (e.g. author, editor, reviewer, funder).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "strength": "extensible",
          "valueSet": "http://hl7.org/fhir/uv/xver/ValueSet/R5-contributor-role-for-R4|0.1.0"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:contributionInstance",
        "path": "Extension.extension.extension.extension",
        "sliceName": "contributionInstance",
        "short": "R5: Contributions with accounting for time or number (new)",
        "definition": "R5: `Citation.citedArtifact.contributorship.entry.contributionInstance` (new:BackboneElement)",
        "comment": "Element `Citation.citedArtifact.contributorship.entry.contributionInstance` is part of an existing definition because parent element `Citation.citedArtifact.contributorship.entry` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.entry.contributionInstance` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.entry.contributionInstance` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.contributorship.entry.contributionInstance` is part of an existing definition because parent element `Citation.citedArtifact.contributorship.entry` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.entry.contributionInstance` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.entry.contributionInstance` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:contributionInstance.id",
        "path": "Extension.extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:contributionInstance.extension",
        "path": "Extension.extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "min": 1,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:contributionInstance.extension:type",
        "path": "Extension.extension.extension.extension.extension",
        "sliceName": "type",
        "short": "R5: The specific contribution (new)",
        "definition": "R5: `Citation.citedArtifact.contributorship.entry.contributionInstance.type` (new:CodeableConcept)",
        "comment": "Element `Citation.citedArtifact.contributorship.entry.contributionInstance.type` is part of an existing definition because parent element `Citation.citedArtifact.contributorship.entry.contributionInstance` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.entry.contributionInstance.type` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.entry.contributionInstance.type` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.contributorship.entry.contributionInstance.type` is part of an existing definition because parent element `Citation.citedArtifact.contributorship.entry.contributionInstance` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.entry.contributionInstance.type` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.entry.contributionInstance.type` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:contributionInstance.extension:type.id",
        "path": "Extension.extension.extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:contributionInstance.extension:type.extension",
        "path": "Extension.extension.extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:contributionInstance.extension:type.url",
        "path": "Extension.extension.extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "type",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:contributionInstance.extension:type.value[x]",
        "path": "Extension.extension.extension.extension.extension.value[x]",
        "short": "The specific contribution",
        "definition": "The specific contribution.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "strength": "extensible",
          "valueSet": "http://hl7.org/fhir/uv/xver/ValueSet/R5-artifact-contribution-instance-type-for-R4|0.1.0"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:contributionInstance.extension:time",
        "path": "Extension.extension.extension.extension.extension",
        "sliceName": "time",
        "short": "R5: The time that the contribution was made (new)",
        "definition": "R5: `Citation.citedArtifact.contributorship.entry.contributionInstance.time` (new:dateTime)",
        "comment": "Element `Citation.citedArtifact.contributorship.entry.contributionInstance.time` is part of an existing definition because parent element `Citation.citedArtifact.contributorship.entry.contributionInstance` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.entry.contributionInstance.time` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.entry.contributionInstance.time` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.contributorship.entry.contributionInstance.time` is part of an existing definition because parent element `Citation.citedArtifact.contributorship.entry.contributionInstance` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.entry.contributionInstance.time` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.entry.contributionInstance.time` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:contributionInstance.extension:time.id",
        "path": "Extension.extension.extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:contributionInstance.extension:time.extension",
        "path": "Extension.extension.extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:contributionInstance.extension:time.url",
        "path": "Extension.extension.extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "time",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:contributionInstance.extension:time.value[x]",
        "path": "Extension.extension.extension.extension.extension.value[x]",
        "short": "The time that the contribution was made",
        "definition": "The time that the contribution was made.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:contributionInstance.url",
        "path": "Extension.extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "contributionInstance",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:contributionInstance.value[x]",
        "path": "Extension.extension.extension.extension.value[x]",
        "short": "Value of extension",
        "definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "base64Binary"
          },
          {
            "code": "boolean"
          },
          {
            "code": "canonical"
          },
          {
            "code": "code"
          },
          {
            "code": "date"
          },
          {
            "code": "dateTime"
          },
          {
            "code": "decimal"
          },
          {
            "code": "id"
          },
          {
            "code": "instant"
          },
          {
            "code": "integer"
          },
          {
            "code": "markdown"
          },
          {
            "code": "oid"
          },
          {
            "code": "positiveInt"
          },
          {
            "code": "string"
          },
          {
            "code": "time"
          },
          {
            "code": "unsignedInt"
          },
          {
            "code": "uri"
          },
          {
            "code": "url"
          },
          {
            "code": "uuid"
          },
          {
            "code": "Address"
          },
          {
            "code": "Age"
          },
          {
            "code": "Annotation"
          },
          {
            "code": "Attachment"
          },
          {
            "code": "CodeableConcept"
          },
          {
            "code": "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": "ContactDetail"
          },
          {
            "code": "Contributor"
          },
          {
            "code": "DataRequirement"
          },
          {
            "code": "Expression"
          },
          {
            "code": "ParameterDefinition"
          },
          {
            "code": "RelatedArtifact"
          },
          {
            "code": "TriggerDefinition"
          },
          {
            "code": "UsageContext"
          },
          {
            "code": "Dosage"
          },
          {
            "code": "Meta"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:correspondingContact",
        "path": "Extension.extension.extension.extension",
        "sliceName": "correspondingContact",
        "short": "R5: Whether the contributor is the corresponding contributor for the role (new)",
        "definition": "R5: `Citation.citedArtifact.contributorship.entry.correspondingContact` (new:boolean)",
        "comment": "Element `Citation.citedArtifact.contributorship.entry.correspondingContact` is part of an existing definition because parent element `Citation.citedArtifact.contributorship.entry` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.entry.correspondingContact` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.entry.correspondingContact` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nIf there are multiple authors and one serves as the corresponding author, then that one would have correspondingContact = true.",
        "requirements": "Element `Citation.citedArtifact.contributorship.entry.correspondingContact` is part of an existing definition because parent element `Citation.citedArtifact.contributorship.entry` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.entry.correspondingContact` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.entry.correspondingContact` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:correspondingContact.id",
        "path": "Extension.extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:correspondingContact.extension",
        "path": "Extension.extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:correspondingContact.url",
        "path": "Extension.extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "correspondingContact",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:correspondingContact.value[x]",
        "path": "Extension.extension.extension.extension.value[x]",
        "short": "Whether the contributor is the corresponding contributor for the role",
        "definition": "Whether the contributor is the corresponding contributor for the role.",
        "comment": "If there are multiple authors and one serves as the corresponding author, then that one would have correspondingContact = true.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:rankingOrder",
        "path": "Extension.extension.extension.extension",
        "sliceName": "rankingOrder",
        "short": "R5: Ranked order of contribution (new)",
        "definition": "R5: `Citation.citedArtifact.contributorship.entry.rankingOrder` (new:positiveInt)",
        "comment": "Element `Citation.citedArtifact.contributorship.entry.rankingOrder` is part of an existing definition because parent element `Citation.citedArtifact.contributorship.entry` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.entry.rankingOrder` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.entry.rankingOrder` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nUsed to retain order of authorship as structured data",
        "requirements": "Element `Citation.citedArtifact.contributorship.entry.rankingOrder` is part of an existing definition because parent element `Citation.citedArtifact.contributorship.entry` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.entry.rankingOrder` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.entry.rankingOrder` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:rankingOrder.id",
        "path": "Extension.extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:rankingOrder.extension",
        "path": "Extension.extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:rankingOrder.url",
        "path": "Extension.extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "rankingOrder",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:rankingOrder.value[x]",
        "path": "Extension.extension.extension.extension.value[x]",
        "short": "Ranked order of contribution",
        "definition": "Provides a numerical ranking to represent the degree of contributorship relative to other contributors, such as 1 for first author and 2 for second author.",
        "comment": "Used to retain order of authorship as structured data",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "positiveInt"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.url",
        "path": "Extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "entry",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "Value of extension",
        "definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "base64Binary"
          },
          {
            "code": "boolean"
          },
          {
            "code": "canonical"
          },
          {
            "code": "code"
          },
          {
            "code": "date"
          },
          {
            "code": "dateTime"
          },
          {
            "code": "decimal"
          },
          {
            "code": "id"
          },
          {
            "code": "instant"
          },
          {
            "code": "integer"
          },
          {
            "code": "markdown"
          },
          {
            "code": "oid"
          },
          {
            "code": "positiveInt"
          },
          {
            "code": "string"
          },
          {
            "code": "time"
          },
          {
            "code": "unsignedInt"
          },
          {
            "code": "uri"
          },
          {
            "code": "url"
          },
          {
            "code": "uuid"
          },
          {
            "code": "Address"
          },
          {
            "code": "Age"
          },
          {
            "code": "Annotation"
          },
          {
            "code": "Attachment"
          },
          {
            "code": "CodeableConcept"
          },
          {
            "code": "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": "ContactDetail"
          },
          {
            "code": "Contributor"
          },
          {
            "code": "DataRequirement"
          },
          {
            "code": "Expression"
          },
          {
            "code": "ParameterDefinition"
          },
          {
            "code": "RelatedArtifact"
          },
          {
            "code": "TriggerDefinition"
          },
          {
            "code": "UsageContext"
          },
          {
            "code": "Dosage"
          },
          {
            "code": "Meta"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:summary",
        "path": "Extension.extension.extension",
        "sliceName": "summary",
        "short": "R5: Used to record a display of the author/contributor list without separate data element for each list member (new)",
        "definition": "R5: `Citation.citedArtifact.contributorship.summary` (new:BackboneElement)",
        "comment": "Element `Citation.citedArtifact.contributorship.summary` is part of an existing definition because parent element `Citation.citedArtifact.contributorship` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.summary` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.summary` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.contributorship.summary` is part of an existing definition because parent element `Citation.citedArtifact.contributorship` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.summary` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.summary` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:contributorship.extension:summary.id",
        "path": "Extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:summary.extension",
        "path": "Extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "min": 1,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:contributorship.extension:summary.extension:type",
        "path": "Extension.extension.extension.extension",
        "sliceName": "type",
        "short": "R5: Such as author list, contributorship statement, funding statement, acknowledgements statement, or conflicts of interest statement (new)",
        "definition": "R5: `Citation.citedArtifact.contributorship.summary.type` (new:CodeableConcept)",
        "comment": "Element `Citation.citedArtifact.contributorship.summary.type` is part of an existing definition because parent element `Citation.citedArtifact.contributorship.summary` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.summary.type` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.summary.type` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.contributorship.summary.type` is part of an existing definition because parent element `Citation.citedArtifact.contributorship.summary` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.summary.type` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.summary.type` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:contributorship.extension:summary.extension:type.id",
        "path": "Extension.extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:summary.extension:type.extension",
        "path": "Extension.extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:summary.extension:type.url",
        "path": "Extension.extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "type",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:summary.extension:type.value[x]",
        "path": "Extension.extension.extension.extension.value[x]",
        "short": "Such as author list, contributorship statement, funding statement, acknowledgements statement, or conflicts of interest statement",
        "definition": "Used most commonly to express an author list or a contributorship statement.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "strength": "extensible",
          "valueSet": "http://hl7.org/fhir/uv/xver/ValueSet/R5-contributor-summary-type-for-R4|0.1.0"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:summary.extension:style",
        "path": "Extension.extension.extension.extension",
        "sliceName": "style",
        "short": "R5: The format for the display string (new)",
        "definition": "R5: `Citation.citedArtifact.contributorship.summary.style` (new:CodeableConcept)",
        "comment": "Element `Citation.citedArtifact.contributorship.summary.style` is part of an existing definition because parent element `Citation.citedArtifact.contributorship.summary` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.summary.style` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.summary.style` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.contributorship.summary.style` is part of an existing definition because parent element `Citation.citedArtifact.contributorship.summary` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.summary.style` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.summary.style` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:contributorship.extension:summary.extension:style.id",
        "path": "Extension.extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:summary.extension:style.extension",
        "path": "Extension.extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:summary.extension:style.url",
        "path": "Extension.extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "style",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:summary.extension:style.value[x]",
        "path": "Extension.extension.extension.extension.value[x]",
        "short": "The format for the display string",
        "definition": "The format for the display string, such as author last name with first letter capitalized followed by forename initials.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "strength": "extensible",
          "valueSet": "http://hl7.org/fhir/uv/xver/ValueSet/R5-contributor-summary-style-for-R4|0.1.0"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:summary.extension:source",
        "path": "Extension.extension.extension.extension",
        "sliceName": "source",
        "short": "R5: Used to code the producer or rule for creating the display string (new)",
        "definition": "R5: `Citation.citedArtifact.contributorship.summary.source` (new:CodeableConcept)",
        "comment": "Element `Citation.citedArtifact.contributorship.summary.source` is part of an existing definition because parent element `Citation.citedArtifact.contributorship.summary` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.summary.source` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.summary.source` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.contributorship.summary.source` is part of an existing definition because parent element `Citation.citedArtifact.contributorship.summary` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.summary.source` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.summary.source` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:contributorship.extension:summary.extension:source.id",
        "path": "Extension.extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:summary.extension:source.extension",
        "path": "Extension.extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:summary.extension:source.url",
