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Packagehl7.fhir.uv.xver-r5.r4
Resource TypeStructureDefinition
IdStructureDefinition-ext-R5-PlanDefinition.subject.json
FHIR VersionR4

Resources that use this resource

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Narrative

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

Generated Narrative: StructureDefinition ext-R5-PlanDefinition.subject

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..1Extension(4.0.1)R5: subject additional types
... url 1..1uri"http://hl7.org/fhir/5.0/StructureDefinition/extension-PlanDefinition.subject"
... value[x] 0..1canonical(Cross-version Profile for R5.EvidenceVariable for use in FHIR R4(0.1.0) | EvidenceVariable)Type of individual the plan definition is focused on

doco Documentation for this format

Source1

{
  "resourceType": "StructureDefinition",
  "id": "ext-R5-PlanDefinition.subject",
  "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-PlanDefinition.subject",
  "version": "0.1.0",
  "name": "ExtensionPlanDefinition_Subject",
  "title": "R5: subject additional types",
  "status": "active",
  "experimental": false,
  "date": "2026-03-17T21:02:03.8104715+00:00",
  "publisher": "FHIR Infrastructure",
  "contact": [
    {
      "name": "FHIR Infrastructure",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/fiwg"
        }
      ]
    }
  ],
  "description": "R5: `PlanDefinition.subject[x]` additional types (canonical(http://hl7.org/fhir/StructureDefinition/EvidenceVariable))",
  "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 `PlanDefinition.subject[x]` as defined in FHIR R5\r\nin FHIR R4.\r\n\r\nThe source element is defined as:\r\n`PlanDefinition.subject[x]` 0..1 `canonical(http://hl7.org/fhir/StructureDefinition/EvidenceVariable), CodeableConcept, Reference(http://hl7.org/fhir/StructureDefinition/Group,http://hl7.org/fhir/StructureDefinition/MedicinalProductDefinition,http://hl7.org/fhir/StructureDefinition/SubstanceDefinition,http://hl7.org/fhir/StructureDefinition/AdministrableProductDefinition,http://hl7.org/fhir/StructureDefinition/ManufacturedItemDefinition,http://hl7.org/fhir/StructureDefinition/PackagedProductDefinition)`\r\n\r\nAcross FHIR versions, the element set has been mapped as:\r\n*  R5: `PlanDefinition.subject[x]` 0..1 `canonical(http://hl7.org/fhir/StructureDefinition/EvidenceVariable), CodeableConcept, Reference(http://hl7.org/fhir/StructureDefinition/Group,http://hl7.org/fhir/StructureDefinition/MedicinalProductDefinition,http://hl7.org/fhir/StructureDefinition/SubstanceDefinition,http://hl7.org/fhir/StructureDefinition/AdministrableProductDefinition,http://hl7.org/fhir/StructureDefinition/ManufacturedItemDefinition,http://hl7.org/fhir/StructureDefinition/PackagedProductDefinition)`\n*  R4B: `PlanDefinition.subject[x]` 0..1 `canonical(http://hl7.org/fhir/StructureDefinition/MedicinalProductDefinition,http://hl7.org/fhir/StructureDefinition/SubstanceDefinition,http://hl7.org/fhir/StructureDefinition/AdministrableProductDefinition,http://hl7.org/fhir/StructureDefinition/ManufacturedItemDefinition,http://hl7.org/fhir/StructureDefinition/PackagedProductDefinition), CodeableConcept, Reference(http://hl7.org/fhir/StructureDefinition/Group)`\n*  R4: `PlanDefinition.subject[x]` 0..1 `CodeableConcept, Reference(http://hl7.org/fhir/StructureDefinition/Group)`\r\n\r\nFollowing are the generation technical comments:\r\nElement `PlanDefinition.subject[x]` is mapped to FHIR R4 element `PlanDefinition.subject[x]` as `SourceIsBroaderThanTarget`.\nThe mappings for `PlanDefinition.subject[x]` do not cover the following types: canonical.\nThe target context `PlanDefinition.subject[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `PlanDefinition`.\nThe standard extension `alternate-reference` has been mapped as PART of the representation of FHIR R5 element `PlanDefinition.subject[x]` with unmapped reference targets: AdministrableProductDefinition, ManufacturedItemDefinition, MedicinalProductDefinition, PackagedProductDefinition, SubstanceDefinition.\nSource element `PlanDefinition.subject[x]` has unmapped reference types. While the target element `PlanDefinition.subject[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it.",
  "fhirVersion": "4.0.1",
  "mapping": [
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    }
  ],
  "kind": "complex-type",
  "abstract": false,
  "context": [
    {
      "type": "element",
      "expression": "PlanDefinition"
    }
  ],
  "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: subject additional types",
        "definition": "R5: `PlanDefinition.subject[x]` additional types (canonical(http://hl7.org/fhir/StructureDefinition/EvidenceVariable))",