        "path": "Extension.extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "source",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:summary.extension:source.value[x]",
        "path": "Extension.extension.extension.extension.value[x]",
        "short": "Used to code the producer or rule for creating the display string",
        "definition": "Used to code the producer or rule for creating the display string.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "strength": "extensible",
          "valueSet": "http://hl7.org/fhir/uv/xver/ValueSet/R5-contributor-summary-source-for-R4|0.1.0"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:summary.extension:value",
        "path": "Extension.extension.extension.extension",
        "sliceName": "value",
        "short": "R5: The display string for the author list, contributor list, or contributorship statement (new)",
        "definition": "R5: `Citation.citedArtifact.contributorship.summary.value` (new:markdown)",
        "comment": "Element `Citation.citedArtifact.contributorship.summary.value` is part of an existing definition because parent element `Citation.citedArtifact.contributorship.summary` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.summary.value` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.summary.value` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.contributorship.summary.value` is part of an existing definition because parent element `Citation.citedArtifact.contributorship.summary` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.summary.value` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.summary.value` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:contributorship.extension:summary.extension:value.id",
        "path": "Extension.extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:summary.extension:value.extension",
        "path": "Extension.extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:summary.extension:value.url",
        "path": "Extension.extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "value",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:summary.extension:value.value[x]",
        "path": "Extension.extension.extension.extension.value[x]",
        "short": "The display string for the author list, contributor list, or contributorship statement",
        "definition": "The display string for the author list, contributor list, or contributorship statement.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "markdown"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:summary.url",
        "path": "Extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "summary",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:summary.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "Value of extension",
        "definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "base64Binary"
          },
          {
            "code": "boolean"
          },
          {
            "code": "canonical"
          },
          {
            "code": "code"
          },
          {
            "code": "date"
          },
          {
            "code": "dateTime"
          },
          {
            "code": "decimal"
          },
          {
            "code": "id"
          },
          {
            "code": "instant"
          },
          {
            "code": "integer"
          },
          {
            "code": "markdown"
          },
          {
            "code": "oid"
          },
          {
            "code": "positiveInt"
          },
          {
            "code": "string"
          },
          {
            "code": "time"
          },
          {
            "code": "unsignedInt"
          },
          {
            "code": "uri"
          },
          {
            "code": "url"
          },
          {
            "code": "uuid"
          },
          {
            "code": "Address"
          },
          {
            "code": "Age"
          },
          {
            "code": "Annotation"
          },
          {
            "code": "Attachment"
          },
          {
            "code": "CodeableConcept"
          },
          {
            "code": "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": "ContactDetail"
          },
          {
            "code": "Contributor"
          },
          {
            "code": "DataRequirement"
          },
          {
            "code": "Expression"
          },
          {
            "code": "ParameterDefinition"
          },
          {
            "code": "RelatedArtifact"
          },
          {
            "code": "TriggerDefinition"
          },
          {
            "code": "UsageContext"
          },
          {
            "code": "Dosage"
          },
          {
            "code": "Meta"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.url",
        "path": "Extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "contributorship",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "Value of extension",
        "definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "base64Binary"
          },
          {
            "code": "boolean"
          },
          {
            "code": "canonical"
          },
          {
            "code": "code"
          },
          {
            "code": "date"
          },
          {
            "code": "dateTime"
          },
          {
            "code": "decimal"
          },
          {
            "code": "id"
          },
          {
            "code": "instant"
          },
          {
            "code": "integer"
          },
          {
            "code": "markdown"
          },
          {
            "code": "oid"
          },
          {
            "code": "positiveInt"
          },
          {
            "code": "string"
          },
          {
            "code": "time"
          },
          {
            "code": "unsignedInt"
          },
          {
            "code": "uri"
          },
          {
            "code": "url"
          },
          {
            "code": "uuid"
          },
          {
            "code": "Address"
          },
          {
            "code": "Age"
          },
          {
            "code": "Annotation"
          },
          {
            "code": "Attachment"
          },
          {
            "code": "CodeableConcept"
          },
          {
            "code": "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": "ContactDetail"
          },
          {
            "code": "Contributor"
          },
          {
            "code": "DataRequirement"
          },
          {
            "code": "Expression"
          },
          {
            "code": "ParameterDefinition"
          },
          {
            "code": "RelatedArtifact"
          },
          {
            "code": "TriggerDefinition"
          },
          {
            "code": "UsageContext"
          },
          {
            "code": "Dosage"
          },
          {
            "code": "Meta"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:note",
        "path": "Extension.extension",
        "sliceName": "note",
        "short": "R5: Any additional information or content for the article or artifact (new)",
        "definition": "R5: `Citation.citedArtifact.note` (new:Annotation)",
        "comment": "Element `Citation.citedArtifact.note` is part of an existing definition because parent element `Citation.citedArtifact` requires a cross-version extension.\nElement `Citation.citedArtifact.note` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.note` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.note` is part of an existing definition because parent element `Citation.citedArtifact` requires a cross-version extension.\nElement `Citation.citedArtifact.note` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.note` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:note.id",
        "path": "Extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:note.extension",
        "path": "Extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:note.url",
        "path": "Extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "note",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:note.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "Any additional information or content for the article or artifact",
        "definition": "Any additional information or content for the article or artifact.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Annotation"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.url",
        "path": "Extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Citation.citedArtifact",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.value[x]",
        "path": "Extension.value[x]",
        "short": "Value of extension",
        "definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "base64Binary"
          },
          {
            "code": "boolean"
          },
          {
            "code": "canonical"
          },
          {
            "code": "code"
          },
          {
            "code": "date"
          },
          {
            "code": "dateTime"
          },
          {
            "code": "decimal"
          },
          {
            "code": "id"
          },
          {
            "code": "instant"
          },
          {
            "code": "integer"
          },
          {
            "code": "markdown"
          },
          {
            "code": "oid"
          },
          {
            "code": "positiveInt"
          },
          {
            "code": "string"
          },
          {
            "code": "time"
          },
          {
            "code": "unsignedInt"
          },
          {
            "code": "uri"
          },
          {
            "code": "url"
          },
          {
            "code": "uuid"
          },
          {
            "code": "Address"
          },
          {
            "code": "Age"
          },
          {
            "code": "Annotation"
          },
          {
            "code": "Attachment"
          },
          {
            "code": "CodeableConcept"
          },
          {
            "code": "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": "ContactDetail"
          },
          {
            "code": "Contributor"
          },
          {
            "code": "DataRequirement"
          },
          {
            "code": "Expression"
          },
          {
            "code": "ParameterDefinition"
          },
          {
            "code": "RelatedArtifact"
          },
          {
            "code": "TriggerDefinition"
          },
          {
            "code": "UsageContext"
          },
          {
            "code": "Dosage"
          },
          {
            "code": "Meta"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      }
    ]
  },
  "differential": {
    "element": [
      {
        "id": "Extension",
        "path": "Extension",
        "short": "R5: The article or artifact being described (new)",
        "definition": "R5: `Citation.citedArtifact` (new:BackboneElement)",
        "comment": "Element `Citation.citedArtifact` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "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": 0,
        "max": "*",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:identifier",
        "path": "Extension.extension",
        "sliceName": "identifier",
        "short": "R5: Unique identifier. May include DOI, PMID, PMCID, etc (new)",
        "definition": "R5: `Citation.citedArtifact.identifier` (new:Identifier)",
        "comment": "Element `Citation.citedArtifact.identifier` is part of an existing definition because parent element `Citation.citedArtifact` requires a cross-version extension.\nElement `Citation.citedArtifact.identifier` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.identifier` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nThis element will contain unique identifiers that support de-duplication of citations. Commonly used identifiers for study citations include digital object identifier (DOI), PubMed ID (PMID), and PubMed Central ID (PMCID). To maintain interoperability, the suggested identifier.system values to use for these 3 identifiers are: DOI = \"https://doi.org\" PMID = \"https://pubmed.ncbi.nlm.nih.gov\" PMCID = \"https://www.ncbi.nlm.nih.gov/pmc/\"",
        "requirements": "Allows externally provided and/or usable identifiers to be associated with the cited artifact. Element `Citation.citedArtifact.identifier` is part of an existing definition because parent element `Citation.citedArtifact` requires a cross-version extension.\nElement `Citation.citedArtifact.identifier` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.identifier` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:identifier.url",
        "path": "Extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "identifier"
      },
      {
        "id": "Extension.extension:identifier.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "Unique identifier. May include DOI, PMID, PMCID, etc",
        "definition": "A formal identifier that is used to identify the cited artifact when it is represented in other formats, or referenced in a specification, model, design or an instance.",
        "comment": "This element will contain unique identifiers that support de-duplication of citations. Commonly used identifiers for study citations include digital object identifier (DOI), PubMed ID (PMID), and PubMed Central ID (PMCID). To maintain interoperability, the suggested identifier.system values to use for these 3 identifiers are: DOI = \"https://doi.org\" PMID = \"https://pubmed.ncbi.nlm.nih.gov\" PMCID = \"https://www.ncbi.nlm.nih.gov/pmc/\"",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Identifier"
          }
        ]
      },
      {
        "id": "Extension.extension:relatedIdentifier",
        "path": "Extension.extension",
        "sliceName": "relatedIdentifier",
        "short": "R5: Identifier not unique to the cited artifact. May include trial registry identifiers (new)",
        "definition": "R5: `Citation.citedArtifact.relatedIdentifier` (new:Identifier)",
        "comment": "Element `Citation.citedArtifact.relatedIdentifier` is part of an existing definition because parent element `Citation.citedArtifact` requires a cross-version extension.\nElement `Citation.citedArtifact.relatedIdentifier` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.relatedIdentifier` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nMay include trial registry identifiers, e.g. NCT04372602 from clinicaltrials.gov. This related identifier would not be used as unique identifier for the cited artifact itself. Multiple published articles (each with their own unique identifier) may relate to the same study record in a research registry. Commonly used related identifiers for study registries include ClinicalTrials.gov identifier (NCTId) and PROSPERO identifier (used for registration of systematic reviews). To maintain interoperability, the suggested identifier.system values to use for these 2 identifiers are: ClinicalTrials.gov = \"https://clinicaltrials.gov\" PROSPERO = \"https://www.crd.york.ac.uk/prospero/\"",
        "requirements": "Allows externally provided and/or usable identifiers to be associated with this the cited artifact. Element `Citation.citedArtifact.relatedIdentifier` is part of an existing definition because parent element `Citation.citedArtifact` requires a cross-version extension.\nElement `Citation.citedArtifact.relatedIdentifier` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.relatedIdentifier` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:relatedIdentifier.url",
        "path": "Extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "relatedIdentifier"
      },
      {
        "id": "Extension.extension:relatedIdentifier.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "Identifier not unique to the cited artifact. May include trial registry identifiers",
        "definition": "A formal identifier that is used to identify things closely related to the cited artifact.",
        "comment": "May include trial registry identifiers, e.g. NCT04372602 from clinicaltrials.gov. This related identifier would not be used as unique identifier for the cited artifact itself. Multiple published articles (each with their own unique identifier) may relate to the same study record in a research registry. Commonly used related identifiers for study registries include ClinicalTrials.gov identifier (NCTId) and PROSPERO identifier (used for registration of systematic reviews). To maintain interoperability, the suggested identifier.system values to use for these 2 identifiers are: ClinicalTrials.gov = \"https://clinicaltrials.gov\" PROSPERO = \"https://www.crd.york.ac.uk/prospero/\"",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Identifier"
          }
        ]
      },
      {
        "id": "Extension.extension:dateAccessed",
        "path": "Extension.extension",
        "sliceName": "dateAccessed",
        "short": "R5: When the cited artifact was accessed (new)",
        "definition": "R5: `Citation.citedArtifact.dateAccessed` (new:dateTime)",
        "comment": "Element `Citation.citedArtifact.dateAccessed` is part of an existing definition because parent element `Citation.citedArtifact` requires a cross-version extension.\nElement `Citation.citedArtifact.dateAccessed` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.dateAccessed` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nUse this element when citing an artifact from a potentially unstable source, such as a webpage, to note the date (and time) the source was accessed.",
        "requirements": "Element `Citation.citedArtifact.dateAccessed` is part of an existing definition because parent element `Citation.citedArtifact` requires a cross-version extension.\nElement `Citation.citedArtifact.dateAccessed` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.dateAccessed` has no mapping targets in FHIR R4. 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:dateAccessed.url",
        "path": "Extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "dateAccessed"
      },
      {
        "id": "Extension.extension:dateAccessed.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "When the cited artifact was accessed",
        "definition": "When the cited artifact was accessed.",
        "comment": "Use this element when citing an artifact from a potentially unstable source, such as a webpage, to note the date (and time) the source was accessed.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          }
        ]
      },
      {
        "id": "Extension.extension:version",
        "path": "Extension.extension",
        "sliceName": "version",
        "short": "R5: The defined version of the cited artifact (new)",
        "definition": "R5: `Citation.citedArtifact.version` (new:BackboneElement)",
        "comment": "Element `Citation.citedArtifact.version` is part of an existing definition because parent element `Citation.citedArtifact` requires a cross-version extension.\nElement `Citation.citedArtifact.version` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.version` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.version` is part of an existing definition because parent element `Citation.citedArtifact` requires a cross-version extension.\nElement `Citation.citedArtifact.version` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.version` has no mapping targets in FHIR R4. 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:version.extension",
        "path": "Extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 1,
        "max": "*",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:version.extension:value",
        "path": "Extension.extension.extension",
        "sliceName": "value",
        "short": "R5: The version number or other version identifier (new)",
        "definition": "R5: `Citation.citedArtifact.version.value` (new:string)",
        "comment": "Element `Citation.citedArtifact.version.value` is part of an existing definition because parent element `Citation.citedArtifact.version` requires a cross-version extension.\nElement `Citation.citedArtifact.version.value` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.version.value` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.version.value` is part of an existing definition because parent element `Citation.citedArtifact.version` requires a cross-version extension.\nElement `Citation.citedArtifact.version.value` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.version.value` has no mapping targets in FHIR R4. 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:version.extension:value.url",
        "path": "Extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "value"
      },
      {
        "id": "Extension.extension:version.extension:value.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "The version number or other version identifier",
        "definition": "The version number or other version identifier.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:version.extension:baseCitation",
        "path": "Extension.extension.extension",
        "sliceName": "baseCitation",
        "short": "R5: Citation for the main version of the cited artifact (new)",
        "definition": "R5: `Citation.citedArtifact.version.baseCitation` (new:Reference(Citation))",
        "comment": "Element `Citation.citedArtifact.version.baseCitation` is part of an existing definition because parent element `Citation.citedArtifact.version` requires a cross-version extension.\nElement `Citation.citedArtifact.version.baseCitation` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.version.baseCitation` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nWhen referencing a baseCitation, one may inherit any data from the referenced Citation Resource and consider any data in the current Citation Resource as superceding to be version-specific.",
        "requirements": "Element `Citation.citedArtifact.version.baseCitation` is part of an existing definition because parent element `Citation.citedArtifact.version` requires a cross-version extension.\nElement `Citation.citedArtifact.version.baseCitation` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.version.baseCitation` has no mapping targets in FHIR R4. 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:version.extension:baseCitation.url",
        "path": "Extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "baseCitation"
      },
      {
        "id": "Extension.extension:version.extension:baseCitation.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "Citation for the main version of the cited artifact",
        "definition": "Citation for the main version of the cited artifact.",
        "comment": "When referencing a baseCitation, one may inherit any data from the referenced Citation Resource and consider any data in the current Citation Resource as superceding to be version-specific.",
        "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-Citation|0.1.0",
              "http://hl7.org/fhir/StructureDefinition/Basic|4.0.1"
            ]
          }
        ]
      },
      {
        "id": "Extension.extension:version.url",
        "path": "Extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "version"
      },
      {
        "id": "Extension.extension:version.value[x]",
        "path": "Extension.extension.value[x]",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Extension.extension:currentState",
        "path": "Extension.extension",
        "sliceName": "currentState",
        "short": "R5: The status of the cited artifact (new)",
        "definition": "R5: `Citation.citedArtifact.currentState` (new:CodeableConcept)",
        "comment": "Element `Citation.citedArtifact.currentState` is part of an existing definition because parent element `Citation.citedArtifact` requires a cross-version extension.\nElement `Citation.citedArtifact.currentState` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.currentState` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.currentState` is part of an existing definition because parent element `Citation.citedArtifact` requires a cross-version extension.\nElement `Citation.citedArtifact.currentState` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.currentState` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:currentState.url",
        "path": "Extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "currentState"
      },
      {
        "id": "Extension.extension:currentState.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "The status of the cited artifact",
        "definition": "The status of the cited artifact.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "extensible",
          "valueSet": "http://hl7.org/fhir/uv/xver/ValueSet/R5-cited-artifact-status-type-for-R4|0.1.0"
        }
      },
      {
        "id": "Extension.extension:statusDate",
        "path": "Extension.extension",
        "sliceName": "statusDate",
        "short": "R5: An effective date or period for a status of the cited artifact (new)",
        "definition": "R5: `Citation.citedArtifact.statusDate` (new:BackboneElement)",
        "comment": "Element `Citation.citedArtifact.statusDate` is part of an existing definition because parent element `Citation.citedArtifact` requires a cross-version extension.\nElement `Citation.citedArtifact.statusDate` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.statusDate` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.statusDate` is part of an existing definition because parent element `Citation.citedArtifact` requires a cross-version extension.\nElement `Citation.citedArtifact.statusDate` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.statusDate` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:statusDate.extension",
        "path": "Extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 2,
        "max": "*",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:statusDate.extension:activity",
        "path": "Extension.extension.extension",
        "sliceName": "activity",
        "short": "R5: Classification of the status (new)",
        "definition": "R5: `Citation.citedArtifact.statusDate.activity` (new:CodeableConcept)",
        "comment": "Element `Citation.citedArtifact.statusDate.activity` is part of an existing definition because parent element `Citation.citedArtifact.statusDate` requires a cross-version extension.\nElement `Citation.citedArtifact.statusDate.activity` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.statusDate.activity` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.statusDate.activity` is part of an existing definition because parent element `Citation.citedArtifact.statusDate` requires a cross-version extension.\nElement `Citation.citedArtifact.statusDate.activity` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.statusDate.activity` has no mapping targets in FHIR R4. 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:statusDate.extension:activity.url",
        "path": "Extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "activity"
      },
      {
        "id": "Extension.extension:statusDate.extension:activity.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "Classification of the status",
        "definition": "A definition of the status associated with a date or period.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "extensible",
          "valueSet": "http://hl7.org/fhir/uv/xver/ValueSet/R5-cited-artifact-status-type-for-R4|0.1.0"
        }
      },
      {
        "id": "Extension.extension:statusDate.extension:actual",
        "path": "Extension.extension.extension",
        "sliceName": "actual",
        "short": "R5: Either occurred or expected (new)",
        "definition": "R5: `Citation.citedArtifact.statusDate.actual` (new:boolean)",
        "comment": "Element `Citation.citedArtifact.statusDate.actual` is part of an existing definition because parent element `Citation.citedArtifact.statusDate` requires a cross-version extension.\nElement `Citation.citedArtifact.statusDate.actual` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.statusDate.actual` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.statusDate.actual` is part of an existing definition because parent element `Citation.citedArtifact.statusDate` requires a cross-version extension.\nElement `Citation.citedArtifact.statusDate.actual` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.statusDate.actual` has no mapping targets in FHIR R4. 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:statusDate.extension:actual.url",
        "path": "Extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "actual"
      },
      {
        "id": "Extension.extension:statusDate.extension:actual.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "Either occurred or expected",
        "definition": "Either occurred or expected.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ]
      },
      {
        "id": "Extension.extension:statusDate.extension:period",
        "path": "Extension.extension.extension",
        "sliceName": "period",
        "short": "R5: When the status started and/or ended (new)",
        "definition": "R5: `Citation.citedArtifact.statusDate.period` (new:Period)",
        "comment": "Element `Citation.citedArtifact.statusDate.period` is part of an existing definition because parent element `Citation.citedArtifact.statusDate` requires a cross-version extension.\nElement `Citation.citedArtifact.statusDate.period` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.statusDate.period` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nFor an instance, place the same value in both start and end elements.",
        "requirements": "Element `Citation.citedArtifact.statusDate.period` is part of an existing definition because parent element `Citation.citedArtifact.statusDate` requires a cross-version extension.\nElement `Citation.citedArtifact.statusDate.period` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.statusDate.period` has no mapping targets in FHIR R4. 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:statusDate.extension:period.url",
        "path": "Extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "period"
      },
      {
        "id": "Extension.extension:statusDate.extension:period.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "When the status started and/or ended",
        "definition": "When the status started and/or ended.",
        "comment": "For an instance, place the same value in both start and end elements.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Period"
          }
        ]
      },
      {
        "id": "Extension.extension:statusDate.url",
        "path": "Extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "statusDate"
      },
      {
        "id": "Extension.extension:statusDate.value[x]",
        "path": "Extension.extension.value[x]",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Extension.extension:title",
        "path": "Extension.extension",
        "sliceName": "title",
        "short": "R5: The title details of the article or artifact (new)",
        "definition": "R5: `Citation.citedArtifact.title` (new:BackboneElement)",
        "comment": "Element `Citation.citedArtifact.title` is part of an existing definition because parent element `Citation.citedArtifact` requires a cross-version extension.\nElement `Citation.citedArtifact.title` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.title` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.title` is part of an existing definition because parent element `Citation.citedArtifact` requires a cross-version extension.\nElement `Citation.citedArtifact.title` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.title` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:title.extension",
        "path": "Extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 1,
        "max": "*",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:title.extension:type",
        "path": "Extension.extension.extension",
        "sliceName": "type",
        "short": "R5: The kind of title (new)",
        "definition": "R5: `Citation.citedArtifact.title.type` (new:CodeableConcept)",
        "comment": "Element `Citation.citedArtifact.title.type` is part of an existing definition because parent element `Citation.citedArtifact.title` requires a cross-version extension.\nElement `Citation.citedArtifact.title.type` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.title.type` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.title.type` is part of an existing definition because parent element `Citation.citedArtifact.title` requires a cross-version extension.\nElement `Citation.citedArtifact.title.type` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.title.type` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:title.extension:type.url",
        "path": "Extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "type"
      },
      {
        "id": "Extension.extension:title.extension:type.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "The kind of title",
        "definition": "Used to express the reason for or classification of the title.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "extensible",
          "valueSet": "http://hl7.org/fhir/uv/xver/ValueSet/R5-title-type-for-R4|0.1.0"
        }
      },
      {
        "id": "Extension.extension:title.extension:language",
        "path": "Extension.extension.extension",
        "sliceName": "language",
        "short": "R5: Used to express the specific language (new)",
        "definition": "R5: `Citation.citedArtifact.title.language` (new:CodeableConcept)",
        "comment": "Element `Citation.citedArtifact.title.language` is part of an existing definition because parent element `Citation.citedArtifact.title` requires a cross-version extension.\nElement `Citation.citedArtifact.title.language` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.title.language` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.title.language` is part of an existing definition because parent element `Citation.citedArtifact.title` requires a cross-version extension.\nElement `Citation.citedArtifact.title.language` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.title.language` has no mapping targets in FHIR R4. 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:title.extension:language.url",
        "path": "Extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "language"
      },
      {
        "id": "Extension.extension:title.extension:language.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "Used to express the specific language",
        "definition": "Used to express the specific language of the title.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "preferred",
          "description": "A human language.",
          "valueSet": "http://hl7.org/fhir/uv/xver/ValueSet/R5-languages-for-R4|0.1.0"
        }
      },
      {
        "id": "Extension.extension:title.extension:text",
        "path": "Extension.extension.extension",
        "sliceName": "text",
        "short": "R5: The title of the article or artifact (new)",
        "definition": "R5: `Citation.citedArtifact.title.text` (new:markdown)",
        "comment": "Element `Citation.citedArtifact.title.text` is part of an existing definition because parent element `Citation.citedArtifact.title` requires a cross-version extension.\nElement `Citation.citedArtifact.title.text` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.title.text` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.title.text` is part of an existing definition because parent element `Citation.citedArtifact.title` requires a cross-version extension.\nElement `Citation.citedArtifact.title.text` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.title.text` has no mapping targets in FHIR R4. 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:title.extension:text.url",
        "path": "Extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "text"
      },
      {
        "id": "Extension.extension:title.extension:text.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "The title of the article or artifact",
        "definition": "The title of the article or artifact.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "markdown"
          }
        ]
      },
      {
        "id": "Extension.extension:title.url",
        "path": "Extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "title"
      },
      {
        "id": "Extension.extension:title.value[x]",
        "path": "Extension.extension.value[x]",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Extension.extension:abstract",
        "path": "Extension.extension",
        "sliceName": "abstract",
        "short": "R5: Summary of the article or artifact (new)",
        "definition": "R5: `Citation.citedArtifact.abstract` (new:BackboneElement)",
        "comment": "Element `Citation.citedArtifact.abstract` is part of an existing definition because parent element `Citation.citedArtifact` requires a cross-version extension.\nElement `Citation.citedArtifact.abstract` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.abstract` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.abstract` is part of an existing definition because parent element `Citation.citedArtifact` requires a cross-version extension.\nElement `Citation.citedArtifact.abstract` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.abstract` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:abstract.extension",
        "path": "Extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 1,
        "max": "*",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:abstract.extension:type",
        "path": "Extension.extension.extension",
        "sliceName": "type",
        "short": "R5: The kind of abstract (new)",
        "definition": "R5: `Citation.citedArtifact.abstract.type` (new:CodeableConcept)",
        "comment": "Element `Citation.citedArtifact.abstract.type` is part of an existing definition because parent element `Citation.citedArtifact.abstract` requires a cross-version extension.\nElement `Citation.citedArtifact.abstract.type` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.abstract.type` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.abstract.type` is part of an existing definition because parent element `Citation.citedArtifact.abstract` requires a cross-version extension.\nElement `Citation.citedArtifact.abstract.type` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.abstract.type` has no mapping targets in FHIR R4. 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:abstract.extension:type.url",
        "path": "Extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "type"
      },
      {
        "id": "Extension.extension:abstract.extension:type.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "The kind of abstract",
        "definition": "Used to express the reason for or classification of the abstract.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "extensible",
          "valueSet": "http://hl7.org/fhir/uv/xver/ValueSet/R5-cited-artifact-abstract-type-for-R4|0.1.0"
        }
      },
      {
        "id": "Extension.extension:abstract.extension:language",
        "path": "Extension.extension.extension",
        "sliceName": "language",
        "short": "R5: Used to express the specific language (new)",
        "definition": "R5: `Citation.citedArtifact.abstract.language` (new:CodeableConcept)",
        "comment": "Element `Citation.citedArtifact.abstract.language` is part of an existing definition because parent element `Citation.citedArtifact.abstract` requires a cross-version extension.\nElement `Citation.citedArtifact.abstract.language` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.abstract.language` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.abstract.language` is part of an existing definition because parent element `Citation.citedArtifact.abstract` requires a cross-version extension.\nElement `Citation.citedArtifact.abstract.language` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.abstract.language` has no mapping targets in FHIR R4. 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:abstract.extension:language.url",
        "path": "Extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "language"
      },
      {
        "id": "Extension.extension:abstract.extension:language.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "Used to express the specific language",
        "definition": "Used to express the specific language of the abstract.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "preferred",
          "description": "A human language.",
          "valueSet": "http://hl7.org/fhir/uv/xver/ValueSet/R5-languages-for-R4|0.1.0"
        }
      },
      {
        "id": "Extension.extension:abstract.extension:text",
        "path": "Extension.extension.extension",
        "sliceName": "text",
        "short": "R5: Abstract content (new)",
        "definition": "R5: `Citation.citedArtifact.abstract.text` (new:markdown)",
        "comment": "Element `Citation.citedArtifact.abstract.text` is part of an existing definition because parent element `Citation.citedArtifact.abstract` requires a cross-version extension.\nElement `Citation.citedArtifact.abstract.text` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.abstract.text` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.abstract.text` is part of an existing definition because parent element `Citation.citedArtifact.abstract` requires a cross-version extension.\nElement `Citation.citedArtifact.abstract.text` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.abstract.text` has no mapping targets in FHIR R4. 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:abstract.extension:text.url",
        "path": "Extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "text"
      },
      {
        "id": "Extension.extension:abstract.extension:text.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "Abstract content",