        "comment": "Element `PlanDefinition.subject[x]` is mapped to FHIR R4 element `PlanDefinition.subject[x]` as `SourceIsBroaderThanTarget`.\nThe mappings for `PlanDefinition.subject[x]` do not cover the following types: canonical.\nThe target context `PlanDefinition.subject[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `PlanDefinition`.\nThe standard extension `alternate-reference` has been mapped as PART of the representation of FHIR R5 element `PlanDefinition.subject[x]` with unmapped reference targets: AdministrableProductDefinition, ManufacturedItemDefinition, MedicinalProductDefinition, PackagedProductDefinition, SubstanceDefinition.\nSource element `PlanDefinition.subject[x]` has unmapped reference types. While the target element `PlanDefinition.subject[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it.\nNote that the choice of canonical for the subject element was introduced in R4B to support pharmaceutical quality use cases. To ensure as much backwards-compatibility as possible, it is recommended to only use the new canonical type with these use cases.",
        "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",
          "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.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-PlanDefinition.subject",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.value[x]",
        "path": "Extension.value[x]",
        "short": "Type of individual the plan definition is focused on",
        "definition": "A code, group definition, or canonical reference that describes  or identifies the intended subject of the plan definition. Canonical references are allowed to support the definition of protocols for drug and substance quality specifications, and is allowed to reference a MedicinalProductDefinition, SubstanceDefinition, AdministrableProductDefinition, ManufacturedItemDefinition, or PackagedProductDefinition resource.",
        "comment": "Note that the choice of canonical for the subject element was introduced in R4B to support pharmaceutical quality use cases. To ensure as much backwards-compatibility as possible, it is recommended to only use the new canonical type with these use cases.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "canonical",
            "targetProfile": [
              "http://hl7.org/fhir/5.0/StructureDefinition/profile-EvidenceVariable|0.1.0",
              "http://hl7.org/fhir/StructureDefinition/EvidenceVariable|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"
          }
        ]
      }
    ]
  },
  "differential": {
    "element": [
      {
        "id": "Extension",
        "path": "Extension",
        "short": "R5: subject additional types",
        "definition": "R5: `PlanDefinition.subject[x]` additional types (canonical(http://hl7.org/fhir/StructureDefinition/EvidenceVariable))",
        "comment": "Element `PlanDefinition.subject[x]` is mapped to FHIR R4 element `PlanDefinition.subject[x]` as `SourceIsBroaderThanTarget`.\nThe mappings for `PlanDefinition.subject[x]` do not cover the following types: canonical.\nThe target context `PlanDefinition.subject[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `PlanDefinition`.\nThe standard extension `alternate-reference` has been mapped as PART of the representation of FHIR R5 element `PlanDefinition.subject[x]` with unmapped reference targets: AdministrableProductDefinition, ManufacturedItemDefinition, MedicinalProductDefinition, PackagedProductDefinition, SubstanceDefinition.\nSource element `PlanDefinition.subject[x]` has unmapped reference types. While the target element `PlanDefinition.subject[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it.\nNote that the choice of canonical for the subject element was introduced in R4B to support pharmaceutical quality use cases. To ensure as much backwards-compatibility as possible, it is recommended to only use the new canonical type with these use cases.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension",
          "min": 0,
          "max": "*"
        },
        "isModifier": false
      },
      {
        "id": "Extension.url",
        "path": "Extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "http://hl7.org/fhir/5.0/StructureDefinition/extension-PlanDefinition.subject"
      },
      {
        "id": "Extension.value[x]",
        "path": "Extension.value[x]",
        "short": "Type of individual the plan definition is focused on",
        "definition": "A code, group definition, or canonical reference that describes  or identifies the intended subject of the plan definition. Canonical references are allowed to support the definition of protocols for drug and substance quality specifications, and is allowed to reference a MedicinalProductDefinition, SubstanceDefinition, AdministrableProductDefinition, ManufacturedItemDefinition, or PackagedProductDefinition resource.",
        "comment": "Note that the choice of canonical for the subject element was introduced in R4B to support pharmaceutical quality use cases. To ensure as much backwards-compatibility as possible, it is recommended to only use the new canonical type with these use cases.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "canonical",
            "targetProfile": [
              "http://hl7.org/fhir/5.0/StructureDefinition/profile-EvidenceVariable|0.1.0",
              "http://hl7.org/fhir/StructureDefinition/EvidenceVariable|4.0.1"
            ]
          }
        ]
      }
    ]
  }
}