        "definition": "Abstract content.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "markdown"
          }
        ]
      },
      {
        "id": "Extension.extension:abstract.extension:copyright",
        "path": "Extension.extension.extension",
        "sliceName": "copyright",
        "short": "R5: Copyright notice for the abstract (new)",
        "definition": "R5: `Citation.citedArtifact.abstract.copyright` (new:markdown)",
        "comment": "Element `Citation.citedArtifact.abstract.copyright` is part of an existing definition because parent element `Citation.citedArtifact.abstract` requires a cross-version extension.\nElement `Citation.citedArtifact.abstract.copyright` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.abstract.copyright` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nThere is also a copyright element in the publicationForm element, so this copyright element is intended for copyright of the abstract.",
        "requirements": "Element `Citation.citedArtifact.abstract.copyright` is part of an existing definition because parent element `Citation.citedArtifact.abstract` requires a cross-version extension.\nElement `Citation.citedArtifact.abstract.copyright` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.abstract.copyright` has no mapping targets in FHIR R4. 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:abstract.extension:copyright.url",
        "path": "Extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "copyright"
      },
      {
        "id": "Extension.extension:abstract.extension:copyright.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "Copyright notice for the abstract",
        "definition": "Copyright notice for the abstract.",
        "comment": "There is also a copyright element in the publicationForm element, so this copyright element is intended for copyright of the abstract.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "markdown"
          }
        ]
      },
      {
        "id": "Extension.extension:abstract.url",
        "path": "Extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "abstract"
      },
      {
        "id": "Extension.extension:abstract.value[x]",
        "path": "Extension.extension.value[x]",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Extension.extension:part",
        "path": "Extension.extension",
        "sliceName": "part",
        "short": "R5: The component of the article or artifact (new)",
        "definition": "R5: `Citation.citedArtifact.part` (new:BackboneElement)",
        "comment": "Element `Citation.citedArtifact.part` is part of an existing definition because parent element `Citation.citedArtifact` requires a cross-version extension.\nElement `Citation.citedArtifact.part` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.part` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.part` is part of an existing definition because parent element `Citation.citedArtifact` requires a cross-version extension.\nElement `Citation.citedArtifact.part` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.part` has no mapping targets in FHIR R4. 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:part.extension",
        "path": "Extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 0,
        "max": "*",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:part.extension:type",
        "path": "Extension.extension.extension",
        "sliceName": "type",
        "short": "R5: The kind of component (new)",
        "definition": "R5: `Citation.citedArtifact.part.type` (new:CodeableConcept)",
        "comment": "Element `Citation.citedArtifact.part.type` is part of an existing definition because parent element `Citation.citedArtifact.part` requires a cross-version extension.\nElement `Citation.citedArtifact.part.type` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.part.type` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.part.type` is part of an existing definition because parent element `Citation.citedArtifact.part` requires a cross-version extension.\nElement `Citation.citedArtifact.part.type` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.part.type` has no mapping targets in FHIR R4. 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:part.extension:type.url",
        "path": "Extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "type"
      },
      {
        "id": "Extension.extension:part.extension:type.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "The kind of component",
        "definition": "The kind of component.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "extensible",
          "valueSet": "http://hl7.org/fhir/uv/xver/ValueSet/R5-cited-artifact-part-type-for-R4|0.1.0"
        }
      },
      {
        "id": "Extension.extension:part.extension:value",
        "path": "Extension.extension.extension",
        "sliceName": "value",
        "short": "R5: The specification of the component (new)",
        "definition": "R5: `Citation.citedArtifact.part.value` (new:string)",
        "comment": "Element `Citation.citedArtifact.part.value` is part of an existing definition because parent element `Citation.citedArtifact.part` requires a cross-version extension.\nElement `Citation.citedArtifact.part.value` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.part.value` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.part.value` is part of an existing definition because parent element `Citation.citedArtifact.part` requires a cross-version extension.\nElement `Citation.citedArtifact.part.value` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.part.value` has no mapping targets in FHIR R4. 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:part.extension:value.url",
        "path": "Extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "value"
      },
      {
        "id": "Extension.extension:part.extension:value.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "The specification of the component",
        "definition": "The specification of the component.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:part.extension:baseCitation",
        "path": "Extension.extension.extension",
        "sliceName": "baseCitation",
        "short": "R5: The citation for the full article or artifact (new)",
        "definition": "R5: `Citation.citedArtifact.part.baseCitation` (new:Reference(Citation))",
        "comment": "Element `Citation.citedArtifact.part.baseCitation` is part of an existing definition because parent element `Citation.citedArtifact.part` requires a cross-version extension.\nElement `Citation.citedArtifact.part.baseCitation` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.part.baseCitation` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nWhen referencing a baseCitation, one may inherit any data from the referenced Citation Resource and consider any data in the current Citation Resource as superceding to be specific to the citation of the specified part. For example, the part-specific Citation may have additional contributorship data that supercedes the contributorship data for the full citation when there is a need to uniquely report the contributorship for an image or supplement associated with the fuller citation record.",
        "requirements": "Element `Citation.citedArtifact.part.baseCitation` is part of an existing definition because parent element `Citation.citedArtifact.part` requires a cross-version extension.\nElement `Citation.citedArtifact.part.baseCitation` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.part.baseCitation` has no mapping targets in FHIR R4. 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:part.extension:baseCitation.url",
        "path": "Extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "baseCitation"
      },
      {
        "id": "Extension.extension:part.extension:baseCitation.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "The citation for the full article or artifact",
        "definition": "The citation for the full article or artifact.",
        "comment": "When referencing a baseCitation, one may inherit any data from the referenced Citation Resource and consider any data in the current Citation Resource as superceding to be specific to the citation of the specified part. For example, the part-specific Citation may have additional contributorship data that supercedes the contributorship data for the full citation when there is a need to uniquely report the contributorship for an image or supplement associated with the fuller citation record.",
        "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-Citation|0.1.0",
              "http://hl7.org/fhir/StructureDefinition/Basic|4.0.1"
            ]
          }
        ]
      },
      {
        "id": "Extension.extension:part.url",
        "path": "Extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "part"
      },
      {
        "id": "Extension.extension:part.value[x]",
        "path": "Extension.extension.value[x]",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Extension.extension:relatesTo",
        "path": "Extension.extension",
        "sliceName": "relatesTo",
        "short": "R5: The artifact related to the cited artifact (new)",
        "definition": "R5: `Citation.citedArtifact.relatesTo` (new:BackboneElement)",
        "comment": "Element `Citation.citedArtifact.relatesTo` is part of an existing definition because parent element `Citation.citedArtifact` requires a cross-version extension.\nElement `Citation.citedArtifact.relatesTo` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.relatesTo` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nThe citedArtifact.relatesTo element uses a BackboneElement instead of the RelatedArtifact Datatype to enable use of an extended value set for the required code for the type of relationship.",
        "requirements": "Element `Citation.citedArtifact.relatesTo` is part of an existing definition because parent element `Citation.citedArtifact` requires a cross-version extension.\nElement `Citation.citedArtifact.relatesTo` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.relatesTo` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:relatesTo.extension",
        "path": "Extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 1,
        "max": "*",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:relatesTo.extension:type",
        "path": "Extension.extension.extension",
        "sliceName": "type",
        "short": "R5: documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | documents | specification-of | created-with | cite-as | reprint | reprint-of (new)",
        "definition": "R5: `Citation.citedArtifact.relatesTo.type` (new:code)",
        "comment": "Element `Citation.citedArtifact.relatesTo.type` is part of an existing definition because parent element `Citation.citedArtifact.relatesTo` requires a cross-version extension.\nElement `Citation.citedArtifact.relatesTo.type` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.relatesTo.type` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.relatesTo.type` is part of an existing definition because parent element `Citation.citedArtifact.relatesTo` requires a cross-version extension.\nElement `Citation.citedArtifact.relatesTo.type` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.relatesTo.type` has no mapping targets in FHIR R4. 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:relatesTo.extension:type.url",
        "path": "Extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "type"
      },
      {
        "id": "Extension.extension:relatesTo.extension:type.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | documents | specification-of | created-with | cite-as | reprint | reprint-of",
        "definition": "The type of relationship to the related artifact.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "http://hl7.org/fhir/uv/xver/ValueSet/R5-related-artifact-type-all-for-R4|0.1.0"
        }
      },
      {
        "id": "Extension.extension:relatesTo.extension:classifier",
        "path": "Extension.extension.extension",
        "sliceName": "classifier",
        "short": "R5: Additional classifiers (new)",
        "definition": "R5: `Citation.citedArtifact.relatesTo.classifier` (new:CodeableConcept)",
        "comment": "Element `Citation.citedArtifact.relatesTo.classifier` is part of an existing definition because parent element `Citation.citedArtifact.relatesTo` requires a cross-version extension.\nElement `Citation.citedArtifact.relatesTo.classifier` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.relatesTo.classifier` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.relatesTo.classifier` is part of an existing definition because parent element `Citation.citedArtifact.relatesTo` requires a cross-version extension.\nElement `Citation.citedArtifact.relatesTo.classifier` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.relatesTo.classifier` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:relatesTo.extension:classifier.url",
        "path": "Extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "classifier"
      },
      {
        "id": "Extension.extension:relatesTo.extension:classifier.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "Additional classifiers",
        "definition": "Provides additional classifiers of the related artifact.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "extensible",
          "valueSet": "http://hl7.org/fhir/uv/xver/ValueSet/R5-citation-artifact-classifier-for-R4|0.1.0"
        }
      },
      {
        "id": "Extension.extension:relatesTo.extension:label",
        "path": "Extension.extension.extension",
        "sliceName": "label",
        "short": "R5: Short label (new)",
        "definition": "R5: `Citation.citedArtifact.relatesTo.label` (new:string)",
        "comment": "Element `Citation.citedArtifact.relatesTo.label` is part of an existing definition because parent element `Citation.citedArtifact.relatesTo` requires a cross-version extension.\nElement `Citation.citedArtifact.relatesTo.label` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.relatesTo.label` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nThough not commonly used in citation records, this could be used for referencing other articles in the abstract or explanatory notes.",
        "requirements": "Element `Citation.citedArtifact.relatesTo.label` is part of an existing definition because parent element `Citation.citedArtifact.relatesTo` requires a cross-version extension.\nElement `Citation.citedArtifact.relatesTo.label` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.relatesTo.label` has no mapping targets in FHIR R4. 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:relatesTo.extension:label.url",
        "path": "Extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "label"
      },
      {
        "id": "Extension.extension:relatesTo.extension:label.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "Short label",
        "definition": "A short label that can be used to reference the related artifact from elsewhere in the containing artifact, such as a footnote index.",
        "comment": "Though not commonly used in citation records, this could be used for referencing other articles in the abstract or explanatory notes.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:relatesTo.extension:display",
        "path": "Extension.extension.extension",
        "sliceName": "display",
        "short": "R5: Brief description of the related artifact (new)",
        "definition": "R5: `Citation.citedArtifact.relatesTo.display` (new:string)",
        "comment": "Element `Citation.citedArtifact.relatesTo.display` is part of an existing definition because parent element `Citation.citedArtifact.relatesTo` requires a cross-version extension.\nElement `Citation.citedArtifact.relatesTo.display` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.relatesTo.display` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.relatesTo.display` is part of an existing definition because parent element `Citation.citedArtifact.relatesTo` requires a cross-version extension.\nElement `Citation.citedArtifact.relatesTo.display` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.relatesTo.display` has no mapping targets in FHIR R4. 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:relatesTo.extension:display.url",
        "path": "Extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "display"
      },
      {
        "id": "Extension.extension:relatesTo.extension:display.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "Brief description of the related artifact",
        "definition": "A brief description of the document or knowledge resource being referenced, suitable for display to a consumer.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:relatesTo.extension:citation",
        "path": "Extension.extension.extension",
        "sliceName": "citation",
        "short": "R5: Bibliographic citation for the artifact (new)",
        "definition": "R5: `Citation.citedArtifact.relatesTo.citation` (new:markdown)",
        "comment": "Element `Citation.citedArtifact.relatesTo.citation` is part of an existing definition because parent element `Citation.citedArtifact.relatesTo` requires a cross-version extension.\nElement `Citation.citedArtifact.relatesTo.citation` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.relatesTo.citation` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.relatesTo.citation` is part of an existing definition because parent element `Citation.citedArtifact.relatesTo` requires a cross-version extension.\nElement `Citation.citedArtifact.relatesTo.citation` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.relatesTo.citation` has no mapping targets in FHIR R4. 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:relatesTo.extension:citation.url",
        "path": "Extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "citation"
      },
      {
        "id": "Extension.extension:relatesTo.extension:citation.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "Bibliographic citation for the artifact",
        "definition": "A bibliographic citation for the related artifact. This text SHOULD be formatted according to an accepted citation format.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "markdown"
          }
        ]
      },
      {
        "id": "Extension.extension:relatesTo.extension:document",
        "path": "Extension.extension.extension",
        "sliceName": "document",
        "short": "R5: What document is being referenced (new)",
        "definition": "R5: `Citation.citedArtifact.relatesTo.document` (new:Attachment)",
        "comment": "Element `Citation.citedArtifact.relatesTo.document` is part of an existing definition because parent element `Citation.citedArtifact.relatesTo` requires a cross-version extension.\nElement `Citation.citedArtifact.relatesTo.document` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.relatesTo.document` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nTo refer to related artifacts by URL, the FHIR Attachment Datatype includes a url element, so the path would be Citation.citedArtifact.relatesTo.document.url",
        "requirements": "Element `Citation.citedArtifact.relatesTo.document` is part of an existing definition because parent element `Citation.citedArtifact.relatesTo` requires a cross-version extension.\nElement `Citation.citedArtifact.relatesTo.document` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.relatesTo.document` has no mapping targets in FHIR R4. 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:relatesTo.extension:document.url",
        "path": "Extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "document"
      },
      {
        "id": "Extension.extension:relatesTo.extension:document.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "What document is being referenced",
        "definition": "The document being referenced, represented as an attachment. Do not use this element if using the resource element to provide the canonical to the related artifact.",
        "comment": "To refer to related artifacts by URL, the FHIR Attachment Datatype includes a url element, so the path would be Citation.citedArtifact.relatesTo.document.url",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Attachment"
          }
        ]
      },
      {
        "id": "Extension.extension:relatesTo.extension:resource",
        "path": "Extension.extension.extension",
        "sliceName": "resource",
        "short": "R5: What artifact is being referenced (new)",
        "definition": "R5: `Citation.citedArtifact.relatesTo.resource` (new:canonical)",
        "comment": "Element `Citation.citedArtifact.relatesTo.resource` is part of an existing definition because parent element `Citation.citedArtifact.relatesTo` requires a cross-version extension.\nElement `Citation.citedArtifact.relatesTo.resource` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.relatesTo.resource` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nIf the type is predecessor, this is a reference to the succeeding knowledge resource. If the type is successor, this is a reference to the prior knowledge resource",
        "requirements": "Element `Citation.citedArtifact.relatesTo.resource` is part of an existing definition because parent element `Citation.citedArtifact.relatesTo` requires a cross-version extension.\nElement `Citation.citedArtifact.relatesTo.resource` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.relatesTo.resource` has no mapping targets in FHIR R4. 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:relatesTo.extension:resource.url",
        "path": "Extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "resource"
      },
      {
        "id": "Extension.extension:relatesTo.extension:resource.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "What artifact is being referenced",
        "definition": "The related artifact, such as a library, value set, profile, or other knowledge resource.",
        "comment": "If the type is predecessor, this is a reference to the succeeding knowledge resource. If the type is successor, this is a reference to the prior knowledge resource",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "canonical"
          }
        ]
      },
      {
        "id": "Extension.extension:relatesTo.extension:resourceReference",
        "path": "Extension.extension.extension",
        "sliceName": "resourceReference",
        "short": "R5: What artifact, if not a conformance resource (new)",
        "definition": "R5: `Citation.citedArtifact.relatesTo.resourceReference` (new:Reference)",
        "comment": "Element `Citation.citedArtifact.relatesTo.resourceReference` is part of an existing definition because parent element `Citation.citedArtifact.relatesTo` requires a cross-version extension.\nElement `Citation.citedArtifact.relatesTo.resourceReference` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.relatesTo.resourceReference` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nIf both resource and resourceReference are present, they SHOULD be consistent and reference the same resource. Although relatedArtifact is intended to support references to definitional resources, there are cases where non-definitional resources can be definitional (such as Location where the kind is mode). Related artifacts SHOULD be used to reference definitional resources, and profiles SHOULD be used to make that explicit for particular use cases.",
        "requirements": "Element `Citation.citedArtifact.relatesTo.resourceReference` is part of an existing definition because parent element `Citation.citedArtifact.relatesTo` requires a cross-version extension.\nElement `Citation.citedArtifact.relatesTo.resourceReference` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.relatesTo.resourceReference` has no mapping targets in FHIR R4. 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:relatesTo.extension:resourceReference.url",
        "path": "Extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "resourceReference"
      },
      {
        "id": "Extension.extension:relatesTo.extension:resourceReference.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "What artifact, if not a conformance resource",
        "definition": "The related artifact, if the artifact is not a canonical resource, or a resource reference to a canonical resource.",
        "comment": "If both resource and resourceReference are present, they SHOULD be consistent and reference the same resource. Although relatedArtifact is intended to support references to definitional resources, there are cases where non-definitional resources can be definitional (such as Location where the kind is mode). Related artifacts SHOULD be used to reference definitional resources, and profiles SHOULD be used to make that explicit for particular use cases.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference"
          }
        ]
      },
      {
        "id": "Extension.extension:relatesTo.url",
        "path": "Extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "relatesTo"
      },
      {
        "id": "Extension.extension:relatesTo.value[x]",
        "path": "Extension.extension.value[x]",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Extension.extension:publicationForm",
        "path": "Extension.extension",
        "sliceName": "publicationForm",
        "short": "R5: If multiple, used to represent alternative forms of the article that are not separate citations (new)",
        "definition": "R5: `Citation.citedArtifact.publicationForm` (new:BackboneElement)",
        "comment": "Element `Citation.citedArtifact.publicationForm` is part of an existing definition because parent element `Citation.citedArtifact` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nA common use is a journal article with a publication date and pagination for a print version and a different publication date for the online version of the same article.",
        "requirements": "Element `Citation.citedArtifact.publicationForm` is part of an existing definition because parent element `Citation.citedArtifact` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:publicationForm.extension",
        "path": "Extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 0,
        "max": "*",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:publicationForm.extension:publishedIn",
        "path": "Extension.extension.extension",
        "sliceName": "publishedIn",
        "short": "R5: The collection the cited article or artifact is published in (new)",
        "definition": "R5: `Citation.citedArtifact.publicationForm.publishedIn` (new:BackboneElement)",
        "comment": "Element `Citation.citedArtifact.publicationForm.publishedIn` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.publishedIn` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.publishedIn` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.publicationForm.publishedIn` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.publishedIn` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.publishedIn` has no mapping targets in FHIR R4. 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:publicationForm.extension:publishedIn.extension",
        "path": "Extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 0,
        "max": "*",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:publicationForm.extension:publishedIn.extension:type",
        "path": "Extension.extension.extension.extension",
        "sliceName": "type",
        "short": "R5: Kind of container (e.g. Periodical, database, or book) (new)",
        "definition": "R5: `Citation.citedArtifact.publicationForm.publishedIn.type` (new:CodeableConcept)",
        "comment": "Element `Citation.citedArtifact.publicationForm.publishedIn.type` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm.publishedIn` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.publishedIn.type` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.publishedIn.type` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nJournals and newspapers are coded as Periodical.",
        "requirements": "Element `Citation.citedArtifact.publicationForm.publishedIn.type` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm.publishedIn` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.publishedIn.type` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.publishedIn.type` has no mapping targets in FHIR R4. 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:publicationForm.extension:publishedIn.extension:type.url",
        "path": "Extension.extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "type"
      },
      {
        "id": "Extension.extension:publicationForm.extension:publishedIn.extension:type.value[x]",
        "path": "Extension.extension.extension.extension.value[x]",
        "short": "Kind of container (e.g. Periodical, database, or book)",
        "definition": "Kind of container (e.g. Periodical, database, or book).",
        "comment": "Journals and newspapers are coded as Periodical.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "extensible",
          "valueSet": "http://hl7.org/fhir/uv/xver/ValueSet/R5-published-in-type-for-R4|0.1.0"
        }
      },
      {
        "id": "Extension.extension:publicationForm.extension:publishedIn.extension:identifier",
        "path": "Extension.extension.extension.extension",
        "sliceName": "identifier",
        "short": "R5: Journal identifiers include ISSN, ISO Abbreviation and NLMuniqueID; Book identifiers include ISBN (new)",
        "definition": "R5: `Citation.citedArtifact.publicationForm.publishedIn.identifier` (new:Identifier)",
        "comment": "Element `Citation.citedArtifact.publicationForm.publishedIn.identifier` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm.publishedIn` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.publishedIn.identifier` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.publishedIn.identifier` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.publicationForm.publishedIn.identifier` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm.publishedIn` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.publishedIn.identifier` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.publishedIn.identifier` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:publicationForm.extension:publishedIn.extension:identifier.url",
        "path": "Extension.extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "identifier"
      },
      {
        "id": "Extension.extension:publicationForm.extension:publishedIn.extension:identifier.value[x]",
        "path": "Extension.extension.extension.extension.value[x]",
        "short": "Journal identifiers include ISSN, ISO Abbreviation and NLMuniqueID; Book identifiers include ISBN",
        "definition": "Journal identifiers include ISSN, ISO Abbreviation and NLMuniqueID; Book identifiers include ISBN.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Identifier"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:publishedIn.extension:title",
        "path": "Extension.extension.extension.extension",
        "sliceName": "title",
        "short": "R5: Name of the database or title of the book or journal (new)",
        "definition": "R5: `Citation.citedArtifact.publicationForm.publishedIn.title` (new:string)",
        "comment": "Element `Citation.citedArtifact.publicationForm.publishedIn.title` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm.publishedIn` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.publishedIn.title` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.publishedIn.title` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nClinicalTrials.gov is a name of a database.",
        "requirements": "Element `Citation.citedArtifact.publicationForm.publishedIn.title` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm.publishedIn` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.publishedIn.title` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.publishedIn.title` has no mapping targets in FHIR R4. 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:publicationForm.extension:publishedIn.extension:title.url",
        "path": "Extension.extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "title"
      },
      {
        "id": "Extension.extension:publicationForm.extension:publishedIn.extension:title.value[x]",
        "path": "Extension.extension.extension.extension.value[x]",
        "short": "Name of the database or title of the book or journal",
        "definition": "Name of the database or title of the book or journal.",
        "comment": "ClinicalTrials.gov is a name of a database.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:publishedIn.extension:publisher",
        "path": "Extension.extension.extension.extension",
        "sliceName": "publisher",
        "short": "R5: Name of or resource describing the publisher (new)",
        "definition": "R5: `Citation.citedArtifact.publicationForm.publishedIn.publisher` (new:Reference(Organization))",
        "comment": "Element `Citation.citedArtifact.publicationForm.publishedIn.publisher` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm.publishedIn` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.publishedIn.publisher` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.publishedIn.publisher` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.publicationForm.publishedIn.publisher` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm.publishedIn` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.publishedIn.publisher` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.publishedIn.publisher` has no mapping targets in FHIR R4. 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:publicationForm.extension:publishedIn.extension:publisher.url",
        "path": "Extension.extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "publisher"
      },
      {
        "id": "Extension.extension:publicationForm.extension:publishedIn.extension:publisher.value[x]",
        "path": "Extension.extension.extension.extension.value[x]",
        "short": "Name of or resource describing the publisher",
        "definition": "Name of or resource describing the publisher.",
        "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-Organization|0.1.0",
              "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"
            ]
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:publishedIn.extension:publisherLocation",
        "path": "Extension.extension.extension.extension",
        "sliceName": "publisherLocation",
        "short": "R5: Geographic location of the publisher (new)",
        "definition": "R5: `Citation.citedArtifact.publicationForm.publishedIn.publisherLocation` (new:string)",
        "comment": "Element `Citation.citedArtifact.publicationForm.publishedIn.publisherLocation` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm.publishedIn` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.publishedIn.publisherLocation` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.publishedIn.publisherLocation` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.publicationForm.publishedIn.publisherLocation` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm.publishedIn` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.publishedIn.publisherLocation` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.publishedIn.publisherLocation` has no mapping targets in FHIR R4. 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:publicationForm.extension:publishedIn.extension:publisherLocation.url",
        "path": "Extension.extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "publisherLocation"
      },
      {
        "id": "Extension.extension:publicationForm.extension:publishedIn.extension:publisherLocation.value[x]",
        "path": "Extension.extension.extension.extension.value[x]",
        "short": "Geographic location of the publisher",
        "definition": "Geographic location of the publisher.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:publishedIn.url",
        "path": "Extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "publishedIn"
      },
      {
        "id": "Extension.extension:publicationForm.extension:publishedIn.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Extension.extension:publicationForm.extension:citedMedium",
        "path": "Extension.extension.extension",
        "sliceName": "citedMedium",
        "short": "R5: Internet or Print (new)",
        "definition": "R5: `Citation.citedArtifact.publicationForm.citedMedium` (new:CodeableConcept)",
        "comment": "Element `Citation.citedArtifact.publicationForm.citedMedium` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.citedMedium` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.citedMedium` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.publicationForm.citedMedium` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.citedMedium` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.citedMedium` has no mapping targets in FHIR R4. 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:publicationForm.extension:citedMedium.url",
        "path": "Extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "citedMedium"
      },
      {
        "id": "Extension.extension:publicationForm.extension:citedMedium.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "Internet or Print",
        "definition": "Describes the form of the medium cited. Common codes are \"Internet\" or \"Print\". The CitedMedium value set has 6 codes. The codes internet, print, and offline-digital-storage are the common codes for a typical publication form, though internet and print are more common for study citations. Three additional codes (each appending one of the primary codes with \"-without-issue\" are used for situations when a study is published both within an issue (of a periodical release as commonly done for journals) AND is published separately from the issue (as commonly done with early online publication), to represent specific identification of the publication form not associated with the issue.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "extensible",
          "valueSet": "http://hl7.org/fhir/uv/xver/ValueSet/R5-cited-medium-for-R4|0.1.0"
        }
      },
      {
        "id": "Extension.extension:publicationForm.extension:volume",
        "path": "Extension.extension.extension",
        "sliceName": "volume",
        "short": "R5: Volume number of journal or other collection in which the article is published (new)",
        "definition": "R5: `Citation.citedArtifact.publicationForm.volume` (new:string)",
        "comment": "Element `Citation.citedArtifact.publicationForm.volume` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.volume` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.volume` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.publicationForm.volume` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.volume` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.volume` has no mapping targets in FHIR R4. 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:publicationForm.extension:volume.url",
        "path": "Extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "volume"
      },
      {
        "id": "Extension.extension:publicationForm.extension:volume.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "Volume number of journal or other collection in which the article is published",
        "definition": "Volume number of journal or other collection in which the article is published.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:issue",
        "path": "Extension.extension.extension",
        "sliceName": "issue",
        "short": "R5: Issue, part or supplement of journal or other collection in which the article is published (new)",
        "definition": "R5: `Citation.citedArtifact.publicationForm.issue` (new:string)",
        "comment": "Element `Citation.citedArtifact.publicationForm.issue` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.issue` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.issue` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.publicationForm.issue` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.issue` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.issue` has no mapping targets in FHIR R4. 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:publicationForm.extension:issue.url",
        "path": "Extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "issue"
      },
      {
        "id": "Extension.extension:publicationForm.extension:issue.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "Issue, part or supplement of journal or other collection in which the article is published",
        "definition": "Issue, part or supplement of journal or other collection in which the article is published.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:articleDate",
        "path": "Extension.extension.extension",
        "sliceName": "articleDate",
        "short": "R5: The date the article was added to the database, or the date the article was released (new)",
        "definition": "R5: `Citation.citedArtifact.publicationForm.articleDate` (new:dateTime)",
        "comment": "Element `Citation.citedArtifact.publicationForm.articleDate` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.articleDate` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.articleDate` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nThe articleDate is the preferred element for expressing the publication date as structured data.",
        "requirements": "Element `Citation.citedArtifact.publicationForm.articleDate` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.articleDate` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.articleDate` has no mapping targets in FHIR R4. 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:publicationForm.extension:articleDate.url",
        "path": "Extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "articleDate"
      },
      {
        "id": "Extension.extension:publicationForm.extension:articleDate.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "The date the article was added to the database, or the date the article was released",
        "definition": "The date the article was added to the database, or the date the article was released.",
        "comment": "The articleDate is the preferred element for expressing the publication date as structured data.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:publicationDateText",
        "path": "Extension.extension.extension",
        "sliceName": "publicationDateText",
        "short": "R5: Text representation of the date on which the issue of the cited artifact was published (new)",
        "definition": "R5: `Citation.citedArtifact.publicationForm.publicationDateText` (new:string)",
        "comment": "Element `Citation.citedArtifact.publicationForm.publicationDateText` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.publicationDateText` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.publicationDateText` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nThe publicationDateText element is prefererntially used when a date is not represented in a form that can be handled as structured data in other elements.",
        "requirements": "Element `Citation.citedArtifact.publicationForm.publicationDateText` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.publicationDateText` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.publicationDateText` has no mapping targets in FHIR R4. 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:publicationForm.extension:publicationDateText.url",
        "path": "Extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "publicationDateText"
      },
      {
        "id": "Extension.extension:publicationForm.extension:publicationDateText.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "Text representation of the date on which the issue of the cited artifact was published",
        "definition": "Text representation of the date on which the issue of the cited artifact was published.",
        "comment": "The publicationDateText element is prefererntially used when a date is not represented in a form that can be handled as structured data in other elements.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:publicationDateSeason",
        "path": "Extension.extension.extension",
        "sliceName": "publicationDateSeason",
        "short": "R5: Season in which the cited artifact was published (new)",
        "definition": "R5: `Citation.citedArtifact.publicationForm.publicationDateSeason` (new:string)",
        "comment": "Element `Citation.citedArtifact.publicationForm.publicationDateSeason` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.publicationDateSeason` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.publicationDateSeason` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.publicationForm.publicationDateSeason` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.publicationDateSeason` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.publicationDateSeason` has no mapping targets in FHIR R4. 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:publicationForm.extension:publicationDateSeason.url",
        "path": "Extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "publicationDateSeason"
      },
      {
        "id": "Extension.extension:publicationForm.extension:publicationDateSeason.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "Season in which the cited artifact was published",
        "definition": "Spring, Summer, Fall/Autumn, Winter.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:lastRevisionDate",
        "path": "Extension.extension.extension",
        "sliceName": "lastRevisionDate",
        "short": "R5: The date the article was last revised or updated in the database (new)",
        "definition": "R5: `Citation.citedArtifact.publicationForm.lastRevisionDate` (new:dateTime)",
        "comment": "Element `Citation.citedArtifact.publicationForm.lastRevisionDate` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.lastRevisionDate` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.lastRevisionDate` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nThe lastRevisionDate is used for the cited article and not the date the Citation Resource is last revised.",
        "requirements": "Element `Citation.citedArtifact.publicationForm.lastRevisionDate` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.lastRevisionDate` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.lastRevisionDate` has no mapping targets in FHIR R4. 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:publicationForm.extension:lastRevisionDate.url",
        "path": "Extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "lastRevisionDate"
      },
      {
        "id": "Extension.extension:publicationForm.extension:lastRevisionDate.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "The date the article was last revised or updated in the database",
        "definition": "The date the article was last revised or updated in the database.",
        "comment": "The lastRevisionDate is used for the cited article and not the date the Citation Resource is last revised.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:language",
        "path": "Extension.extension.extension",
        "sliceName": "language",
        "short": "R5: Language(s) in which this form of the article is published (new)",
        "definition": "R5: `Citation.citedArtifact.publicationForm.language` (new:CodeableConcept)",
        "comment": "Element `Citation.citedArtifact.publicationForm.language` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.language` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.language` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.publicationForm.language` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.language` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.language` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:publicationForm.extension:language.url",
        "path": "Extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "language"
      },
      {
        "id": "Extension.extension:publicationForm.extension:language.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "Language(s) in which this form of the article is published",
        "definition": "The language or languages in which this form of the article is published.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "preferred",
          "description": "A human language.",
          "valueSet": "http://hl7.org/fhir/uv/xver/ValueSet/R5-languages-for-R4|0.1.0"
        }
      },
      {
        "id": "Extension.extension:publicationForm.extension:accessionNumber",
        "path": "Extension.extension.extension",
        "sliceName": "accessionNumber",
        "short": "R5: Entry number or identifier for inclusion in a database (new)",
        "definition": "R5: `Citation.citedArtifact.publicationForm.accessionNumber` (new:string)",
        "comment": "Element `Citation.citedArtifact.publicationForm.accessionNumber` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.accessionNumber` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.accessionNumber` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nAccession numbers may be used instead of or in addition to page numbers.  Accession numbers are functionally identifiers when coupled with the identity of the database for which they are accession numbers. Accession numbers which are used for indexing citations in a dataset of citations should NOT be entered in Citation.citedArtifact.publicationForm.accessionNumber -- this use would be a type of Citation.identifier for the citation record itself.",
        "requirements": "Element `Citation.citedArtifact.publicationForm.accessionNumber` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.accessionNumber` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.accessionNumber` has no mapping targets in FHIR R4. 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:publicationForm.extension:accessionNumber.url",
        "path": "Extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "accessionNumber"
      },
      {
        "id": "Extension.extension:publicationForm.extension:accessionNumber.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "Entry number or identifier for inclusion in a database",
        "definition": "Entry number or identifier for inclusion in a database.",
        "comment": "Accession numbers may be used instead of or in addition to page numbers.  Accession numbers are functionally identifiers when coupled with the identity of the database for which they are accession numbers. Accession numbers which are used for indexing citations in a dataset of citations should NOT be entered in Citation.citedArtifact.publicationForm.accessionNumber -- this use would be a type of Citation.identifier for the citation record itself.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:pageString",
        "path": "Extension.extension.extension",
        "sliceName": "pageString",
        "short": "R5: Used for full display of pagination (new)",
        "definition": "R5: `Citation.citedArtifact.publicationForm.pageString` (new:string)",
        "comment": "Element `Citation.citedArtifact.publicationForm.pageString` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.pageString` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.pageString` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.publicationForm.pageString` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.pageString` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.pageString` has no mapping targets in FHIR R4. 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:publicationForm.extension:pageString.url",
        "path": "Extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "pageString"
      },
      {
        "id": "Extension.extension:publicationForm.extension:pageString.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "Used for full display of pagination",
        "definition": "Used for full display of pagination.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:firstPage",
        "path": "Extension.extension.extension",
        "sliceName": "firstPage",
        "short": "R5: Used for isolated representation of first page (new)",
        "definition": "R5: `Citation.citedArtifact.publicationForm.firstPage` (new:string)",
        "comment": "Element `Citation.citedArtifact.publicationForm.firstPage` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.firstPage` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.firstPage` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.publicationForm.firstPage` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.firstPage` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.firstPage` has no mapping targets in FHIR R4. 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:publicationForm.extension:firstPage.url",
        "path": "Extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "firstPage"
      },
      {
        "id": "Extension.extension:publicationForm.extension:firstPage.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "Used for isolated representation of first page",
        "definition": "Used for isolated representation of first page.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:lastPage",
        "path": "Extension.extension.extension",
        "sliceName": "lastPage",
        "short": "R5: Used for isolated representation of last page (new)",
        "definition": "R5: `Citation.citedArtifact.publicationForm.lastPage` (new:string)",
        "comment": "Element `Citation.citedArtifact.publicationForm.lastPage` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.lastPage` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.lastPage` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.publicationForm.lastPage` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.lastPage` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.lastPage` has no mapping targets in FHIR R4. 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:publicationForm.extension:lastPage.url",
        "path": "Extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "lastPage"
      },
      {
        "id": "Extension.extension:publicationForm.extension:lastPage.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "Used for isolated representation of last page",
        "definition": "Used for isolated representation of last page.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:pageCount",
        "path": "Extension.extension.extension",
        "sliceName": "pageCount",
        "short": "R5: Number of pages or screens (new)",
        "definition": "R5: `Citation.citedArtifact.publicationForm.pageCount` (new:string)",
        "comment": "Element `Citation.citedArtifact.publicationForm.pageCount` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.pageCount` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.pageCount` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.publicationForm.pageCount` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.pageCount` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.pageCount` has no mapping targets in FHIR R4. 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:publicationForm.extension:pageCount.url",
        "path": "Extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "pageCount"
      },
      {
        "id": "Extension.extension:publicationForm.extension:pageCount.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "Number of pages or screens",
        "definition": "Actual or approximate number of pages or screens. Distinct from reporting the page numbers.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.extension:copyright",
        "path": "Extension.extension.extension",
        "sliceName": "copyright",
        "short": "R5: Copyright notice for the full article or artifact (new)",
        "definition": "R5: `Citation.citedArtifact.publicationForm.copyright` (new:markdown)",
        "comment": "Element `Citation.citedArtifact.publicationForm.copyright` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.copyright` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.copyright` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nIt is possible that different publication forms have different copyright notices.",
        "requirements": "Element `Citation.citedArtifact.publicationForm.copyright` is part of an existing definition because parent element `Citation.citedArtifact.publicationForm` requires a cross-version extension.\nElement `Citation.citedArtifact.publicationForm.copyright` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.publicationForm.copyright` has no mapping targets in FHIR R4. 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:publicationForm.extension:copyright.url",
        "path": "Extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "copyright"
      },
      {
        "id": "Extension.extension:publicationForm.extension:copyright.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "Copyright notice for the full article or artifact",
        "definition": "Copyright notice for the full article or artifact.",
        "comment": "It is possible that different publication forms have different copyright notices.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "markdown"
          }
        ]
      },
      {
        "id": "Extension.extension:publicationForm.url",
        "path": "Extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "publicationForm"
      },
      {
        "id": "Extension.extension:publicationForm.value[x]",
        "path": "Extension.extension.value[x]",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Extension.extension:webLocation",
        "path": "Extension.extension",
        "sliceName": "webLocation",
        "short": "R5: Used for any URL for the article or artifact cited (new)",
        "definition": "R5: `Citation.citedArtifact.webLocation` (new:BackboneElement)",
        "comment": "Element `Citation.citedArtifact.webLocation` is part of an existing definition because parent element `Citation.citedArtifact` requires a cross-version extension.\nElement `Citation.citedArtifact.webLocation` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.webLocation` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.webLocation` is part of an existing definition because parent element `Citation.citedArtifact` requires a cross-version extension.\nElement `Citation.citedArtifact.webLocation` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.webLocation` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:webLocation.extension",
        "path": "Extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 0,
        "max": "*",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:webLocation.extension:classifier",
        "path": "Extension.extension.extension",
        "sliceName": "classifier",
        "short": "R5: Code the reason for different URLs, e.g. abstract and full-text (new)",
        "definition": "R5: `Citation.citedArtifact.webLocation.classifier` (new:CodeableConcept)",
        "comment": "Element `Citation.citedArtifact.webLocation.classifier` is part of an existing definition because parent element `Citation.citedArtifact.webLocation` requires a cross-version extension.\nElement `Citation.citedArtifact.webLocation.classifier` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.webLocation.classifier` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nCategories that may be frequently used for study citations may include abstract, full-text, supplement, webpage, and doi-based.",
        "requirements": "Element `Citation.citedArtifact.webLocation.classifier` is part of an existing definition because parent element `Citation.citedArtifact.webLocation` requires a cross-version extension.\nElement `Citation.citedArtifact.webLocation.classifier` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.webLocation.classifier` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:webLocation.extension:classifier.url",
        "path": "Extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "classifier"
      },
      {
        "id": "Extension.extension:webLocation.extension:classifier.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "Code the reason for different URLs, e.g. abstract and full-text",
        "definition": "A characterization of the object expected at the web location.",
        "comment": "Categories that may be frequently used for study citations may include abstract, full-text, supplement, webpage, and doi-based.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "extensible",
          "valueSet": "http://hl7.org/fhir/uv/xver/ValueSet/R5-artifact-url-classifier-for-R4|0.1.0"
        }
      },
      {
        "id": "Extension.extension:webLocation.extension:url",
        "path": "Extension.extension.extension",
        "sliceName": "url",
        "short": "R5: The specific URL (new)",
        "definition": "R5: `Citation.citedArtifact.webLocation.url` (new:uri)",
        "comment": "Element `Citation.citedArtifact.webLocation.url` is part of an existing definition because parent element `Citation.citedArtifact.webLocation` requires a cross-version extension.\nElement `Citation.citedArtifact.webLocation.url` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.webLocation.url` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nPersistent URLs, like doi, are preferred.",
        "requirements": "Element `Citation.citedArtifact.webLocation.url` is part of an existing definition because parent element `Citation.citedArtifact.webLocation` requires a cross-version extension.\nElement `Citation.citedArtifact.webLocation.url` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.webLocation.url` has no mapping targets in FHIR R4. 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:webLocation.extension:url.url",
        "path": "Extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "url"
      },
      {
        "id": "Extension.extension:webLocation.extension:url.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "The specific URL",
        "definition": "The specific URL.",
        "comment": "Persistent URLs, like doi, are preferred.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ]
      },
      {
        "id": "Extension.extension:webLocation.url",
        "path": "Extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "webLocation"
      },
      {
        "id": "Extension.extension:webLocation.value[x]",
        "path": "Extension.extension.value[x]",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Extension.extension:classification",
        "path": "Extension.extension",
        "sliceName": "classification",
        "short": "R5: The assignment to an organizing scheme (new)",
        "definition": "R5: `Citation.citedArtifact.classification` (new:BackboneElement)",
        "comment": "Element `Citation.citedArtifact.classification` is part of an existing definition because parent element `Citation.citedArtifact` requires a cross-version extension.\nElement `Citation.citedArtifact.classification` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.classification` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.classification` is part of an existing definition because parent element `Citation.citedArtifact` requires a cross-version extension.\nElement `Citation.citedArtifact.classification` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.classification` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:classification.extension",
        "path": "Extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 0,
        "max": "*",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:classification.extension:type",
        "path": "Extension.extension.extension",
        "sliceName": "type",
        "short": "R5: The kind of classifier (e.g. publication type, keyword) (new)",
        "definition": "R5: `Citation.citedArtifact.classification.type` (new:CodeableConcept)",
        "comment": "Element `Citation.citedArtifact.classification.type` is part of an existing definition because parent element `Citation.citedArtifact.classification` requires a cross-version extension.\nElement `Citation.citedArtifact.classification.type` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.classification.type` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.classification.type` is part of an existing definition because parent element `Citation.citedArtifact.classification` requires a cross-version extension.\nElement `Citation.citedArtifact.classification.type` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.classification.type` has no mapping targets in FHIR R4. 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:classification.extension:type.url",
        "path": "Extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "type"
      },
      {
        "id": "Extension.extension:classification.extension:type.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "The kind of classifier (e.g. publication type, keyword)",
        "definition": "The kind of classifier (e.g. publication type, keyword).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "extensible",
          "valueSet": "http://hl7.org/fhir/uv/xver/ValueSet/R5-cited-artifact-classification-type-for-R4|0.1.0"
        }
      },
      {
        "id": "Extension.extension:classification.extension:classifier",
        "path": "Extension.extension.extension",
        "sliceName": "classifier",
        "short": "R5: The specific classification value (new)",
        "definition": "R5: `Citation.citedArtifact.classification.classifier` (new:CodeableConcept)",
        "comment": "Element `Citation.citedArtifact.classification.classifier` is part of an existing definition because parent element `Citation.citedArtifact.classification` requires a cross-version extension.\nElement `Citation.citedArtifact.classification.classifier` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.classification.classifier` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.classification.classifier` is part of an existing definition because parent element `Citation.citedArtifact.classification` requires a cross-version extension.\nElement `Citation.citedArtifact.classification.classifier` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.classification.classifier` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:classification.extension:classifier.url",
        "path": "Extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "classifier"
      },
      {
        "id": "Extension.extension:classification.extension:classifier.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "The specific classification value",
        "definition": "The specific classification value.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "example",
          "valueSet": "http://hl7.org/fhir/uv/xver/ValueSet/R5-citation-artifact-classifier-for-R4|0.1.0"
        }
      },
      {
        "id": "Extension.extension:classification.extension:artifactAssessment",
        "path": "Extension.extension.extension",
        "sliceName": "artifactAssessment",
        "short": "R5: Complex or externally created classification (new)",
        "definition": "R5: `Citation.citedArtifact.classification.artifactAssessment` (new:Reference(ArtifactAssessment))",
        "comment": "Element `Citation.citedArtifact.classification.artifactAssessment` is part of an existing definition because parent element `Citation.citedArtifact.classification` requires a cross-version extension.\nElement `Citation.citedArtifact.classification.artifactAssessment` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.classification.artifactAssessment` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nExamples relevant to study citations include MeSH Headings or Keywords that contain qualifier codings or sub-classifications, and include risk of bias assessments created by persons different from the creator of the citation record.",
        "requirements": "Element `Citation.citedArtifact.classification.artifactAssessment` is part of an existing definition because parent element `Citation.citedArtifact.classification` requires a cross-version extension.\nElement `Citation.citedArtifact.classification.artifactAssessment` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.classification.artifactAssessment` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:classification.extension:artifactAssessment.url",
        "path": "Extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "artifactAssessment"
      },
      {
        "id": "Extension.extension:classification.extension:artifactAssessment.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "Complex or externally created classification",
        "definition": "Complex or externally created classification.",
        "comment": "Examples relevant to study citations include MeSH Headings or Keywords that contain qualifier codings or sub-classifications, and include risk of bias assessments created by persons different from the creator of the citation record.",
        "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-ArtifactAssessment|0.1.0",
              "http://hl7.org/fhir/StructureDefinition/Basic|4.0.1"
            ]
          }
        ]
      },
      {
        "id": "Extension.extension:classification.url",
        "path": "Extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "classification"
      },
      {
        "id": "Extension.extension:classification.value[x]",
        "path": "Extension.extension.value[x]",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Extension.extension:contributorship",
        "path": "Extension.extension",
        "sliceName": "contributorship",
        "short": "R5: Attribution of authors and other contributors (new)",
        "definition": "R5: `Citation.citedArtifact.contributorship` (new:BackboneElement)",
        "comment": "Element `Citation.citedArtifact.contributorship` is part of an existing definition because parent element `Citation.citedArtifact` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Need to support individualized and collective attribution of authorship and contributorship to people and groups. Element `Citation.citedArtifact.contributorship` is part of an existing definition because parent element `Citation.citedArtifact` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship` has no mapping targets in FHIR R4. 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:contributorship.extension",
        "path": "Extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 0,
        "max": "*",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:contributorship.extension:complete",
        "path": "Extension.extension.extension",
        "sliceName": "complete",
        "short": "R5: Indicates if the list includes all authors and/or contributors (new)",
        "definition": "R5: `Citation.citedArtifact.contributorship.complete` (new:boolean)",
        "comment": "Element `Citation.citedArtifact.contributorship.complete` is part of an existing definition because parent element `Citation.citedArtifact.contributorship` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.complete` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.complete` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nIf list is incomplete, \"et al\" can be appended to Contributorship.summary.value for display purposes.",
        "requirements": "Element `Citation.citedArtifact.contributorship.complete` is part of an existing definition because parent element `Citation.citedArtifact.contributorship` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.complete` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.complete` has no mapping targets in FHIR R4. 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:contributorship.extension:complete.url",
        "path": "Extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "complete"
      },
      {
        "id": "Extension.extension:contributorship.extension:complete.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "Indicates if the list includes all authors and/or contributors",
        "definition": "Indicates if the list includes all authors and/or contributors.",
        "comment": "If list is incomplete, \"et al\" can be appended to Contributorship.summary.value for display purposes.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:entry",
        "path": "Extension.extension.extension",
        "sliceName": "entry",
        "short": "R5: An individual entity named as a contributor (new)",
        "definition": "R5: `Citation.citedArtifact.contributorship.entry` (new:BackboneElement)",
        "comment": "Element `Citation.citedArtifact.contributorship.entry` is part of an existing definition because parent element `Citation.citedArtifact.contributorship` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.entry` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.entry` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nUsed to report contributorship in individualized ways.",
        "requirements": "Element `Citation.citedArtifact.contributorship.entry` is part of an existing definition because parent element `Citation.citedArtifact.contributorship` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.entry` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.entry` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension",
        "path": "Extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 1,
        "max": "*",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:contributor",
        "path": "Extension.extension.extension.extension",
        "sliceName": "contributor",
        "short": "R5: The identity of the individual contributor (new)",
        "definition": "R5: `Citation.citedArtifact.contributorship.entry.contributor` (new:Reference(Practitioner,Organization))",
        "comment": "Element `Citation.citedArtifact.contributorship.entry.contributor` is part of an existing definition because parent element `Citation.citedArtifact.contributorship.entry` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.entry.contributor` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.entry.contributor` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nIf naming a contributor without additional detail or further structured data, the display element within the Reference datatype may be used for a simple string without referencing another resource.",
        "requirements": "Element `Citation.citedArtifact.contributorship.entry.contributor` is part of an existing definition because parent element `Citation.citedArtifact.contributorship.entry` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.entry.contributor` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.entry.contributor` has no mapping targets in FHIR R4. 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:contributorship.extension:entry.extension:contributor.url",
        "path": "Extension.extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "contributor"
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:contributor.value[x]",
        "path": "Extension.extension.extension.extension.value[x]",
        "short": "The identity of the individual contributor",
        "definition": "The identity of the individual contributor.",
        "comment": "If naming a contributor without additional detail or further structured data, the display element within the Reference datatype may be used for a simple string without referencing another resource.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/5.0/StructureDefinition/profile-Practitioner|0.1.0",
              "http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1",
              "http://hl7.org/fhir/5.0/StructureDefinition/profile-Organization|0.1.0",
              "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"
            ]
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:forenameInitials",
        "path": "Extension.extension.extension.extension",
        "sliceName": "forenameInitials",
        "short": "R5: For citation styles that use initials (new)",
        "definition": "R5: `Citation.citedArtifact.contributorship.entry.forenameInitials` (new:string)",
        "comment": "Element `Citation.citedArtifact.contributorship.entry.forenameInitials` is part of an existing definition because parent element `Citation.citedArtifact.contributorship.entry` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.entry.forenameInitials` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.entry.forenameInitials` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nThis element is used to support a data element used for citations that is not otherwise supported fully by FHIR HumanName datatype. In some citation summary styles (e.g. Medline), authors are presented with full spelling of their last name (family name) and initials for all forenames (first names, middle names, preceding names, given names). As the FHIR HumanName Datatype does not have a specific element for forename initials and this is common in citation usage, the element is added to contributorship.entry directly.",
        "requirements": "Element `Citation.citedArtifact.contributorship.entry.forenameInitials` is part of an existing definition because parent element `Citation.citedArtifact.contributorship.entry` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.entry.forenameInitials` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.entry.forenameInitials` has no mapping targets in FHIR R4. 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:contributorship.extension:entry.extension:forenameInitials.url",
        "path": "Extension.extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "forenameInitials"
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:forenameInitials.value[x]",
        "path": "Extension.extension.extension.extension.value[x]",
        "short": "For citation styles that use initials",
        "definition": "For citation styles that use initials.",
        "comment": "This element is used to support a data element used for citations that is not otherwise supported fully by FHIR HumanName datatype. In some citation summary styles (e.g. Medline), authors are presented with full spelling of their last name (family name) and initials for all forenames (first names, middle names, preceding names, given names). As the FHIR HumanName Datatype does not have a specific element for forename initials and this is common in citation usage, the element is added to contributorship.entry directly.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:affiliation",
        "path": "Extension.extension.extension.extension",
        "sliceName": "affiliation",
        "short": "R5: Organizational affiliation (new)",
        "definition": "R5: `Citation.citedArtifact.contributorship.entry.affiliation` (new:Reference(Organization,PractitionerRole))",
        "comment": "Element `Citation.citedArtifact.contributorship.entry.affiliation` is part of an existing definition because parent element `Citation.citedArtifact.contributorship.entry` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.entry.affiliation` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.entry.affiliation` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nIf naming an organization without additional detail or further structured data, the display element within the Reference datatype may be used for a simple string without referencing another resource.",
        "requirements": "Element `Citation.citedArtifact.contributorship.entry.affiliation` is part of an existing definition because parent element `Citation.citedArtifact.contributorship.entry` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.entry.affiliation` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.entry.affiliation` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:affiliation.url",
        "path": "Extension.extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "affiliation"
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:affiliation.value[x]",
        "path": "Extension.extension.extension.extension.value[x]",
        "short": "Organizational affiliation",
        "definition": "Organization affiliated with the contributor.",
        "comment": "If naming an organization without additional detail or further structured data, the display element within the Reference datatype may be used for a simple string without referencing another resource.",
        "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-Organization|0.1.0",
              "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1",
              "http://hl7.org/fhir/5.0/StructureDefinition/profile-PractitionerRole|0.1.0",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1"
            ]
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:contributionType",
        "path": "Extension.extension.extension.extension",
        "sliceName": "contributionType",
        "short": "R5: The specific contribution (new)",
        "definition": "R5: `Citation.citedArtifact.contributorship.entry.contributionType` (new:CodeableConcept)",
        "comment": "Element `Citation.citedArtifact.contributorship.entry.contributionType` is part of an existing definition because parent element `Citation.citedArtifact.contributorship.entry` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.entry.contributionType` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.entry.contributionType` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nThe CreDiT taxonomy provides a way to encode contribution information. The purpose of CRediT is to provide transparency in contributions to scholarly published work, to enable improved systems of attribution, credit, and accountability.",
        "requirements": "Element `Citation.citedArtifact.contributorship.entry.contributionType` is part of an existing definition because parent element `Citation.citedArtifact.contributorship.entry` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.entry.contributionType` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.entry.contributionType` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:contributionType.url",
        "path": "Extension.extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "contributionType"
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:contributionType.value[x]",
        "path": "Extension.extension.extension.extension.value[x]",
        "short": "The specific contribution",
        "definition": "This element identifies the specific nature of an individual’s contribution with respect to the cited work.",
        "comment": "The CreDiT taxonomy provides a way to encode contribution information. The purpose of CRediT is to provide transparency in contributions to scholarly published work, to enable improved systems of attribution, credit, and accountability.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "extensible",
          "valueSet": "http://hl7.org/fhir/uv/xver/ValueSet/R5-artifact-contribution-type-for-R4|0.1.0"
        }
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:role",
        "path": "Extension.extension.extension.extension",
        "sliceName": "role",
        "short": "R5: The role of the contributor (e.g. author, editor, reviewer, funder) (new)",
        "definition": "R5: `Citation.citedArtifact.contributorship.entry.role` (new:CodeableConcept)",
        "comment": "Element `Citation.citedArtifact.contributorship.entry.role` is part of an existing definition because parent element `Citation.citedArtifact.contributorship.entry` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.entry.role` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.entry.role` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.contributorship.entry.role` is part of an existing definition because parent element `Citation.citedArtifact.contributorship.entry` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.entry.role` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.entry.role` has no mapping targets in FHIR R4. 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:contributorship.extension:entry.extension:role.url",
        "path": "Extension.extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "role"
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:role.value[x]",
        "path": "Extension.extension.extension.extension.value[x]",
        "short": "The role of the contributor (e.g. author, editor, reviewer, funder)",
        "definition": "The role of the contributor (e.g. author, editor, reviewer, funder).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "extensible",
          "valueSet": "http://hl7.org/fhir/uv/xver/ValueSet/R5-contributor-role-for-R4|0.1.0"
        }
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:contributionInstance",
        "path": "Extension.extension.extension.extension",
        "sliceName": "contributionInstance",
        "short": "R5: Contributions with accounting for time or number (new)",
        "definition": "R5: `Citation.citedArtifact.contributorship.entry.contributionInstance` (new:BackboneElement)",
        "comment": "Element `Citation.citedArtifact.contributorship.entry.contributionInstance` is part of an existing definition because parent element `Citation.citedArtifact.contributorship.entry` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.entry.contributionInstance` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.entry.contributionInstance` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.contributorship.entry.contributionInstance` is part of an existing definition because parent element `Citation.citedArtifact.contributorship.entry` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.entry.contributionInstance` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.entry.contributionInstance` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:contributionInstance.extension",
        "path": "Extension.extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 1,
        "max": "*",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:contributionInstance.extension:type",
        "path": "Extension.extension.extension.extension.extension",
        "sliceName": "type",
        "short": "R5: The specific contribution (new)",
        "definition": "R5: `Citation.citedArtifact.contributorship.entry.contributionInstance.type` (new:CodeableConcept)",
        "comment": "Element `Citation.citedArtifact.contributorship.entry.contributionInstance.type` is part of an existing definition because parent element `Citation.citedArtifact.contributorship.entry.contributionInstance` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.entry.contributionInstance.type` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.entry.contributionInstance.type` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.contributorship.entry.contributionInstance.type` is part of an existing definition because parent element `Citation.citedArtifact.contributorship.entry.contributionInstance` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.entry.contributionInstance.type` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.entry.contributionInstance.type` has no mapping targets in FHIR R4. 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:contributorship.extension:entry.extension:contributionInstance.extension:type.url",
        "path": "Extension.extension.extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "type"
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:contributionInstance.extension:type.value[x]",
        "path": "Extension.extension.extension.extension.extension.value[x]",
        "short": "The specific contribution",
        "definition": "The specific contribution.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "extensible",
          "valueSet": "http://hl7.org/fhir/uv/xver/ValueSet/R5-artifact-contribution-instance-type-for-R4|0.1.0"
        }
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:contributionInstance.extension:time",
        "path": "Extension.extension.extension.extension.extension",
        "sliceName": "time",
        "short": "R5: The time that the contribution was made (new)",
        "definition": "R5: `Citation.citedArtifact.contributorship.entry.contributionInstance.time` (new:dateTime)",
        "comment": "Element `Citation.citedArtifact.contributorship.entry.contributionInstance.time` is part of an existing definition because parent element `Citation.citedArtifact.contributorship.entry.contributionInstance` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.entry.contributionInstance.time` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.entry.contributionInstance.time` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.contributorship.entry.contributionInstance.time` is part of an existing definition because parent element `Citation.citedArtifact.contributorship.entry.contributionInstance` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.entry.contributionInstance.time` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.entry.contributionInstance.time` has no mapping targets in FHIR R4. 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:contributorship.extension:entry.extension:contributionInstance.extension:time.url",
        "path": "Extension.extension.extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "time"
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:contributionInstance.extension:time.value[x]",
        "path": "Extension.extension.extension.extension.extension.value[x]",
        "short": "The time that the contribution was made",
        "definition": "The time that the contribution was made.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:contributionInstance.url",
        "path": "Extension.extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "contributionInstance"
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:contributionInstance.value[x]",
        "path": "Extension.extension.extension.extension.value[x]",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:correspondingContact",
        "path": "Extension.extension.extension.extension",
        "sliceName": "correspondingContact",
        "short": "R5: Whether the contributor is the corresponding contributor for the role (new)",
        "definition": "R5: `Citation.citedArtifact.contributorship.entry.correspondingContact` (new:boolean)",
        "comment": "Element `Citation.citedArtifact.contributorship.entry.correspondingContact` is part of an existing definition because parent element `Citation.citedArtifact.contributorship.entry` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.entry.correspondingContact` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.entry.correspondingContact` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nIf there are multiple authors and one serves as the corresponding author, then that one would have correspondingContact = true.",
        "requirements": "Element `Citation.citedArtifact.contributorship.entry.correspondingContact` is part of an existing definition because parent element `Citation.citedArtifact.contributorship.entry` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.entry.correspondingContact` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.entry.correspondingContact` has no mapping targets in FHIR R4. 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:contributorship.extension:entry.extension:correspondingContact.url",
        "path": "Extension.extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "correspondingContact"
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:correspondingContact.value[x]",
        "path": "Extension.extension.extension.extension.value[x]",
        "short": "Whether the contributor is the corresponding contributor for the role",
        "definition": "Whether the contributor is the corresponding contributor for the role.",
        "comment": "If there are multiple authors and one serves as the corresponding author, then that one would have correspondingContact = true.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:rankingOrder",
        "path": "Extension.extension.extension.extension",
        "sliceName": "rankingOrder",
        "short": "R5: Ranked order of contribution (new)",
        "definition": "R5: `Citation.citedArtifact.contributorship.entry.rankingOrder` (new:positiveInt)",
        "comment": "Element `Citation.citedArtifact.contributorship.entry.rankingOrder` is part of an existing definition because parent element `Citation.citedArtifact.contributorship.entry` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.entry.rankingOrder` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.entry.rankingOrder` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nUsed to retain order of authorship as structured data",
        "requirements": "Element `Citation.citedArtifact.contributorship.entry.rankingOrder` is part of an existing definition because parent element `Citation.citedArtifact.contributorship.entry` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.entry.rankingOrder` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.entry.rankingOrder` has no mapping targets in FHIR R4. 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:contributorship.extension:entry.extension:rankingOrder.url",
        "path": "Extension.extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "rankingOrder"
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.extension:rankingOrder.value[x]",
        "path": "Extension.extension.extension.extension.value[x]",
        "short": "Ranked order of contribution",
        "definition": "Provides a numerical ranking to represent the degree of contributorship relative to other contributors, such as 1 for first author and 2 for second author.",
        "comment": "Used to retain order of authorship as structured data",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "positiveInt"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.url",
        "path": "Extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "entry"
      },
      {
        "id": "Extension.extension:contributorship.extension:entry.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Extension.extension:contributorship.extension:summary",
        "path": "Extension.extension.extension",
        "sliceName": "summary",
        "short": "R5: Used to record a display of the author/contributor list without separate data element for each list member (new)",
        "definition": "R5: `Citation.citedArtifact.contributorship.summary` (new:BackboneElement)",
        "comment": "Element `Citation.citedArtifact.contributorship.summary` is part of an existing definition because parent element `Citation.citedArtifact.contributorship` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.summary` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.summary` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.contributorship.summary` is part of an existing definition because parent element `Citation.citedArtifact.contributorship` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.summary` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.summary` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:contributorship.extension:summary.extension",
        "path": "Extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 1,
        "max": "*",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:contributorship.extension:summary.extension:type",
        "path": "Extension.extension.extension.extension",
        "sliceName": "type",
        "short": "R5: Such as author list, contributorship statement, funding statement, acknowledgements statement, or conflicts of interest statement (new)",
        "definition": "R5: `Citation.citedArtifact.contributorship.summary.type` (new:CodeableConcept)",
        "comment": "Element `Citation.citedArtifact.contributorship.summary.type` is part of an existing definition because parent element `Citation.citedArtifact.contributorship.summary` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.summary.type` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.summary.type` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.contributorship.summary.type` is part of an existing definition because parent element `Citation.citedArtifact.contributorship.summary` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.summary.type` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.summary.type` has no mapping targets in FHIR R4. 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:contributorship.extension:summary.extension:type.url",
        "path": "Extension.extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "type"
      },
      {
        "id": "Extension.extension:contributorship.extension:summary.extension:type.value[x]",
        "path": "Extension.extension.extension.extension.value[x]",
        "short": "Such as author list, contributorship statement, funding statement, acknowledgements statement, or conflicts of interest statement",
        "definition": "Used most commonly to express an author list or a contributorship statement.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "extensible",
          "valueSet": "http://hl7.org/fhir/uv/xver/ValueSet/R5-contributor-summary-type-for-R4|0.1.0"
        }
      },
      {
        "id": "Extension.extension:contributorship.extension:summary.extension:style",
        "path": "Extension.extension.extension.extension",
        "sliceName": "style",
        "short": "R5: The format for the display string (new)",
        "definition": "R5: `Citation.citedArtifact.contributorship.summary.style` (new:CodeableConcept)",
        "comment": "Element `Citation.citedArtifact.contributorship.summary.style` is part of an existing definition because parent element `Citation.citedArtifact.contributorship.summary` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.summary.style` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.summary.style` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.contributorship.summary.style` is part of an existing definition because parent element `Citation.citedArtifact.contributorship.summary` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.summary.style` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.summary.style` has no mapping targets in FHIR R4. 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:contributorship.extension:summary.extension:style.url",
        "path": "Extension.extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "style"
      },
      {
        "id": "Extension.extension:contributorship.extension:summary.extension:style.value[x]",
        "path": "Extension.extension.extension.extension.value[x]",
        "short": "The format for the display string",
        "definition": "The format for the display string, such as author last name with first letter capitalized followed by forename initials.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "extensible",
          "valueSet": "http://hl7.org/fhir/uv/xver/ValueSet/R5-contributor-summary-style-for-R4|0.1.0"
        }
      },
      {
        "id": "Extension.extension:contributorship.extension:summary.extension:source",
        "path": "Extension.extension.extension.extension",
        "sliceName": "source",
        "short": "R5: Used to code the producer or rule for creating the display string (new)",
        "definition": "R5: `Citation.citedArtifact.contributorship.summary.source` (new:CodeableConcept)",
        "comment": "Element `Citation.citedArtifact.contributorship.summary.source` is part of an existing definition because parent element `Citation.citedArtifact.contributorship.summary` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.summary.source` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.summary.source` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.contributorship.summary.source` is part of an existing definition because parent element `Citation.citedArtifact.contributorship.summary` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.summary.source` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.summary.source` has no mapping targets in FHIR R4. 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:contributorship.extension:summary.extension:source.url",
        "path": "Extension.extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "source"
      },
      {
        "id": "Extension.extension:contributorship.extension:summary.extension:source.value[x]",
        "path": "Extension.extension.extension.extension.value[x]",
        "short": "Used to code the producer or rule for creating the display string",
        "definition": "Used to code the producer or rule for creating the display string.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "extensible",
          "valueSet": "http://hl7.org/fhir/uv/xver/ValueSet/R5-contributor-summary-source-for-R4|0.1.0"
        }
      },
      {
        "id": "Extension.extension:contributorship.extension:summary.extension:value",
        "path": "Extension.extension.extension.extension",
        "sliceName": "value",
        "short": "R5: The display string for the author list, contributor list, or contributorship statement (new)",
        "definition": "R5: `Citation.citedArtifact.contributorship.summary.value` (new:markdown)",
        "comment": "Element `Citation.citedArtifact.contributorship.summary.value` is part of an existing definition because parent element `Citation.citedArtifact.contributorship.summary` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.summary.value` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.summary.value` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.contributorship.summary.value` is part of an existing definition because parent element `Citation.citedArtifact.contributorship.summary` requires a cross-version extension.\nElement `Citation.citedArtifact.contributorship.summary.value` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.contributorship.summary.value` has no mapping targets in FHIR R4. 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:contributorship.extension:summary.extension:value.url",
        "path": "Extension.extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "value"
      },
      {
        "id": "Extension.extension:contributorship.extension:summary.extension:value.value[x]",
        "path": "Extension.extension.extension.extension.value[x]",
        "short": "The display string for the author list, contributor list, or contributorship statement",
        "definition": "The display string for the author list, contributor list, or contributorship statement.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "markdown"
          }
        ]
      },
      {
        "id": "Extension.extension:contributorship.extension:summary.url",
        "path": "Extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "summary"
      },
      {
        "id": "Extension.extension:contributorship.extension:summary.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Extension.extension:contributorship.url",
        "path": "Extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "contributorship"
      },
      {
        "id": "Extension.extension:contributorship.value[x]",
        "path": "Extension.extension.value[x]",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Extension.extension:note",
        "path": "Extension.extension",
        "sliceName": "note",
        "short": "R5: Any additional information or content for the article or artifact (new)",
        "definition": "R5: `Citation.citedArtifact.note` (new:Annotation)",
        "comment": "Element `Citation.citedArtifact.note` is part of an existing definition because parent element `Citation.citedArtifact` requires a cross-version extension.\nElement `Citation.citedArtifact.note` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.note` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `Citation.citedArtifact.note` is part of an existing definition because parent element `Citation.citedArtifact` requires a cross-version extension.\nElement `Citation.citedArtifact.note` is not mapped to FHIR R4, since FHIR R5 `Citation` is not mapped.\nElement `Citation.citedArtifact.note` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:note.url",
        "path": "Extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "note"
      },
      {
        "id": "Extension.extension:note.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "Any additional information or content for the article or artifact",
        "definition": "Any additional information or content for the article or artifact.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Annotation"
          }
        ]
      },
      {
        "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-Citation.citedArtifact"
      },
      {
        "id": "Extension.value[x]",
        "path": "Extension.value[x]",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        }
      }
    ]
  }
}